Prism Health Care Services is monitoring the spread of Coronavirus (COVID-19). We are committed to keeping you informed. The Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control (CDC) have provided guidance and resources to help you stay aware of the virus and learn how Prism Health Care Services will operate during home care visits to keep you and your family safe.What is COVID-19?
The CDC is responding to an outbreak of respiratory disease caused by a novel coronavirus that was first detected in China, which has now been detected in a number of countries internationally, including the United States.
The virus is thought to spread mainly from person-to-person, between people who are in close contact with one another (within about 6 feet) through respiratory droplets produced when an infected person coughs or sneezes. These droplets can land in the mouth or nose of people nearby or possibly be inhaled into the lungs.
- Avoid people who are sick
- Avoid touching your eyes, nose, and mouth
- Wash your hands often with soap and water for at least 20 seconds
- Cover your cough or sneeze with a tissue
- Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe
- Shortness of Breath
- Loss of sense of taste and smell
Prism Health Care Service Employee Surveillance Protocols
- Mandatory beginning and end of shift body temperature monitoring
- Supervisor infection control audits
- Use of Personal Protective Equipment in accordance with the Centers for Disease Control Guidelines.
- Hand hygiene should be performed before putting on and after removing personal protective equipment using alcohol-based sanitizer that contains 60-95% alcohol.
- All employees making home visits will use personal protective equipment including gloves and N95 masks.
- When a patient or member of the household has been exposed or tested positive for COVID-19 employees will follow the CDC guidelines for personal protective equipment as it relates to COVID-19.
- All personal protective equipment will be put on outside of the home prior to entry into the home.
- Alert persons in the home that the public health personnel will be entering the home. Anyone within the home with active or suspected COVID-19 must move to a different room, if possible, or keep a 6-foot distance in the same room.
- For more information regarding the use of personal protective equipment guidance by the Centers for Disease control, click here https://www.cdc.gov/coronavirus/2019-ncov/php/guidance-evaluating-pui.html
PATIENT/HOUSEHOLD RESPONSIBILITY TO ENSURE THE SAFETY OF THE HOME CARE EMPLOYEE:
- Keep entrance to the home clear
- If possible, isolate any person within the home exhibiting symptoms or confirmed COVID to a separate room when our employee enters the home OR, keep a 6-foot distance in the same room
- If possible, provide a trash can outside of the home for disposal of the personal protective equipment used by the Prism Health Care employee
- If employee is unable to remove all PPE outside of the home, it is still preferred that face protection (i.e., respiratory and eye protection) be removed after exiting the home.
- If gowns and gloves must be removed in the home, ask persons within the home to move to a different room.
- Once the entry area is clear, Prism Health Care Services employee will remove gown and gloves and exit the home. Once outside the home, the employee will perform hand hygiene with alcohol-based hand sanitizer that contains 60% to 90% alcohol, remove face protection and discard the personal protective equipment by placing it in the trash can before departing the location. Perform hand hygiene again.
- Any deviation from the Centers for Medicare and Medicaid Services’ recommendation may result in a cancelled home visit
DELIVERY of Medical Equipment to Customers Diagnosed or Exposed to COVID-19:
- Whenever possible, we will make every attempt to deliver equipment to the home, no sooner than 48 hours prior to the patient arriving home from hospital or skilled nursing facility.
- In the event that delivery is required to patient home post discharge, every effort will be made to instruct and deliver to an alternate location, i.e. Garage.
- Portable oxygen will be delivered to the hospital or skilled nursing facility for patient transfer.
PICK–UP of Medical Equipment to Customers Diagnosed or Exposed to COVID-19:
- Call our office to schedule equipment pick up at 847-310-4730 to stop the billing process
- When possible, we ask that you wipe down the equipment with an anti-microbial disinfectant
- Isolate the medical equipment for 72 hours prior to the date of the scheduled pick up
TELE-HEALTH VISITS WITH A RESPIRATORY THERAPIST ARE AVAILABLE FOR CPAP, BIPAP AND NON-INVASIVE VENTILATION PATIENTS
COVID-19 Prior to Home Visit Patient and Household Member Mandatory Screening Process
The Centers for Medicare and Medicaid Services have issued the following guidance to all home care personnel to keep our staff, you and your family safe.
- Identify patients or any members of the household at risk for having COVID-19 infection before or immediately upon home arrival
- Prior to home visit and day of visit screening. Each patient will be asked to self-report for him or herself and members of their household:
- Have your or members of your household travelled internationally within the last 14 days to countries with sustained community transmission?
- Do you or members of your household have signs or symptoms of a respiratory infection such as fever, cough, shortness of breath, or loss of taste and smell?
- Have your or members of your household, In the last 14 days, contact with someone who is under investigation for COVID-19, or are ill with respiratory illness
WHEN IS IT SAFE TO DISCONTINUE TRANSMISSION-BASED PRECAUTIONS FOR HOME CARE PATEINTS WITH COVID-19?
- The Centers for Disease Control has provided guidance on the decision to discontinue Transmission-Based precautions for home care patients with COVID-19. This decision should consider disease severity, illness and symptoms, and results of laboratory testing for COVID-19 in respiratory specimens. For more details, please refer to: https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-in-home-patients.html
Considerations to discontinue in-home isolation include all the following:
- Resolution of fever, without use of antipyretic medication
- Improvement in illness signs and symptoms
- Negative results of an FDA Emergency Use Authorized COVID-19 screening test. *
*Initial guidance is based upon limited information and is subject to change as more information becomes available.