Prevention and Management of COVID on the LSUHSC Campuses

August 6, 2020 Guidelines

I. Prevention

  • Preventing the spread of COVID is everyone’s responsibility.  Wearing masks that cover the mouth and nose, social distancing and good hand hygiene are required of all students and employees on campus. 
  • We require all students and employees to notify their supervisor and to use the LSUHSC online self-reporting platforms if they develop symptoms of COVID, have a positive test for COVID, or have a possible exposure to COVID.  This is important to our ability to maintain a safe campus environment.  There are two reporting systems (one for students and one for employees).  Supervisors may submit the form on behalf of their employee. 
  • Students, employees and supervisors should call the Campus Health Clinic at 478 South Johnson Street (504-412-1995) with questions related to symptoms, exposure, test results, quarantine and return to work.
  • Students and employees who have had a moderate-to-high risk exposure to COVID (as determined by contact tracers or the Campus Health Clinic) will be required to quarantine from campus for at least 14 days from the time the exposure.
  • While we are under current Phase II restrictions, meetings should utilize virtual platforms, except when necessary for essential business purposes.  Classes should utilize virtual platforms to the extent possible, unless a virtual platform would detract significantly from the learning objectives.
  • Disinfection of the Workplace: If an employee tests positive and has been on campus within the past seven days, Deans or Department Heads should contact Mr. John Ball, Associate Vice Chancellor for Property and Facilities.  The Environmental Health and Safety Office will determine the need for disinfection and coordinate disinfection with the Dean or Department Head. Supervisors will notify others in the area that a potential exposure has occurred, and the area will be closed for deep cleaning.
    • Signage will be posted to indicate the area is closed
    • An approved contractor will disinfect by a combination of wiping and fogging with a CDC/FDA approved disinfectant.
    • The Dean or Department Head will be notified when the disinfection is complete.
    • Employees can return to work at a minimum of two hours after disinfection (plates and utensils that may have been exposed should be washed before use).

II. Campus Management of Non-Clinical Employees/Students with COVID or suspected COVID


Symptomatic with positive COVID PCR test

  • Self-reporting is required
  • Report positive test to the Campus Health Clinic and via the COVID reporting forms
  • Restriction from campus is necessary
  • Recommend self-isolation at home (follow CDC guidance about household prevention)
  • Seek medical care if needed
  • Employee/student should notify their supervisor (to discuss work from home or leave policies)
  • Campus Health will ask about symptoms and the date of symptom onset
  • Campus Health will determine if there were moderate-to-high risk exposures to other campus personnel beginning 48 hours prior to symptom onset. Moderate-to-high risk exposures include conversations at less than 6 feet distance for 15 minutes or longer regardless of mask use.
  • Return to campus clearance will be in accordance with CDC guidelines:
    • At least 10 days since symptom onset, absence fever for 24 hours without fever-reducing medicines, and improvement of other symptoms
    • If hospitalized or immunocompromised, at least 20 days since symptom onset, absence of  fever for 24 hours without fever-reducing medicines and improvement of other symptoms


Symptomatic with no test  

  • Self-reporting is required
  • Restriction from campus is necessary
  • Recommend self-isolation at home (follow CDC guidance about household prevention)
  • Seek medical care if needed
  • Employee/student should notify their supervisor (to discuss work from home or leave policies)
  • Call the Campus Health Clinic and report via the COVID reporting forms about symptoms and the date of symptom onset
  • Campus Health will recommend a COVID PCR test to confirm the diagnosis and initiate contact tracing to determine if there were moderate-to-high risk exposures to other campus personnel beginning 48 hours prior to symptom onset.  Moderate-to-high risk exposures include conversations at less than 6 feet distance for 15 minutes or longer regardless of mask use.
    • If test is negative or was not performed and there is low suspicion for COVID, return to campus when symptoms resolve
    • If test is negative or was not performed and there is high suspicion for COVID, or if test is positive, then return to campus
      • At least 10 days since symptom onset, absence fever for 24 hours without fever-reducing medicines, and improvement of other symptoms
      • If hospitalized or immunocompromised, at least 20 days since symptom onset, absence of fever for 24 hours without fever-reducing medicines and improvement of other symptoms


Asymptomatic and positive COVID PCR test

  • Self-reporting is required
  • Restriction from campus is necessary
  • Recommend self-isolation at home (follow CDC guidance about household prevention)
  • Employee/student should notify their supervisor (to discuss work from home or leave policies)
  • Report positive test to the Campus Health Clinic and via the COVID reporting forms
  • Campus Health or contact tracers will determine if there were moderate-to-high risk exposures to other campus personnel beginning 48 hours prior to the positive test. Moderate-to-high risk exposures include conversations at less than 6 feet distance for 15 minutes or longer regardless of mask use.
  • Return to campus clearance will be in accordance with CDC guidelines:
    • At least 10 days after the positive test, provided the student/employee remains asymptomatic
    • If immunocompromised, at least 20 days after positive test,  provided the student/employee remains asymptomatic


Asymptomatic and positive Antibody test AND Documented COVID History

  • No campus restrictions


Asymptomatic and positive Antibody test AND No Documented COVID History

  • Restrict from campus and recommend self-isolation at home
  • Remind employee/student to notify their supervisor (to discuss work from home or leave policies)
  • Clarify date of positive antibody test
  • Return to campus clearance
    • Five days after positive antibody test, provided the student/employee remains asymptomatic (regardless of whether a follow up COVID test is negative or positive)


Moderate-to-High Risk Exposure to COVID Positive or Symptomatic Individual

  • Restrict from campus and recommend quarantine at home while monitoring for fever and symptoms
  • Remind employee/student to notify their supervisor (to discuss work from home or leave policies)
  • Recommend COVID PCR test
    • If COVID PCR test is positive, follow management of positive test above
    • If COVID PCR test is negative, return to campus 14 days after last exposure if asymptomatic

 

III. Campus Management of Essential Clinical Employees with COVID or suspected COVID

In general, essential clinical employees will follow the guidelines of their current clinical sites (hospital or HealthCare Network Clinic).  Clinical sites may define a moderate-high risk exposure differently (i.e. close contact without full PPE including eye protection or exposure to an aerosolized procedure without full PPE).

Additionally, please note that students are not essential clinical employees

 

IV. Management of test positive students in the Dorm

If test-positive students are able to live elsewhere with family members or friends, they should leave the dorm for the time periods specified above.  If they must remain in the dorm, they should strictly adhere to quarantine in their room and minimize the risk of exposing other students.

 

V. International Travel

Students and employees must remain in quarantine for 14 days after returning or arriving from an international destination.

Please note that these guidelines may change as national guidelines evolve.


VI. Contact Tracing for LSUHSC Employees

If possible, Campus Health should try to identify and contact moderate-high risk campus contacts of all COVID test-positive and COVID test-negative but symptomatic students and employees.  Removal of those exposed individuals from campus will improve campus safety.  We encourage employees and students to aid LSUHSC in identifying colleagues who may be at high or moderate risk* due to their exposure in the workplace.  LSUHSC will not identify source patients in the process of notifying other employees about their potential exposure to COVID-19.  Region One of the Office of Public Health can assist with contact tracing in general.  If possible, we should notify and quarantine campus contacts as soon as possible.  Manage Contacts According to the following protocol.

Contract Tracing Employee Graphic

 

  • * Definition of high and moderate risk
    • High risk – unprotected exposure to potentially infectious secretions
    • Moderate risk - close contact (within 6 feet) with the source employee/student for >15 minutes regardless of mask use.