Covid-19 Guidelines: ELECTIVE MEDICAL AND DENTAL PROCEDURES / TREATMENTS / THERAPIES.
CDC Releases Framework for Health Care Systems Providing Non-COVID-19 Clinical Care During the COVID-19 Pandemic
Updated 5/12/2020
At the onset of the COVID-19 pandemic, the Centers for Disease Control and Prevention (CDC) recommended that healthcare systems prioritize urgent visits and delay elective care to mitigate the spread of COVID-19 in healthcare settings. A consequence of the pandemic has been the under-utilization of important medical services for patients with non-COVID-19-related urgent and emergent health needs. As the pandemic continues, healthcare systems must balance the need to provide necessary services while minimizing risk to patients and healthcare personnel. Because the effects of COVID-19 varies among communities, healthcare systems will also need to consider the local level of COVID-19 transmission when making decisions about the provision of medical services. CDC has released a Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care During the COVID-19 Pandemic to provide health care systems with a framework to deliver non-COVID-19 health care during the COVID-19 pandemic.
It is unknown at this time how COVID-19 may permanently change infection control practices in dental health care settings, but CDC continually assesses emerging scientific evidence for developing policies, guidelines, and recommendations. CDC is working to update its COVID-19 guidance for dental settings in preparation for resuming care. This is a rapidly evolving situation and CDC will release updates as information becomes available.
You can find the most up-to-date information about infection prevention and control practices on CDC’s COVID-19 page.
As a reminder, dental health care personnel are licensed by their state regulatory body and should practice according to their state dental practice acts or other relevant regulations. CDC is not a regulatory agency and does not publish regulations or other legally enforceable standards related to infection prevention and control in dental health care settings. All healthcare facilities should be aware of updates to local and state public health recommendations and dental health care personnel should regularly consult their state dental boards or other regulating agencies for information and rules specific to their jurisdictions.
Infection Prevention Control
• What CDC is doing for infection control
o https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html
• Standard CDC guidance on infection control in healthcare settings
o Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html
• Best practices currently in use by states and private sector
• Link to virtual training
o Training for Healthcare Professionals (including clinical care and infection control, PPE, nonpharmaceutical interventions, emergency preparedness and response, and additional topics): https://www.cdc.gov/coronavirus/2019-ncov/hcp/training.html
Preparing Nursing Homes and Assisted Living Facilities for COVID-19 (CDC webinar): https://www.youtube.com/watch?v=p1FiVFx5O78
• Focus areas/congregate settings:
o Long-term care facilities
▪ Preparing for COVID-19: Long-term Care Facilities, Nursing Homes: https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html
o Assisted living facilities
▪ https://www.cdc.gov/coronavirus/2019-ncov/hcp/assisted-living.html
o Dialysis facilities
▪ https://www.cdc.gov/coronavirus/2019-ncov/hcp/dialysis.html
o Dental facilities
▪ https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html
o Ambulatory care facilities
▪ https://www.cdc.gov/coronavirus/2019-ncov/hcp/ambulatory-care-settings.html
o Pharmacies
▪ https://www.cdc.gov/coronavirus/2019-ncov/healthcare-resources/pharmacies.html
o Emergency Medical Services (EMS)
▪ https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-for-ems.html
• Other IPC tools/Resources:
o IPC FAQs: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-faq.html
o Using PPE, including donning & doffing resources: https://www.cdc.gov/coronavirus/2019-ncov/hcp/using-ppe.html
o Healthcare preparedness tools:
https://www.cdc.gov/coronavirus/2019-ncov/hcp/preparedness-checklists.html
o Strategies to mitigate staffing shortages: https://www.cdc.gov/coronavirus/2019-ncov/hcp/mitigating-staff-shortages.html
• External partners tools/resources
o Centers for Medicare & Medicaid – COVID partner toolkit – https://www.cms.gov/outreach-education/partner-resources/coronavirus-covid-19-partner-toolkit
o American College of Emergency Physicians – Field guide – https://www.acep.org/corona/covid-19-field-guide/cover-page/
o American Academy of Pediatrics – Guidance for Telehealth Payer Policy in Response to Covid-19
https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/aap-guidance-telehealth-payer-policy-in-response-to-covid-19/
o Society for Critical Care Medicine – COVID-19 Resource Center – Includes literature and training https://www.sccm.org/COVID19RapidResources/Home
o Society for Healthcare Epidemiology of America
▪ COVID-19 Resource Page: http://shea-online.org/index.php/practice-resources/priority-topics/emerging-pathogens/novel-coronavirus-2019-2019-ncov-resources
▪ Hospital epidemiology training – https://learningce.shea-online.org/content/sheacdc-outbreak-response-training-program-ortp#group-tabs-node-course-default1/index.php
▪ Rapid Response Program podcast and webinar series https://learningce.shea-online.org/content/novel-coronavirus-covid-19
o Association for Professionals in Infection Control and Epidemiology
▪ COVID-19 Page: https://apic.org/covid19/
▪ LTC text chapters: https://apic.org/resources/apic-text/apic-text-chapter-collection-long-term-care/
o American Medical Association, Resource Center for Physicians – https://www.ama-assn.org/delivering-care/public-health/covid-19-2019-novel-coronavirus-resource-center-physicians
o American Nurses Association Resource Center – https://www.nursingworld.org/practice-policy/work-environment/health-safety/disaster-preparedness/coronavirus/?utm_campaign=261605+COVID-19+MKT&utm_source=hero&utm_medium=digitalad&utm_content=covidresourcepage
o American Dental Association – COVID-19 Center – https://success.ada.org/en/practice-management/patients/infectious-diseases-2019-novel-coronavirus?utm_source=cpsorg&utm_medium=covid-nav&utm_content=nav-covid-19-center&utm_campaign=covid-19
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