SYMPTOMATIC
COVID-19 CARE
INSTRUCTIONS

You have been enrolled into our COVID-19 Care Management Program
Our goal is to make sure you have all the resources and support necessary to stay healthy. You have been enrolled in this program because you have tested positive for COVID-19 or met criteria for a presumed positive test. 

Our team will be reaching out to you throughout this program in a cadence depending on your level of symptoms.

About the Program

About our COVID Care Program

We provide a nurse-driven COVID Care program for patients who have, or have been exposed to, COVID-19 by delivering support and education through the symptomatic and recovery phases of COVID-19.

Supportive services offered through COVID Care Program

  • Symptom monitoring and management
  • Family and social guidance
  • Local resources for financial and food support
  • Mental Health support
  • Referrals to specialists for additional support
  • Transmission reduction
  • Assist in rehab and recovery from COVID-19
  • And ultimately, the return to optimal health

Expected communication frequency and length of the program

This is a flexible program that is personalized to individual patient’s needs. The frequency of follow-up will be discussed with patients based on their symptoms and risk factors. This may change as the patient’s condition changes.

Video Education



Managing Your Symptoms

COVID-19 is a new virus where the most common symptoms are fever, cough and difficulty breathing, nausea, sore throat, diarrhea, or upset stomach.  Patients have also reported chills, repeated shaking with chills, muscle pain, headache, and/or new loss of taste or smell. Symptom onset is 2 – 14 days after exposure. Each patient may present with different symptoms so understanding what you need to be aware of is vital.

