[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-572845-105":53,"doc-detail-572845-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","covid-19-inpatient-treatment-algorithm-cheat-sheet","COVID-19 Inpatient Treatment Algorithm - Cheat Sheet","","COVID-19 inpatient treatment algorithm cheat sheet outlining documentation workflows and admission/isolation rules for COVID-positive and rule-out patients. Includes EPIC smartphrases and discharge/self-quarantine instructions, plus Enhanced airborne precautions and updated policy references. Provides admission criteria, then stratifies disease severity into mild/moderate, severe, and critical with key poor prognostic factors, oxygenation thresholds, vital/lab cutoffs, and corresponding supportive or specific COVID-19 therapies and escalation steps.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/covid-19-inpatient-treatment-algorithm-cheat-sheet/572845/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/covid-19-inpatient-treatment-algorithm-cheat-sheet/572845.png","ImageObject",442,249,{"name":88,"@type":89},"cryingin4k","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-20","2026-10-13",true,{"@type":98,"interactionType":99,"userInteractionCount":76},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What are the admission and isolation requirements for COVID-positive and rule-out patients?","Question",{"text":108,"@type":109},"COVID-positive patients (and rule-outs) should be admitted to inpatient status and placed on Enhanced airborne precautions.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What criteria can qualify a patient for admission with COVID-positive infection?",{"text":113,"@type":109},"Admission criteria for COVID-positive patients require any two: respiratory rate >24, heart rate >125, SpO2 at or below 94% on ambient air, dyspnea, sepsis, suspicion of ARDS, and certain cardiovascular/neurovascular or thrombotic suspicions plus high-risk historical factors.",{"name":115,"@type":106,"acceptedAnswer":116},"How does the algorithm guide escalation from severe to critical disease management?",{"text":117,"@type":109},"Severe disease uses thresholds like SpO2 \u003C94% on room air or PaO2/FiO2 \u003C300 and >50% lung involvement, with supplemental oxygen and protocol-based COVID-19 therapies. Critical disease (ICU) escalation is triggered by rapidly rising oxygen needs, SpO2 \u003C92% on >6L, PaO2/FiO2 \u003C200, or markers like hemodynamic instability and acidosis, with MICU consult and ICU protocol management.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},572845,1792459417,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":47},137458181193,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","|  |\n| --- |\n| ^Poor Prognostic Factors:\u003Cbr>● Epidemiology: Age > 65, Cardiovascular disease, Diabetes mellitus, Hypertension, Smoking, BMI >30, Chronic lung disease, Chronic kidney disease, Active cancer (especially hematologic, lung cancer and metastatic disease), History of transplant or other immunosuppression, use of biologic agents, uncontrolled HIV\u003Cbr>● Vitals: HR > 125, RR > 24, SpO2 \u003C 94% on RA, PaO2/FiO2 \u003C 300\u003Cbr>● Labs: D-dimer > 1, CK > 2x upper limit, CRP >\u003Cbr>100, LDH > 245, Ferritin > 500, Troponin > 0.01, Absolute Lymphocyte Count \u003C 0.8\u003Cbr>\u003Cbr>\u003Cbr>*See Diagnostic work-up (page: 3)\u003Cbr>**See specific therapies (page: 4)^See Prognostic factors (left)\u003Cbr>Adapted from MGH illness severity algorithm\u003Cbr>\u003Cbr>\u003Cbr>Mild/moderate Disease (floor)\u003Cbr>Asymptomatic/mild symptoms SpO2 > 94% on RA\u003Cbr>\u003Cbr>\u003Cbr>● Maintain oxygenation: SpO2 92-96%(88-92% for COPD)\u003Cbr>● Maintain stable breathing: RR \u003C 24, normal effort\u003Cbr>● Ensure prophylactic anticoagulation is ordered unless contraindicated.\u003Cbr>Supportive therapy only\u003Cbr>Remdesivir and convalescent plasma if admitted to the hospital. Can consider steroids if significant symptoms present.