COVID-19 Algorithm

FOR THE PHILIPPINE GENERAL HOSPITAL

Regina P. Berba, MD
Hospital Infection Control Unit (HICU)
12 March 2020
 *see: https://www.who.int/emergencies/diseases/novel-
Guard to call ERO
EXPOSURE
coronavirus-2019/situation-reports

PGH Entrance
HISTORY OF TRAVEL ER Officer
to a country reporting local to mobilize
transmission w/in past 14 days*
Dyspneic
GUARD Fever
-or- Yes or Yes
checks CLOSE CONTACT Ambulance
CODE TEAM
temp with a probable OR Borne
confirmed case of COVID-19 PULMO Duty Fellow
defined as
(Team Leader)
No Fever Direct care without PPE
No
Staying in same close environment ANES Duty Resident
Travelling together in close proximity
DEM Nurse on Duty
Utility Worker on Duty
Continue entry No Triage Resident
into Hospital But is there....

SEVERE ACUTE
RESPIRATORY Guard to inform ERO
INFECTION (SARI)?
REQUIRING hospitalization, AND no other Yes ER Officer to inform
ER consult for etiology to fully explain the clinical
presentation, regardless of exposure history COVID-Triage
flu-like illness
No
COVID-Triage (IM/FM)
to evaluate patient
No need for
COVID-Triage Next Page
ENTRY to CARE
 COVID-Triage (IM/FM)
to evaluate patient

IDS FELLOW
PATIENTS UNDER INVESTIGATION
Does the patient fulfill Yes Inform Infectious Diseases Fellow
CONTACT
the criteria for PUI on duty and advise for admission ER Officer for documentation
based on the checklist? DPPS for admission to rm 554
Utility worker to transport
No PUI to designated room
Is there an Yes Utility worker to clean tent
PATIENTS UNDER MONITORING available BED after every PUI
in PGH?
Report to RESU and send home
with advice for self-quarantine
ONCE ADMITTED
No Contact RESU
Complete the case
Coordinate investigation form (CIF)
with RESU Collect NPS + OPS and LRT
Within 14 days, for transfer specimen if possible
did patient develop symptoms of Yes Manage accordingly
fever, cough, DoB, etc.?

No

No further ADMIT
intervention
COVID-19 PUI Checklist
ANY OF THE FOLLOWING

Signs and Travel History Close Contact with

Symptoms or Residence Confirmed Case
Direct care w/o PPE
Countries with Staying in Same Close environment
Fever, Cough,
Local Transmission Travelling together in close proximity
SoB, Diarrhea
COVID-19 PUM Checklist
ANY OF THE FOLLOWING

Signs and Travel History Close Contact with

Symptoms or Residence Confirmed Case
Direct care w/o PPE
Countries with Staying in Same Close environment
Fever, Cough,
Local Transmission Travelling together in close proximity
SoB, Diarrhea
WHO Situational Report
FOR LOCAL TRANSMISSION
Link: https://www.who.int/emergencies/diseases/novel-
coronavirus-2019/situation-reports
Advise for Home Isolation/Quarantine
• Stay at home except to get medical care
• Separate yourself from other people in your home
• Call ahead before visiting your doctor
• Wear a face mask
• Cover your mouth during cough and sneezes
• Wash your hands frequently
• Avoid sharing household items
• Monitor your symptoms
Contact Numbers
Adult IDS: 0932-3390827
Pedia IDS: 0922-4678973
ER Officer: 0932-3421229
Pay admitting (DPPS): 02 85548400 loc. 3137
or 02 85673116 or 0933-8157590
Ambulance: 02 85548400 loc. 2537
RESU for PGH: 0933-2026377
HICU Contact Details
IN CASE OF QUERIES, DOUBT, COMMENTS, COMPLAINTS, ETC

Dr.Regina BERBA (HICU): 0998-5381599

Ms.Merlita MAAT (HICU): 0946-3800913
Ms.Germilyn LUCAS (HICU): 0917-5300686
Ms. MARY GARRIDO
(PGH Surveillance Officer/HICU): 0916-3045328
pgh.hicu@gmail.com; rpberba@gmail.com
COVID-19 Algorithm
FOR THE PHILIPPINE GENERAL HOSPITAL

Regina P. Berba, MD
Hospital Infection Control Unit (HICU)
12 March 2020