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COVID-19 For Providers

What Physicians in Santa Cruz County Need to Know

The County Medical Society is providing the following information and tools to assist Santa Cruz County physicians in complying with the recent Santa Cruz County Health Officer Orders. The links below will go directly to the relevant documents.  

Effective July 22, 2020, the Santa Cruz County Health Services Agency (SCCHSA) issued blanket orders which directed Santa Cruz County healthcare providers to disseminate Isolation Orders to all patients being tested for COVID-19 or who are presumptively diagnosed with COVID-19 without testing BEFORE they leave your health care facility. In addition, healthcare providers are directed to disseminate Quarantine Orders for those patients to distribute to all of their close contacts.

Please review the Workflow for medical providers to determine general isolation and quarantine guidance for patients suspect of COVID-19 below for clarification regarding new instructions on isolation (physician diagnosed by symptoms or positive test) and quarantine (exposed contact of someone diagnosed by symptoms or positive test). The flow chart is followed by Key Points with related links.

KEY POINTS

Due to delayed test result turnaround times, physicians are directed to diagnose patients presumptively on the basis of “Covid-like illness” and initiate isolation orders, with or without confirmation by testing. 

A contact is anyone who has been within 6 feet of the diagnosed person for greater than 15 minutes within the time that someone could have been infectious, from 2-days before illness onset or positive test until the 10-DAY isolation is completed by the diagnosed person.

WHEN YOU SUSPECT A PATIENT HAS COVID-19

  • Physicians are requested to provide to the patient a hard copy of the following.
    • Order of the Health Officer of the County of Santa Cruz Requiring "Isolation" of Those Presumtively Infected with COVID-19 (English) or (Spanish). Self-Quarantine and Self-Isolation Instructions for Patients are included in this order. It provides a symptom log, signage to post on doors indicating that someone within is isolating, and other relevant information.
    • Order of the Health Officer of the County of Santa Cruz Requiring "Quarantine" of Those Individuals Who Have Been in Close Contact with Someone Presumptively Infected with COVID-19 (English) or (Spanish). Self-Quarantine and Self-Isolation Instructions for Patients are included in this order. It provides a symptom log, signage to post on doors indicating that someone within is isolating, and other relevant information.
      IMPORTANT NOTE:  The above documents should have the patient’s name, birthdate and the dates of isolation/quarantine written or stamped on them and signed by the doctor. Instruct the patient to present this to their employer and other government agencies for the purposes of obtaining sick leave, disability or other assistance for their period of isolation.
  • Physicians are also asked to a provide the Order of the Health Officer of the County of Santa Cruz Requiring "Quarantine"... (English) or (Spanish) to the contacts of the diagnosed person who are identified by them. Physicians can encourage and facilitate butnPhysician’s are NOT to perform contact tracing UNLESS the contacts are also a part of their own practice.
  • Physicians are requested to fill in this revised COVID-19 Confidential Morbidity Report form on all diagnosed persons.