COVID-19 Response Apps

COVID-19: Screening Checklist for Skilled Nursing Facilities

The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) have updated guidance on restricting all skilled nursing facility (SNF) visitors and non-essential healthcare personnel, except for certain compassionate care situations. ALL individuals (staff, other health care workers, family, visitors, government officials, etc.) entering a SNF building can be asked these question to ensure proper screening.

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COVID-19: Screening Checklist for Skilled Nursing Facilities

1. Has this individual washed their hands or used alcohol-based hand rub (ABHR) on entry?

Please ask them to do so

2. Ask the individual if they have any of the following respiratory symptoms?

Symptoms

If YES to any, restrict them from entering the building.

3. For Staff & Health Care Providers (HCP)

3A. Check temperature and document results:

Fever present?

If YES, restrict from entering the building.

3B. Ask if they have worked in facilities or locations with recognized COVID-19 cases?

If YES, require them to wear PPE including mask, gloves, gown before any contact with residents & proceed to step 4.

4. Allow entry to building and remind the individual to:

Wash their hands or use ABHR throughout their time in the building.

Not shake hands with, touch or hug individuals during their visit.

Visitors

Must wear a facemask while in the building and restrict their visit to the resident’s room or other location designated by the facility.

Staff

When there are cases in the community but none in this facility: Consider implementing universal use of facemasks for all HCP while in this facility.

When there are cases in this facility OR sustained transmission in the community: - Implement universal use of facemask for all HCP while in this facility. - Consider having HCP wear all recommended PPE (gown, gloves, eye protection, N95 respirator or, if not available, a facemask) for the care of all residents, regardless of presence of symptoms. Implement protocols for extended use of eye protection & facemasks.