  1. Home remedies: 
    1. Fluids and Rest are the most powerful immune system boosters we have. When the body is fighting an upper respiratory infection, it needs extra fluids to replace the losses from elevated body temperatures (fevers), mouth breathing, and extra mucus production. 
    2. Saline Sinus Rinses and Saline Nasal Spray can decrease pain associated with congestion and shorten the duration of symptoms. Options include Neti Pot Sinus Rinse or Neilmed Sinus Rinse. Always use distilled/sterile water or if using tap water be sure to boil it for 3-5 minutes (cool water before use). Simply Saline is a premixed saline option. Saline nasal sprays are a helpful alternative for those that do not tolerate sinus rinses.
    3. Avoid Smoking and Exposure to Second-Hand Smoke. If you currently smoke and would like help quitting, please schedule an appointment with an MD/NP.
    4. Other remedies that people have found helpful include drinking hot liquids  (such as broth or decaffeinated tea with lemon or honey) to soothe a sore throat and help with hydration; humidifiers to soothe dry and irritated nasal, throat and sinus passages as well as help reduce dry cough; and warm salt water gargles to soothe a sore throat and slow the replication of viruses and bacteria. 
    5. Breathing exercises 
      1. Breathing control – Breathing control is focused on breathing gently with as little effort as possible.
        1. Sit in a comfortable position.
        2. Place your hands on the rib cage or the top of your stomach. Feel your ribs or stomach rise and fall as you breathe.
        3. Breathe in through your nose and out through your nose or mouth.
        4. Breathe at a comfortable rate.
      2. Deep breathing exercises. Deep breathing exercises can help to loosen secretions.
        1. Step 1: Take 3 to 5 deep breaths in through your nose. Make sure they are long and slow.
        2. Step 2: Hold your breath, or ‘pause’ at the end of each breath, for 2-3 seconds before breathing out again. Keep your shoulders and chest relaxed and breathe out as though you are sighing.
      3. Huffing – Huffing is when you breathe out (exhale) forcefully through your mouth without coughing (similar to when you try to fog up a mirror).
        1. To move secretions from your lower airways perform a medium volume huff. Breathe in normally and then breathe out actively for as long as you can until your lungs feel empty.
        2. To remove secretions from your upper airways take a deep breath in, then open your mouth nice and wide and huff out quickly
        3. To avoid a tight feeling in your chest only do 1-2 huffs together.
        4. If you hear crackling noises when you huff then a cough can help clear secretions, but take care to avoid excessive coughing.
        5. These techniques can be carried out twice a day for 10-15 minutes at a time. They can also be carried out more depending on your symptoms. Don’t forget to contact your MD/NP for advice, however, if your symptoms aren’t improving or are getting worse.
  2. Over the Counter Medications: 
    1. If you choose to use over the counter cold medicines, be sure to follow the directions on the label and consult a pharmacist if you have any questions. Do not combine 2 or more medicines that have acetaminophen in them. If you are pregnant, have a heart condition, or take prescription medications, ask your pharmacist or MD/NP if it is safe to take these medications
    2. Antihistamines: an antihistamine, such as diphenhydramine (Benadryl) will help dry up nasal secretions and postnasal drip. It may make you drowsy, so you may want to take at nighttime.
    3. Decongestant: a decongestant, such as pseudoephedrine (Sudafed) or phenylephrine, will help to relieve a stuffy nose or sinus pressure due to inflammation. It is a stimulant and should be avoided 4 hours before bed. Use with caution if diagnosed with elevated blood pressure.
    4. Nasal Sprays:  antihistamine with/without a decongestant (NasalCrom and Afrin) can help to relieve some symptoms.  Important to avoid taking nasal decongestants longer than 2-3 days as it will worsen congestion. 
    5. Cough Medicines and Mucolytics:  mucolytics such as guaifenesin, can help loosen and break up mucus so it drains more easily. Cough suppressants such as dextromethorphan (Delsym) are marketed to decrease cough, however, there is little evidence to show that these are effective in reducing symptoms. 
    6. Anti-inflammatories: an anti-inflammatory, such as ibuprofen or Motrin/Advil may work better than Tylenol for sore throat pain, body aches, and headaches when you have a viral illness.
Avoiding Transmission Of COVID-19
  1. If you are sick with COVID-19 or suspected of having COVID-19, STAY AT HOME
    1. Restrict activities outside your home unless you need medical care.
    2. Avoid public transportation including ride-sharing and taxi services.
    3. Use masks and good respiratory and hand hygiene.
  2. SEPARATE YOURSELF FROM OTHERS IN HOME
    1. Stay in a separate room and use a separate bathroom. If you must share a bathroom make sure there is adequate ventilation in the space and cleaning of high-touch surfaces occurs with each use.
    2.  If you need to be around others please wear a mask, stay six feet away apart, and limit exposure time. If you live alone you do not need to wear a facemask while in your house.
    3. Avoid household pets as it may be possible to transfer COVID-19 to animals.
  3. DO NOT SHARE HOUSEHOLD ITEMS
    1. Do not share dishes, utensils, drinking glasses, towels or bedding. You should eat in your room while sick.  If someone else is washing your dishes, make sure they wear disposable gloves. Wash all used dishes in hot soapy water or dishwasher.
    2. Wash all clothes, towels and linens according to manufacturer’s instructions using the warmest water possible.  Others should wear disposable gloves when handling dirty laundry from someone who is sick.
  4. CLEAN ALL “HIGH TOUCH” SURFACES DAILY
    1. Clean and disinfect all “high touch” surfaces daily in your bedroom and your bathroom. These high touch surfaces include laptop, phone, doorknobs, bathroom fixtures, toilets and bedside tables.  Pay attention to any areas that may be soiled with blood, stool or body fluids. Please use gloves when cleaning and discard in your personal, lined trash can. Others may clean common areas. 
    2. Please follow all directions on household cleaning labels. Make sure there is proper ventilation when using cleaning products.
    3. How to mix bleach solution for cleaning:  Mix 5 tablespoons (⅓ cup) of bleach per gallon of water or 4 teaspoons bleach per quart of water.
  5. WASH YOUR HANDS OFTEN
    1. Wash your hands often with soap and water for at least 20 seconds.   If soap and water are not available, you can use a hand sanitizer with at least 60% alcohol.
    2. Cover your mouth and nose with a tissue when coughing or sneezing and dispose of it  in a lined trash container in your isolation space. Wash your hands with soap and water immediately after for at least 20 seconds.
    3. When removing your mask, wash your hands immediately after.
  6. CALL MEDICAL PROVIDER BEFORE VISITING OFFICE
    1. If you need to visit your doctor, please call ahead so they can make sure the environment is safe for their staff and other patients.  You must wear a mask anytime you leave your house. PLEASE CALL 911 IF YOU HAVE A MEDICAL EMERGENCY.
    2. If for some reason you need to call 911 please advise them that you have or may have COVID-19, so they can be prepared.
    3. Please remain under isolation until all symptoms are resolved and you have been cleared by your medical provider.
When To Seek Care
  1. If you think you are suffering from a life threatening condition, stop and dial 9-1-1.
  2. Most people will recover from COVID- 19 without needing medical care. If you have mild symptoms, like a fever and cough without shortness of breath or difficulty breathing, stay home and self-isolate to protect others.
  3. If you have any of these emergency warning signs* for COVID-19 get medical attention immediately:
    1. Trouble breathing
    2. Persistent pain or pressure in the chest
    3. New confusion or inability to arouse
    4. Bluish lips or face
    5. *This list is not all possible symptoms. Please call your medical provider for any other symptoms that are severe or concerning to you. CALL 911 IF YOU HAVE A MEDICAL EMERGENCY

