It means if an infection was detected in the first 14 days of my mom’s stay in the hospital, she would be moved to a medical facility for a maximum of 21 days of intensive care. That is 14 days of strict observation, maybe 24 hours of hand washing with alcohol and the insertion of a nasal cannula to monitor the oxygenation of her lungs.
The doctors would then set up a staging system in which they would make clinical observations on her, wait for the blood tests to return, and then set her up with an IV system to get some antiseptic into her lungs. And finally, they would wait for the 28 day incubation period (after the incubation period of 14 days, you can no longer detect the infection), and then if no illness progressed, she would be sent home.
does that mean my sister, son, my mom can’t go home for at least 14 days?
It does not. It means that they can go home. But they have to be monitored closely, and I would not recommend that they go home right away. They might need to be quarantined in their homes for at least a month.
after you’re done with the quarantine, do you still have to do daily antibiograms?
Yes, for the next 14 days. But we do this voluntarily, and it’s for our own peace of mind.
So if we see something abnormal, we can still go into my mom’s hospital room?
Yes. But they have to call the front desk, tell them they’re coming in, and then wait for them to set up a quarantine room for them, as that is their part of the process. Then they can come in.
what about after you’re done with the quarantine, do you still have to do daily antibiograms?
For a minimum of 10 days following the 14 days, you must do weekly antibiograms, and possibly monthly antibiograms. You must also continue to monitor the home environment, and take a written report of what your home looks like for the next 14 days, which is sent to your primary doctor. So it’s ongoing, and the only thing you are not required to do after the quarantine is to use hand gel at your finger tips, which you were required to do prior to the quarantine.
for at least the next 14 days, what happens to my mom?
If she has an acute illness that requires her to be hospitalized, the hospital can decide that they don’t want to treat her, but instead, they’ll transfer her to a medical facility for a maximum of 21 days, during which she will be monitored closely by a doctor, nurse, and technician. That means you can’t go into the room with her for that period. You must quarantine your home for that time.
If she was hospitalized for 14 days, and she can stay in her home for 14 days, does that mean that you can continue to make daily antibiograms?
Yes. But you can only do them from outside the home, not from the hospital.
Is my mom still contagious after 14 days of quarantine?
Yes, she is contagious for 14 days.
14 days after the 14 days of quarantine is up, can she go back home?
No. This is the 14 day quarantine process. You have to wait 28 days after the quarantine is up.
Wait, 28 days after the 14 days is up?
So she still has to be monitored in her home?
When does that start?
After 28 days, the infectious disease doctor makes a recommendation. He determines that it’s safe to go into your home.
So you’re still on strict quarantine. After 28 days, do you still have to do regular outpatient antibiograms?
After 28 days, you do not. But you must continue to monitor the situation, and notify your primary care physician and any doctor that you see, in writing, when you are seeing your doctor for a follow up.
So we still have a 14 day quarantine, and after that we’re not required to go back in my mom’s room?
will my sister, mom, or my son be allowed in my mom’s room, even if my mom is not contagious anymore?
and then does this mean my mom can’t go out?
She can’t go out of her home. If she goes out, she has to go to the front desk, and ask for a quarantine and quarantine room for the next 14 days. The room is like a brief-term hotel room, and it has a door that shuts, which means you can’t go in or out.
Will this take 14 days to set up?
No, this is pretty much the standard process. They set it up the way it is, and then they send you the packet of information that explains the steps, and gives you the date of your follow up.
My mom had to get a phone call, and then have someone bring her into the hospital room for her first round of antibiograms, 14 days ago. Does she have to get another phone call this week?
No. Because this is just one of the processes, it’s a procedure that must be done. She had to get a phone call, that’s it.
will my mom have to make a phone call in the next 14 days, and then have someone bring her into the hospital room?
No, they don’t ask if your fever ever gets to 100.4. They only ask if it’s over 101.6. If it gets over 101.6, she can be moved into quarantine.
This doesn’t mean, though, that if she had a fever of 102 degrees, that she would have been moved to quarantine?
Is there anything you can do for her to get out of quarantine?