\u003Cbr>● Tylenol preferred for analgesia and fever, second-line NSAIDs\u003Cbr>● Conservative fluid management\u003Cbr>● Avoid antibiotics unless indicated\u003Cbr>● No specific COVID-19 therapy indicated\u003Cbr>● Labs: Daily BMP, CBC. Non-routine labs every other day if elevated at baseline\u003Cbr>● Monitor for worsening clinical status and hypoxia\u003Cbr>\u003Cbr>1. Complete diagnostic work-up*\u003Cbr>2. Ensure Code Status and HCP\u003Cbr>3. Assess prognostic factors^\u003Cbr>4. Determine severity of illness\u003Cbr>\u003Cbr>Severe Disease (floor)\u003Cbr>SpO2 \u003C 94% on RA , RR>30 PaO2/FiO2 \u003C 300 , greater than 50% lung involvement\u003Cbr>\u003Cbr>● More likely in patients with poor prognostic factors^\u003Cbr>● Maintain oxygenation: SpO2 92-96%(88- 92% for COPD) via supplemental oxygen (nasal cannula to oxymask)\u003Cbr>● Maintain stable breathing: RR \u003C 24, normal effort\u003Cbr>● Ensure prophylactic anticoagulation is ordered unless contraindicated.\u003Cbr>● Therapeutic anticoagulation per protocol can be considered at clinician’s discretion.\u003Cbr>● Consider antibiotics if superimposed bacterial pneumonia\u003Cbr>● Supportive therapy as Mild/moderate disease\u003Cbr>● Specific COVID-19 therapy as per indication-Steroids, Remdesivir convalescent plasma, Baricitinib , Monoclonal antibodies, anticoagulation and proning per protocol\u003Cbr>● Labs: Daily CMP, CBC , D-Dimer,\u003Cbr>PT/aPTT. Non-routine labs every 1-2 days as per severity.\u003Cbr>● If worsening hypoxia 4-6L NC and increased work of breathing, consider MICU consult.\u003Cbr>\u003Cbr>Critical Disease (ICU)\u003Cbr>SpO2 \u003C92% on > 6L, PaO2/FiO2 \u003C200, rapidly increasing oxygen requirements ● MICU consult and evaluation for ICU admission ● Worsening hypoxia (>6L) and work of breathing (RR>30), hemodynamic instability (SBP \u003C90, HR > 120s), lactate >2 after fluids, acidosis (ABGpH \u003C 7.30), multi-organ failure ● Maintain oxygenation: SpO2 92-96% (88-92% for COPD) via supplemental oxygen (oxymask to HFNC/BiPAP/intubation) ● Consider antibiotics if superimposed bacterial pneumonia ● Specific COVID-19 therapy as per indication-Steroids, Remdesivir convalescent plasma , Baricitinib, monoclonal antibodies, anticoagulation and proning per protocol ● Rest of management per ICU protocol |\n| COVID-19 Inpatient Treatment Algorithm |\n\nCHEAT SHEET FOR COVID-19  \nDOCUMENTATION  \nCOVID-19 specific smartphrases have been created on EPIC for appropriate documentation.  \nTo look up these smartphrases go to  \nPersonalize > Smartphrase manager > User phrases > User: PANDA, SANCHIT [00119762] > Sharing > + Add me  \nCOVID-19 Smartphrases  \n.COVID19HPI -H&P template  \n.COVID19PROGRESS-Progress note template  \n.COVID19VIRTUALVISIT-Virtual visit note for telehealth services  \n.COVID19ATTESTATION-Attending attestation for patient  \n.COVID19DCATTEST-Attending attestation for discharge summary  \n.APNICPROTOCOL – Document relevant details as per APNIC protocol prior to and then 2 hours after initiatin","cbCair9cluCQClHO","https://ap.wps.com/l/cbCair9cluCQClHO","pdf",938010,13,"English","# COVID-19 Inpatient Treatment Algorithm\n## Documentation and Smartphrases\n## Admission and Isolation\n## Disease Severity: Mild/Moderate\n## Disease Severity: Severe\n## Disease Severity: Critical (ICU)","[{\"question\":\"What are the admission and isolation requirements for COVID-positive and rule-out patients?\",\"answer\":\"COVID-positive patients (and rule-outs) should be admitted to inpatient status and placed on Enhanced airborne precautions.\"},{\"question\":\"What criteria can qualify a patient for admission with COVID-positive infection?\",\"answer\":\"Admission criteria for COVID-positive patients require any two: respiratory rate \\u003e24, heart rate \\u003e125, SpO2 at or below 94% on ambient air, dyspnea, sepsis, suspicion of ARDS, and certain cardiovascular/neurovascular or thrombotic suspicions plus high-risk historical factors.\"},{\"question\":\"How does the algorithm guide escalation from severe to critical disease management?\",\"answer\":\"Severe disease uses thresholds like SpO2 \\u003c94% on room air or PaO2/FiO2 \\u003c300 and \\u003e50% lung involvement, with supplemental oxygen and protocol-based COVID-19 therapies. Critical disease (ICU) escalation is triggered by rapidly rising oxygen needs, SpO2 \\u003c92% on \\u003e6L, PaO2/FiO2 \\u003c200, or markers like hemodynamic instability and acidosis, with MICU consult and ICU protocol management.\"}]","COVID-19 Inpatient Treatment Algorithm - Cheat Sheet | PDF",1791929597]