IDPH_LTCF - COVID PPE Webinar - 转入长期护理机构（LTCF）的接收与隔离标准

Sep 3, 2026

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Content outlines admission and transfer criteria from acute care settings to LTCFs under COVID-19 precautions, emphasizing medically stable requirements and scheduled monitoring every 8 hours with complete vital signs and pulse oximetry. It specifies when transmission-based precautions (TBP) are needed, including qualifiers such as being afebrile for 72 hours without fever-reducing medications and improving respiratory symptoms. It also clarifies that stopping TBP is not required before discharge from acute care, testing may be helpful but is not mandatory, and patient placement should prioritize single rooms or cohorting.

LanguageEnglish

CategoryPresentations

FormatPDF

Pages35

Reading Time12 min

AccessFree to download

Criteria for LTCF Transfers From Acute Care

Medically stable and monitoring requirements

Transmission-based precautions and qualifiers

COVID-19 testing and patient placement

| Criteria for accepting transfers from acute care settings to LTCF: | Medically
stable | Continue to
monitor patient
every 8 hours.
This includes full
vital signs and
pulse oximetry | Transmission-based Precautions | Qualifier | Afebrile
for 72
hours
without
fever
reducing
meds | Qualifier | Improving
respiratory
symptoms | COVID19
Test | Patient Placement: Single room is ideal. Cohort like illnesses. | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | NOTE: Meeting criteria for discontinuation of Transmission-Based Precautions is not a prerequisite for discharge. Testing may be helpful but,
is not required prior to being discharge from acute care settings. | | | | | | | | | Dedicated
wing or hall | Other part of
building w/o
COVID19 cases | | New and returning patients/residents with No infectious clinical concern. The patient/resident was NOT hospitalized due to COVID19 investigation (e.g., may be for other conditions, surgical and needs rehab services) . | X | X | TBP are NOT required. Facility may decide to quarantine these residents (isolate to their room--not TBP) for 14 days to protect the new admit (if positive cases are in the building) or to protect other patients from the new admit (who has been outside the facility) . This is a facility-based decision. NOTE: this is a quarantine not TBP. | | NA | | NA | Not required to
be admitted. | | X | | Criteria for accepting transfers from acute care settings to LTCF: | Medically
stable | Continue to
monitor patient
every 8 hours.
This includes full
vital signs and
pulse oximetry | Transmission-based Precautions | Qualifier | Afebrile
for 72
hours
without
fever
reducing
meds | Qualifier | Improving
respiratory
symptoms | COVID19
Test | Patient Placement: Single room is ideal. Cohort like illnesses. | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | NOTE: Meeting criteria for discontinuation of Transmission-Based Precautions is not a prerequisite for discharge. Testing may be helpful
but, is not required prior to being discharge from acute care settings. | | | | | | | | | Dedicated
wing or hall | Other part of
building w/o
COVID19 cases | | | | | | | | | | | | | | New and returning residents who were suspected to have COVID19 (symptomatic) but tested NEGATIVE | X | X | Continue TBP for 7 days from the date the test was obtained | AND | X | AND | X | | X | |

FAQs

从急性护理机构转入LTCF时，哪些条件是必要的？

需要患者在转入时保持医学稳定，并继续每8小时监测，包括完整生命体征和脉搏血氧监测。

何时需要启动或继续传播隔离（Transmission-based Precautions, TBP）？

当患者符合相应风险/临床状态时需使用TBP，例如有症状且怀疑COVID-19但检测阴性的情形，文中要求从取得检测日起继续TBP 7天；也提到当满足退隔离相关限定条件时才考虑停止TBP。

从急性护理机构出院前，是否必须满足停止TBP的条件或进行COVID-19检测？

文中明确指出：达到停止传播隔离的标准不是出院前的前提；检测可能有帮助，但在从急性护理机构出院前并不要求。

Sep 3, 2026

Upload by Eden