Where to get care

  1. If you are not an eligible member of Crossover through your employee’s health benefits package and need medical attention or advice, please seek care from a provider in your local community or health insurance network.
  2. If you are an eligible member, call or send a message through the portal first. Your provider will let you know if you need to be seen. We are open now for in person visits as well as virtual visits. Your provider will let you know whether in-person or virtual visit is most appropriate at that time. 
  3. If your provider says you need to go to a health center:
    1. Use social distancing when traveling.
    2. Drive to your appointment on your own, if possible.
    3. Do not take public transportation, if possible.
    4. We have stopped our Lyft rideshare program, for now, to help reduce the spread of COVID-19.
    5. When you arrive at our health center, you’ll be given a surgical face mask that you must wear at all times.
  1. Outbreaks can be stressful- The outbreak of coronavirus disease 2019 (COVID-19) may be stressful for people. Fear and anxiety about a disease can be overwhelming and cause strong emotions in adults and children. Coping with stress will make you, the people you care about, and your community stronger.
    1. Stress during an infectious disease outbreak can include
      1. Fear and worry about your own health and the health of your loved ones
      2. Changes in sleep or eating patterns
      3. Difficulty sleeping or concentrating
      4. Worsening of chronic health problems
      5. Worsening of mental health conditions
      6. Increased use of alcohol, tobacco, or other drugs
  2. Ways to cope with stress
    1. Take breaks from watching, reading, or listening to news stories, including social media. Hearing about the pandemic repeatedly can be upsetting.
    2. Take care of your body.
    3. Take deep breaths, stretch, or meditate
    4. Try to eat healthy, well-balanced meals.
    5. Exercise regularly, get plenty of sleep.
    6. Avoid alcohol and drugs
    7. Grounding Techniques
  3. Make time to unwind. Try to do some other activities you enjoy.
  4. Connect with others. Talk with people you trust about your concerns and how you are feeling.
  5. Take care of your mental health
    1. Call your healthcare provider if stress gets in the way of your daily activities for several days in a row
    2. People with preexisting mental health conditions should continue with their treatment and be aware of new or worsening symptoms. Additional information can be found at the Substance Abuse and Mental Health Services
For Parents
  1. Children and teens react, in part, on what they see from the adults around them. When parents and caregivers deal with the COVID-19 calmly and confidently, they can provide the best support for their children. Parents can be more reassuring to others around them, especially children, if they are better prepared.
  2. Watch for behavior changes in your child
  3. Not all children and teens respond to stress in the same way. Some common changes to watch for include
    1. Excessive crying or irritation in younger children
    2. Returning to behaviors they have outgrown (for example, toileting accidents or bedwetting)
    3. Excessive worry or sadness
    4. Unhealthy eating or sleeping habits
    5. Irritability and “acting out” behaviors in teens
    6. Poor school performance or avoiding school
    7. Difficulty with attention and concentration
    8. Avoidance of activities enjoyed in the past
    9. Unexplained headaches or body pain
    10. Use of alcohol, tobacco, or other drugs
  4. Ways to support your child
    1. Talk with your child or teen about the COVID-19 outbreak.
    2. Answer questions and share facts about COVID-19 in a way that your child or teen can understand.
    3. Reassure your child or teen that they are safe. Let them know it is ok if they feel upset. Share with them how you deal with your own stress so that they can learn how to cope from you.
    4. Limit your family’s exposure to news coverage of the event, including social media. Children may misinterpret what they hear and can be frightened about something they do not understand.
    5. Try to keep up with regular routines. If schools are closed, create a schedule for learning activities and relaxing or fun activities.
    6. Be a role model. Take breaks, get plenty of sleep, exercise, and eat well. Connect with your friends and family members.
Essential Errands
  1. As communities across the United States take steps to slow the spread of COVID-19 by limiting close contact, people are facing new challenges and questions about how to meet basic household needs, such as buying groceries and medicine, and completing banking activities. The following information provides advice about how to meet these household needs in a safe and healthy manner.
  2. Find additional information for people who are at higher risk for severe illness from COVID-19.
  3. Stay home if sick
    1. Avoid shopping if you are sick or have symptoms of COVID-19, which include a fever, cough, or shortness of breath.
