Caution: The instructions on isolation and quarantine measures were adapted on March 19, 2020: from now on, all ill people (tested or not) must remain in self-isolation until 48 hours after their symptoms have resolved, provided that at least 10 days have passed since they started. The people with whom they have had close contact must also remain at home in self-quarantine for 10 days.
This tool is not intended for the clinical management of a patient. It should not be used to assess the indication for testing a hospitalised patient and should not replace internal hospital protocols.
Proposal for practical organization in your practice
Triaging patients by phone
The medical assistant or doctor assesses the situation over the phone using Coronacheck to identify those in need of a medical consultation (for clinical evaluation and/or swab) and those who can remain at or return home (with or without self-isolation).START AN EVALUATION FOR YOUR PATIENT
If a swab is indicated, please follow the screening strategy of your canton.
Here are the reference persons and contacts for the test centers in your Canton:
- For the canton of Vaud: The test must, first and foremost, be carried out by the general practitioner; patients should only be sent to screening centers as a last resort (list of screening centers).
- For the canton of Neuchâtel: consult the triage nurse on 032 886 888 0
- For the canton of Valais: the test should, first and foremost, be performed by the GP; if tests cannot be performed at their practice, call the cantonal hotline on 058 433 01 44 (8h-12, 7j/7)
Consultation with a patient
As far as possible, plan a dedicated time slot at the end of the day for patients requiring a swab in order to limit the risk of transmission. Masks and swab supplies can be sourced in regional pharmacies.
Follow the following hygiene measures (for "Droplets"):
- Have your patient wear a face mask (type II or IIR) upon their arrival at your practice.
- If possible, have your patient wait in a room dedicated to patients with flu-like symptoms
- Wear a face mask (type II or IIR) yourself and a doctor's coat.
- If a swab is indicated (follow the procedure to perform the swab), also wear protective glasses if available. Do not completely remove your patient's mask during the procedure, only lower their mask to expose the nose whilst keeping their mouth covered.
Isolation and quarantine :
- Inform any suspect patient (whether or not they need to be tested) about the need for self-isolation at home for 10 days and until 48 hours after the resolution of their symptoms. Provide them with the FOPH flyer for "self-isolation"
- Inform the patient about the need for self-quarantine for contacts living under the same roof. Provide them with the FOPH flyer for "self-quarantine".
Once the consultation is completed, clean the surfaces and ventilate the room for a few minutes
CAUTION: It is not recommended to use NSAIDs. For the management of symptoms, the prescription of paracetamol is preferred.
Communication of the swab result with the patient
- Negative result: inform the patient of the result and end self-isolation.
- Positive result: inform the patient to continue isolation for 10 days after the onset of symptoms and for 48 hours after the resolution of their symptoms. If possible, perform clinical follow-up by telephone
If you wish to assess your own situation, click on "START YOUR OWN ASSESSMENT".START YOUR OWN ASSESSMENT