Caution: 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
START AN EVALUATION FOR YOUR PATIENT
Triaging patients by phone
The medical assistant or doctor assesses the situation over the phone using Coronacheck to identify those in need of a consultation (for clinical evaluation and/or swab) and those who can remain at or return home.
Here are the reference persons and contacts for the test centers in your Canton:
- For the canton of Vaud: if possible, the test should be performed by the GP; otherwise, patients must be sent to one of the test centers (list of testing centers).
- For the canton of Neuchâtel: consult the triage nurse on 032 886 888 0
- For the canton of Valais: The test should be performed by your GP or in the Emergency Department of Viège/Sion/Martigny/Rennaz Hospital. For questions, please call 058 433 01 44 (weekdays 09h00-12h00 and 13h30 to 17h00).
According to paragraph 1, Article 26 of Ordinance 3 on COVID-19: "The Confederation shall assume the costs of molecular and serological diagnostic tests for SARS-CoV-2 carried out on an outpatient basis for persons who meet the criteria for a suspected case, sampling and declaration to the FOPH (version 24 June 2020) "
If an additional medical consultation is necessary, with or without additional examinations, the cost will be borne by the compulsory health insurance (LAMal).
Recommendation to make a second smear: if there is strong clinical suspicion of COVID-19 and the first RT-PCR smear is negative, a second nasopharyngeal smear is recommended.
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. During the nasopharyngeal swab, only lower their mask to expose the patient's 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 isolation at home for 10 days and until 48 hours after the resolution of their symptoms. Provide them with the FOPH flyer for "Isolation"
- Inform the patient about the need for quarantine of people who have been in close contact with them (contact while the patient was already symptomatic or in the 48 hours preceding the symptoms' appearance). Provide them with the FOPH flyer for "Quarantine".
Once the consultation is completed, clean the surfaces and ventilate the room for a few minutes
Communication of the swab result with the patient
- Negative result: inform the patient of the result and end isolation 24 hours after the end of symptoms.
- 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.