{"id":31,"date":"2020-04-03T11:47:37","date_gmt":"2020-04-03T15:47:37","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/gimcovid\/?page_id=31"},"modified":"2020-12-23T11:26:37","modified_gmt":"2020-12-23T16:26:37","slug":"id-consults-and-covid-pager","status":"publish","type":"page","link":"https:\/\/www.bumc.bu.edu\/gimcovid\/id-consults-and-covid-pager\/","title":{"rendered":"ID Consults and COVID pager"},"content":{"rendered":"<p class=\"x_MsoNormal\"><u>ID CONSULT p8902<\/u><\/p>\n<p class=\"x_MsoPlainText\">&#8211; Inpatient consults for COVID and non-COVID patients<\/p>\n<p class=\"x_MsoPlainText\">&#8211; This includes questions about any ICU or newly unstable COVID patient and other patients followed by ID<\/p>\n<p class=\"x_MsoNormal\"><u>COVID pager<\/u><span>\u00a0<\/span>&#8211; p5236 (reactivated in December 2020)<\/p>\n<p class=\"x_MsoPlainText\">&#8211; Whether to test an inpatient &amp; accordingly isolate\/transfer<\/p>\n<p class=\"x_MsoPlainText\">&#8211; Initial workup and management of COVID patients (they may suggest a full ID consult which they will facilitate)<\/p>\n<p class=\"x_MsoNormal\">\u2013 Whether it\u2019s safe to remove isolation if diagnosis is uncertain (this will get sent to the 3<sup>rd<\/sup><span>\u00a0<\/span>team attending)<\/p>\n<p class=\"x_MsoPlainText\">&#8211; Clinical questions re disease presentation<\/p>\n<p class=\"x_MsoPlainText\">&#8211; Where testing is done<\/p>\n<p class=\"x_MsoPlainText\">&#8211; How to do the test (swab)<\/p>\n<p class=\"x_MsoPlainText\">&#8211; Where the sample will be sent and estimated turnaround time<\/p>\n<p class=\"x_MsoPlainText\">&#8211; all other COVID calls not covered above, including questions on COVID-positive or -suspect inpatients not being actively followed by ID consult service<\/p>\n<p class=\"x_MsoPlainText\"><u>Working Well<\/u><\/p>\n<p class=\"x_MsoPlainText\">&#8211; Employee illness\/exposure should call 617-638-8400 or go to working well during work day hours (after hours email to working well email \u00a0<a href=\"mailto:Working.WellClinic@bmc.org\" target=\"_blank\" rel=\"noopener noreferrer\">Working.WellClinic@bmc.org<\/a><\/p>\n<p class=\"x_MsoPlainText\"><u>Infection control COVID pager p5411, or call 617-414-7220<\/u><\/p>\n<p class=\"x_MsoPlainText\">&#8211; Appropriate PPE<\/p>\n<p class=\"x_MsoPlainText\">&#8211; In-hospital exposures<\/p>\n<p class=\"x_MsoPlainText\"><u>Hospitalist Director on Duty- p0450<\/u><\/p>\n<p class=\"x_MsoPlainText\">Questions around immediate patient placement or floor team distribution<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<p>Source of the above information is email from Ravin Davidoff from March 30, 2020<\/p>\n<div class=\"_rp_l\" role=\"heading\" aria-level=\"2\">\n<div class=\"ms-font-color-neutralPrimary ms-font-xl ms-fwt-r _rp_m\"><span autoid=\"_rp_4\" class=\"rpHighlightAllClass rpHighlightSubjectClass\" role=\"heading\" aria-level=\"2\" title=\"\">Subject: Where to send ID questions re COVID<\/span><\/div>\n<\/div>\n<div autoid=\"_rp_2\" role=\"list\" aria-label=\"Conversation\" tabindex=\"-1\">\n<div tabindex=\"-1\">\n<div autoid=\"_rp_3\" aria-label=\"Message Contents\" aria-selected=\"true\" tabindex=\"0\">\n<div>\n<div class=\"_rp_f5\" aria-label=\"Expanded Message Contents\" tabindex=\"-1\">\n<div autoid=\"_rp_u\" class=\"_rp_R4 ms-border-color-neutralLight ShowReferenceAttachmentsLinks ShowConsesusSchedulingLink\" tabindex=\"-1\">\n<div class=\"_rp_45\">\n<div role=\"document\">\n<div autoid=\"_rp_x\" class=\"_rp_T4\" id=\"Item.MessagePartBody\">\n<div class=\"_rp_U4 ms-font-weight-regular ms-font-color-neutralDark rpHighlightAllClass rpHighlightBodyClass\" id=\"Item.MessageUniqueBody\">\n<div class=\"rps_b964\">\n<div>\n<div lang=\"EN-US\" link=\"#0563C1\" vlink=\"#954F72\">\n<div class=\"x_WordSection1\">\n<p class=\"x_MsoNormal\"><span>Dear All<\/span><\/p>\n<p class=\"x_MsoNormal\"><span>The\u00a0<\/span><span>ID group has reorganized their structure to better serve the many questions that arise in the management of Covid 19 patients. They have established a third team that for now will monitor COVID<\/span><span>-positive or\u00a0<\/span><span>suspects and help determine\u00a0<\/span><span>candidates for early biologic therapy.\u00a0This team will also review patients with negative Covid testing who\u00a0<\/span><span>can be removed from isolation depending on clinical suspicion.<\/span><\/p>\n<p class=\"x_MsoNormal\"><span>This team will proactively review these patients but if questions arise that have not been addressed, please page the Covid pager #5236 and the consult or questions will be referred on to this new third team as appropriate.<\/span><\/p>\n<p class=\"x_MsoNormal\"><span>Also outlined below, are some useful numbers and guidance.<\/span><\/p>\n<p class=\"x_MsoNormal\"><span>\u00a0<\/span><\/p>\n<p class=\"x_MsoNormal\"><span>Thanks<\/span><\/p>\n<p class=\"x_MsoNormal\"><span>Ravin<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>ID CONSULT p8902 &#8211; Inpatient consults for COVID and non-COVID patients &#8211; This includes questions about any ICU or newly unstable COVID patient and other patients followed by ID COVID pager\u00a0&#8211; p5236 (reactivated in December 2020) &#8211; Whether to test an inpatient &amp; accordingly isolate\/transfer &#8211; Initial workup and management of COVID patients (they may [&hellip;]<\/p>\n","protected":false},"author":17692,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/gimcovid\/wp-json\/wp\/v2\/pages\/31"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/gimcovid\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/gimcovid\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/gimcovid\/wp-json\/wp\/v2\/users\/17692"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/gimcovid\/wp-json\/wp\/v2\/comments?post=31"}],"version-history":[{"count":6,"href":"https:\/\/www.bumc.bu.edu\/gimcovid\/wp-json\/wp\/v2\/pages\/31\/revisions"}],"predecessor-version":[{"id":665,"href":"https:\/\/www.bumc.bu.edu\/gimcovid\/wp-json\/wp\/v2\/pages\/31\/revisions\/665"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/gimcovid\/wp-json\/wp\/v2\/media?parent=31"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}