We continue to encourage clinicians to reserve diagnostic testing for patients who are critically ill and whose care would benefit from the results of diagnostic testing. Test collection kit usage will be monitored to ensure that usage is consistent with supply. Please note that any patient with symptoms that could be consistent with a COVID-19 infection should be placed in enhanced contact droplet isolation based on their symptoms.
- Patients who have been asymptomatic for 14 days or more who are undergoing surveillance COVID-19 testing do not need to be placed in enhanced contact droplet isolation.
- Please refer to the guidance and specific symptom-based criteria for discontinuing a patient's enhanced contact droplet precautions.
- Note: though physicians may remove the isolation order in Epic, only Infection Prevention can remove the Enhanced Contact Droplet designation in the patient's side bar.
- Please contact Infection Prevention (404-785-0577) for assistance in removing the ECDP designation.
If you are caring for a child who you feel meets the need for COVID-19 diagnostic testing, call the Georgia Department of Public Health (GDPH) at 1-866-PUB-HLTH (1-866-782-4584) and follow the prompts for testing guidance. Do not refer a patient to a Children's facility for COVID-19 testing unless instructed to do so by GDPH. Prior to sending a patient to any clinical facility, it is critical to alert the facility about the suspicion of COVID-19 so that appropriate infection prevention precautions can be taken to prevent potential exposures. In addition, provide the child and accompanying family members with a mask.
If GDPH recommends diagnostic testing, call the Children's Transfer Center at 404-785-7778 to discuss with an infection prevention team member.
If you are providing care for a child who has fever or cough or shortness of breath and requires Urgent Care Center or Emergency Department evaluation, call the Children's Transfer Center at 404-785-7778 to notify them of the planned referral to Children's for clinical care. Be sure to describe the concern for COVID-19 infection.
Reporting of COVID-19 Testing Results
- Positive test results: to facilitate follow-up for potential exposures, the Advanced Diagnostics lab will call the campus infectious disease physician to notify them of a positive COVID-19 test result collected at the respective campus (Matt Linam, MD, for a positive test at Scottish Rite and Andi Shane, MD, for positive tests at Egleston and Hughes Spalding).
- Negative test results will be reported directly in the patient's chart. The ordering physician—whether at Children's or a referring facility—should notify the family or clinical team/pediatrician of the test results via the Transfer Center. It is important for the ordering physician to close the loop with the patient family to prevent additional follow up calls seeking test results.
COVID-19 Testing for Employees and Return-to-Work Guidance
Employees who have symptoms of a COVID-19 infection are eligible for COVID-19 testing with a referral from a healthcare provider or the local public health department. Contact your local health department for more information on testing options. If you are not experiencing symptoms, you may still be eligible for testing—in order to collect data for the local health department—if you were potentially exposed to COVID-19.
Any employee—with or without symptoms—who chooses to be tested must home isolate and immediately report the date of testing to Employee Health by completing the Employee Health Risk Assessment.You may not return to work until cleared to work by Employee Health.
Employee Health will provide guidance for you to return to work when:
- At least three days (72 hours) have passed since recovery, defined as resolution of fever without the use of fever-reducing medications, AND
- You have experienced improvement in respiratory symptoms (e.g., cough, shortness of breath), AND
- At least seven days have passed since symptoms first appeared, AND
- You have not experienced any symptoms for 24 hours, OR
- You received written guidance from another licensed clinician external to Children’s, you were identified as part of a Children’s patient exposure, or you are subject to local public health recommendations that supersede this guidance.
Contact Employee Health at 404-785-2184 (ext. 52184) between 7 a.m. and 4 p.m., or 404-785-7777 (ext. 57777) between 4 p.m. and 7 a.m., with questions.