April 27, 2020 by Talia Jeanlouis When is a test for patients required? Routine/non-invasive services: Testing timeframes for services, surgeries, and procedures are outlined in Health Mandate 15. Routine/non-invasive services: All health care facilities must screen all patients for recent illness, travel, fever or recent exposure to COVID-19 and, to the extent that is possible, begin testing all admitted patients. Non-urgent/non-emergent procedures (effective date May 4): All health care facilities must screen all patients for recent illness, travel, fever or recent exposure to COVID-19 and, to the extent that is possible, begin testing all admitted patients. These procedures place both workers and patients at increased risk of exposure, and may result in adverse effects on patients with COVID-19. This does not change the need for PPE – all routine and non-invasive services should still use adequate PPE – including N95 masks for aerosolizing procedures. If they cannot obtain these on the market than routine procedures should not be done. Urgent and Emergent Services: The health and well-being of the patient must be prioritized. There should not be unnecessary delays in urgent or emergent procedures that could impact the health of the patient. Admission: We recommend all patients who come to the emergency department with symptoms get tested, and all admitted patients get tested. We do not recommend delaying admission to the emergency department for a test. Each facility should use PPE and report PUI as before according to their process. Procedures with increased risk of exposure: should have patients tested prior to the procedure to the extent reasonably possible; where this is not possible, the facility must use rigorous screening procedures and treat patients as though they are positive for COVID-19. Again, the health and well-being of the patient is the first priority. If your facility cannot meet the testing deadline and it would adversely affect the patient to postpone the procedure, the mandate allows rigorous screening procedures to be used while test results are pending. A test should still be administered, and if the surgery is elective, you should wait until the result is received prior to performing surgery.