  4. Order online or use curbside pickup
    1. Order food and other items online for home delivery or curbside pickup (if possible).
    2. Only visit the grocery store, or other stores selling household essentials, in person when you absolutely need to. This will limit your potential exposure to others and the virus that causes COVID-19.
    3. If available to you, ask a friend or family member to go shopping for you. They should leave the bags at your front door.
  5. Protect yourself while shopping
    1. Stay at least 6 feet away from others while shopping and in lines. View each aisle before entering. If you are unable to move through the aisle without maintaining social distancing, find other items on your list first and return to the aisle when you are able to do so safely.
    2. Cover your mouth and nose with a cloth face covering when you have to go out in public.
    1. When you do have to visit in person, go during hours when fewer people will be there (for example, early morning or late night).
    2. If you are at higher risk for severe illness, find out if the store has special hours for people at higher risk. If they do, try to shop during those hours. People at higher risk for severe illness include adults 65 or older and people of any age who have serious underlying medical conditions.
    3. Disinfect the shopping cart, use disinfecting wipes if available.
    4. Do not touch your eyes, nose, or mouth.
    5. If possible, use touchless payment (pay without touching money, a card, or a keypad). If you must handle money, a card, or use a keypad, use hand sanitizer right after paying.
  6. Use hand sanitizer
    1. After leaving the store, use hand sanitizer.
  7. At home
    1. When you get home, wash your hands with soap and water for at least 20 seconds.
    2. Follow food safety guidelines: clean, separate, cook, chill. There is no evidence that food or food packaging has been linked to getting sick from COVID-19.
  8. Accepting deliveries and takeout orders
    1. Limit in person contact if possible
      1. Pay online or on the phone when you order (if possible).
      2. Accept deliveries without in-person contact whenever possible. Ask for deliveries to be left in a safe spot outside your house (such as your front porch or lobby), with no person-to-person interaction. Otherwise, stay at least 6 feet away from the delivery person.
    2. Wash your hands or use hand sanitizer after accepting deliveries or collecting mail
      1. After receiving your delivery or bringing home your takeout food, wash your hands with soap and water for 20 seconds. If soap and water are not available, use a hand sanitizer with at least 60% alcohol.
      2. After collecting mail from a post office or home mailbox, wash your hands with soap and water for at least 20 seconds or use a hand sanitizer with at least 60% alcohol.
  9. Banking
    1. Bank online whenever possible
      1. If you must visit the bank, use the drive-through ATM if one is available. Clean the ATM keyboard with a disinfecting wipe before you use it.
      2. When you are done, use a hand sanitizer with at least 60% alcohol. Wash your hands with soap and water for at least 20 seconds when you get home.
      3. FDIC: Receiving IRS Economic Impact Payments
  10. Getting Gasoline
    1. Use disinfecting wipes on handles or buttons before you touch them.
    2. After fueling, use a hand sanitizer with at least 60% alcohol. Wash your hands for at least 20 seconds when you get home or somewhere with soap and water.
  11. Going to the healthcare provider or getting medicine
    1. Talk to your MD/NP online, by phone, or e-mail.
    2. Use telemedicine, if available, or communicate with your MD/NP by phone or e-mail.
    3. Talk to your MD/NP about rescheduling procedures that are not urgently needed.
    4. If you must visit in-person, protect yourself and others
      1. If you think you have COVID-19, let the office know and follow guidance.
      2. Cover your mouth and nose with a cloth face covering when you have to go out in public.
      3. Do not touch your eyes, nose, or mouth.
      4. Use disinfecting wipes on frequently touched surfaces such as handles, knobs, touchpads (if available).
      5. Stay at least 6 feet away from others while inside and in lines.
      6. When paying, use touchless payment methods if possible. If you cannot use touchless payment, sanitize your hands after paying with card, cash, or check. Wash your hands with soap and water for at least 20 seconds when you get home.
  12. Limit in-person visits to the pharmacy
    1. Plan to order and pick up all your prescriptions at the same time.
    2. If possible, call prescription orders in ahead of time. Use drive-thru windows, curbside services (wait in your car until the prescription is ready), mail-order, or other delivery services. Do the same for pet medicine.
    3. Check with your MD/NP and pharmacist to see if you can get a larger supply of your medicines so you do not have to visit the pharmacy as often.

For more COVID-19 information, please visit covid19.partners.crossoverhealth.com