COVID-19 Reporting and Follow-up

Aug. 17, 2020

 

1.       COVID-19 Reporting

UNLV Dental Medicine takes seriously the responsibility of monitoring any reported suspected and confirmed cases of COVID-19. Action is immediately taken upon notification. The steps are outlined below.

A.   Definition of Possible Exposure/Close Contact. This is defined as anyone within 6 feet for at least 15 minutes without the recommended PPE. In this scenario, the individual is asked to provide individuals who fall into close contact category to allow for notification. Final notifications will be made based on risk and only those who are considered to have prolonged exposure will be notified. Individual identities will be concealed to the extent possible per HIPAA and FERPA regulations.

B.   Notification of Faculty, Staff, and/or Student/Residents. Any faculty and/or staff supervisor should report to Mr. Ron Blaze (ron.blaze@unlv.edu) and Dr. Marcia Ditmyer (marcia.ditmyer@unlv.edu) anyone who has reported they were ill and not reporting to school/work. Any faculty, staff, student/resident who reports any exposure and/or confirmed COVID-19 test will be required to complete an information reporting form (Appendix A) and submit for risk evaluation (located in the UNLV Dental Medicine COVID-19 Shared Google Drive).  Individuals are asked to provide as much detail as possible in order to ensure an appropriate risk assessment. 

C.   Notification of Patients. Any patient who has notified UNLV Dental Medicine and/or has reported to a faculty, staff, and/or student that they are symptomatic, been exposed to someone who has tested positive for COVID-19, and/or tested positive for COVID-19 should report to Mr. Ron Blaze (ron.blaze@unlv.edu) and Dr. Marcia Ditmyer (marcia.ditmyer@unlv.edu). An information reporting form should be completed to ensure appropriate risk assessment (Appendix D). These are located in the UNLV Dental Medicine COVID-19 Shared Google Drive.  Individuals are asked to provide as much detail as possible in order to ensure appropriate risk assessment.  For questions please contact Mr. Blaze and/or Dr. Ditmyer.

D.   Risk Evaluation. Upon receipt of the COVID-19 information reporting form, UNLV Dental Administration will make a risk assessment (low, moderate, high) based on the information provided. Faculty, staff, and/or students will be notified if additional information is required. The individual will be contacted on next steps, which may require testing prior to returning to campus. 

E.    COVID-19 Testing. All information regarding any COVID-19 testing must be reported. This will include the date of test, type of test (viral vs. antibody tests), location of test. NOTE: “An antibody test may not show if you have a current COVID-19 infection because it can take 1–3 weeks after infection for your body to make antibodies. Antibody tests should not be used to diagnose a current COVID-19 infection” (CDC, 2020). Once individual receives results, a copy must be submitted for verification prior to returning to campus. The Chief Compliance Officer makes the final determination regarding returning to campus.

 2.       Returning to Campus/Treatment Protocol

The following guidelines should be used when planning to schedule and/or reschedule a patient for treatment. The following pertain to faculty, staff, students/residents, and patients.

 A.   If have symptoms with and/or without prolonged close contact with an individual with symptoms or who tested positive for COVID-19.

i.         Do not come to work/school
ii.        Cease patient care
iii.      Notify supervisor and Chief Compliance Officer
iv.      Seek viral COVID-19 testing
v.        Self-isolate for at least 14 days
vi.      Follow advice of Chief Compliance Officer regarding when to return to work

B.   If NO symptoms with prolonged close contact with an individual with symptoms or who tested positive for COVID-19 but were NOT wearing recommended PPE.

i.         Watch for symptoms AND
ii.        Self-isolate for 14 days from last day of exposure AND
iii.      Seek a viral COVID-19 testing (7-14 days after exposure to avoid false negative results).

C.   If receive Positive Test Results WITH SYMPTOMS (Symptoms-Based).

i.         At least 14 days have passed since symptoms subsided.
ii.        No subsequent illness
iii.      Follow advice of Chief Compliance Officer regarding return to work. 

D.   If receive Positive Test Results WITHOUT SYMPTOMS (Time-Based).

i.         At least 14 days of positive test
ii.        No subsequent illness
iii.      Follow advice of Chief Compliance Officer regarding return to work.