Covid 19 questions English

Covid_19 Screening Questions

  • Is the person presenting with a fever, new onset of cough, worsening chronic cough, shortness of breath, or difficulty breathing?
  • Did the person have close contact with anyone with acute respiratory illness or traveled outside of Canada in the past 14 days?
  • Does the person have a confirmed case of COVID-19 or has close contact with a confirmed case of COVID-19?
  • Does the person have two (2) or more of the following symptoms*?
  • – Sore throat
  • – Hoarse voice
  • – Difficulty swallowing
  • – Decrease or loss of sense of taste or smell
  • – Chills
  • – Headaches
  • – Unexplained fatigue/malaise
  • – Diarrhea-
  • – Abdominal pain
  • – Nausea/vomiting
  • – Pink eye (conjunctivitis)
  • – Nasal congestion without other known cause

*Each bullet represents one (1) symptom; any two (2) symptoms would provide a positive Screening result. For the most up to date list of symptoms please refer to

Click to access 2019_reference_doc_symptoms.pdf

  • If possible, take temperature of patient prior to entry. (A temperature of 37.8°C or greater is considered a fever)
  • If the person is 65 years of age or older, are they experiencing any of the following symptoms:

Delirium, unexplained or increased number of falls, acute functional decline, or worsening of chronic conditions?

Screening Results

  • COVID-19 Screen Negative: If response to ALL the screening questions is NO.
  • COVID-19 Screen Positive: If response to ANY the screening questions is YES.

The Ministry of Health provides further information in the Patient Screening Guidance Document.

COVID-19: Return to Practice Guidance – Version Date: June 1, 2020

Procedures for patients who screen positive for COVID-19

COVID-19 is a designated disease of public health significance (O. Reg. 135/18) and thus re-portable under the Health Protection and Promotion Act. Regulated health professionals should contact their local public health unit to report a person suspected or confirmed to have COVID-19.

Positive screening over the phone or at time of appointment:

  • If a patient has screened positive over the phone or in-person, practitioners encourage patients who have symptoms to complete the online self-assessment tool before calling their primary care provider or Telehealth Ontario (1-866-797-0000) for further clinical assessment.
  • All testing for COVID-19 will take place through hospitals, assessment centers and/or through primary care providers. Home and community care providers must not conduct testing.
  • If individuals are referred to hospital (e.g., emergency department) for testing, the practitioner and/or agency should coordinate with the hospital, local public health unit, paramedic services, and the patient, to make safe arrangements for travel to the hospital incorporating Public Health Ontario’s Droplet and Contact Precautions. All referrals to hospital should be made to a triage nurse.

 

 

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Patient (or parent/guardian) Signature                                            Date

Patient Name (PRINT):

 

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Practitioner Signature (Helen Wing Mui YAU)                                   Date