Coronavirus Phases

Days since last positive case

10

of 14 days needed

Days since outbreak began

0

of 28 days needed

Story County downward positivity trend days:

0

of 14 days needed

Current Phase: Phase One

Learn More: Phase One | Phase Two | Phase Three | Resources & References

Phase one

Vigilant infection control during periods of heightened virus spread in the community or county

Visitation:

Limited window visits, dedicated chat box visits, and outdoor visits by appointment if no outbreak and resident is asymptomatic and COVID-19 free. Indoor visits for end-of-life. Visitor screening and universal source control must be maintained for duration of visit. Virtual visitation available to communicate with friends, family, and the spiritual community. During an outbreak, visits are further restricted.

Health Care Personnel:

– Restrict non-essential workers
– Screen all healthcare workers before and after each shift
– Universal source control in place

Non-Medically Necessary Trips:

Resident must continue to wear mask, covid-19 status to be communicated to receiving entity, transporter must wear a mask and other necessary PPE, Transportation equipment must be sanitized between uses. Limit trips as much as possible and encourage tele-health visits. Admissions, re-admissions, and trips to the Emergency Dept require 14 days of isolation. Scheduled appointments outside of the facility no longer require isolation of the resident for 14 days.

Communal Dining:

Recommended to restrict communal dining to residents requiring feeding assistance only. Maintain social distancing between residents. This is more restricted during an outbreak.

Screening:

Screen staff before and after shift AND residents twice a day for symptoms of COVID-19 and report symptoms immediately.

Universal Source Control:

– All staff wear cloth face mask when in common areas or resident care areas.
– Wear appropriate PPE when interacting with residents suspected to have any infectious disease such as COVID-19. – A cloth face covering or face mask may be used

Cohorting:

– Maintain designated space for residents positive or under investigation for COVID-19.
– Quarantine all admissions and re admissions for 14 days.

Group Activities:

Group activities limited; if no outbreak, indoor or outdoor group activities permitted for 10 people or less with social distancing and use of face covering. Group activities are not allowed during an outbreak.

Testing:

Test staff or residents with exposure or symptoms of COVID-19.

Salon & Barbers:

Salon and barbers prohibited as non-essential personnel.

Phase Regression: Return to phase 1 with any positive staff or resident AND another has symptoms

Phase Two

There has been no resident outbreak for 28 days. It has been at least 14 days since the last confirmed or suspected case of COVID-19. There is a downward trend of positivity in Story County over the past 14 days. The local hospital has capacity to accept referrals. Staffing levels are adequate. Personal protective equipment is in adequate supply.

Visitation:

Health Care Personnel:

– Continue screening before and after each shift.
– Continue universal source control.

Non-Medically Necessary Trips:

– Residents must continue to wear mask.
– COVID-19 status to be commuicated to receiving entity.
– Transporter must wear a mask and other necessary PPE.
– Transportation equipment must be sanitized between uses.
– Limit trips as much as possible and encourage tele-health visits
– Quarantine for 14 days upon return.

Communal Dining:

Residents may eat in dining room at 50% capacity if able to practice social distancing of 6ft.

Screening:

Continue the same staff and resident screening at same frequency.

Universal Source Control:

– All staff will wear a cloth or disposable face mask when in common areas or in resident care areas – dispose/sanitize mask at the end of each shift. Safety glasses can be used instead of a face shield in care areas except with suspected or positive residents.
– Continue to utilize transmission based precautions with any infectious or suspect residents.

Cohorting:

– Continue to maintain space for residents positive or under investigation.
– Quarantine all admissions and readmissions for 14 days.

Group Activities:

Group activities may occur with less than 10 people and without using shared objects, with social distancing, and with face coverings.

Testing:

Test staff or residents with exposure or symptoms of COVID-19.

Salon & Barbers:

Allow entry of barber/beautician with employee screening and source control. Additional precautions like stages appointments, limit residents in salon to maintain social distancing, use of face masks, extra sanitation efforts.

Phase Regression: Return to phase 1 with any positive staff or resident AND another has symptoms

Phase Three

14 days since entering phase 2 with no new positive or suspected cases of COVID-19 and all conditions of phase 2 still apply.

Visitation:

All residents will be eligible for visitation. Visitation will be by appointment only. Screening, universal source control must be complied with for the visit. Visits will be encouraged to be outdoors or in areas that allow for adequate social distancing. Limited number of visitors per resident per week per occurrence. Virtual visitation available to communicate with friends, family, and the spiritual community.

Health Care Personnel:

– All healthcare workers eligible for entry with screening and universal source control in place.
– Screen employees/ workers before and after each shift
– Continue universal source control

Non-Medically Necessary Trips:

– Resident must continue to wear mask.
– COVID-19 status to be communicated to receiving entity.
– Transporter must wear a mask and other necessary PPE.
– Transportation equipment must be sanitized between uses.
– Limit trips for those with co-morbidities and encourage tele-health.
– Upon return, observe for symptoms for 14 days.

Communal Dining:

Residents may continue to eat in communal setting respecting social distance of 6 ft.

Screening:

– Continue screening staff before and after each shift.
– Continue screen residents 1x a day.

Universal Source Control:

– All staff will wear a cloth or dispoable face mask when in common areas. Dispose/Sanitize mask at the end of each shift.
– Face shields / safety glasses are no longer necessary when caring for residents that do not require transmission based precautions.
– Continue to utilize transmission based precautions with any infectious or suspect residents.

Cohorting:

– Continue to maintain space for residents positive or under investigation.
– Quarantine all admissions and readmissions for 14 days.

Group Activities:

Group activities may exceed 10 people when social distancing is possible and with use of face coverings. Continue not to use shared objects.

Testing:

Test staff or residents with exposure or symptoms of COVID-19.

Salon & Barbers:

Phase Regression: Return to phase 1 with any positive staff or resident AND another has symptoms