Yes. You can go to your local clinic and you can get checked for an illness. She could have been given antibiotics before she was in quarantine, or she could have gone in for a cold, and been moved to quarantine because of that. If she did that, she would have had to be treated after 14 days.
And, of course, your mom cannot be treated for any illnesses for the next 14 days of her quarantine?
Right, for the next 14 days, she has to be symptom-free.
that means her temperature will not go over 101.6 degrees?
No. It’s a self-monitoring procedure. When they take your temperature, the thermometer registers the temperature, and the nurse notes that the temperature is over 101.6 degrees. And then it gives you a reminder to take your temperature once, to record the temperature at that level.
So we don’t have to worry about a nurse coming into the room?
No, that’s right. The nurse comes in to take the temperature, but they don’t take the temperature.
Is there anything else we can do to get out of quarantine?
No, because she’s not in quarantine. She’s not at risk for getting an infectious disease.
but if we take a bunch of Tylenol every day, it will raise her temperature to 101.6 degrees?
Right. That’s not going to happen. But taking Tylenol, it could raise the temperature to a level that’s considered a risk for getting an infectious disease, like bacterial infection or bacterial infection of the blood.
Isn’t that going to make her feel horrible?
No. It’s not going to make her feel horrible. It’s just the idea that taking medicine that makes you feel sicker. She could end up having the fever. She could get sick, she could feel worse, but it wouldn’t be because of the medicine.
Will your mom have to go back to the hospital after 14 days?
No, she will only have to go back to the hospital if she gets a fever of 103.5.
What does that mean, 103.5?
It’s a self-monitoring procedure. When you have a fever of 102.5 degrees, or higher, and you have a fever of 101.6, it’s considered a high-risk fever. And then it’s a process that they will have to follow, to make sure that your temperature stays below 100.4, or it’s over 100.4 for 14 days.
What is the risk level, if you end up going to the hospital, that would be at risk for getting an infectious disease?
The risk level for getting an infectious disease, the risk level of being released from quarantine and getting an infectious disease, is considered a 14-day high-risk fever.
Is it a 14-day self-monitoring procedure?
Yes. If you have a high-risk fever for infectious diseases, they would just make sure you don’t get any infections for the next 14 days of your quarantine. They would just monitor your temperature, to make sure you don’t have any infections or illnesses that could cause the fever to come back.
Right now, your mom’s out of quarantine, and you don’t need to worry about her going in and getting an infection, or getting sick.
Oh, right. Yes, that’s right. There’s a 14-day self-monitoring procedure. You have to monitor your temperature at that fever level. If your temperature gets to a higher fever level, your next contact is with your doctor.
So it’s not a matter of going into the clinic, or taking a fever, or anything like that, or making your mom go into the clinic, she doesn’t need to do that?
No, there’s no need to make her go to the clinic, or take a fever, or anything like that. She’s not going to get an infection, or get sick, or be at risk for getting an infection, because she’s not in quarantine. It’s not a 14-day self-monitoring procedure.
After that, would it be considered an infectious disease if you get a high fever?
It’s not a contagious infection, it’s not something that the hospital’s going to be worried about, or a 14-day self-monitoring procedure. It’s just that if your fever gets above that, you’re supposed to get evaluated by your doctor, and go in and get evaluated. But that would only happen after you got a self-monitoring fever of 103.5 or higher.
No, you still would have to go through the self-monitoring procedure. You still have to have the 14 days of being checked for that.
She would still have to get evaluated by a doctor. That self-monitoring procedure would still be in place.
What would be the process like? Would it just be a phone call?
I don’t know. That’s up to your mom, and her doctor, and to make the decision. That’s up to your mom’s doctor. What they’re going to do is they’re going to make sure you don’t have an infectious disease.
So if she does get a high-risk fever, of 103.5, she gets evaluated, and gets a 14-day self-monitoring procedure, she would still be out of quarantine.
What would be the process of getting back into the community after that? Would she get to the hospital, or would she be driven back to the community?
Again, it’s up to your mom. If she gets a high-risk fever, a high-risk fever, they’re going to make sure that she goes into the hospital to get evaluated. Then, it’s a 14-day self-monitoring procedure.