COVID-19 Info for SF Healthcare Providers

Visit the COVID-19 vaccination page for SF healthcare providers or use this shortcut — https://www.sfcdcp.org/covidvax

If you’re an SF healthcare worker seeking to be vaccinated

Vaccine Champions Training (for trainers, 90minutes)​: Building COVID-19 Vaccine Confidence: Helping People Make Informed Choices [Recorded Video]  [PPT (password protected)]  [PDF]  [PDF with notes]

Vaccine Ambassadors Training (for trusted community partners, 1 hour): Building COVID-19 Vaccine Confidence: Helping People Make Informed Choices [Recorded Video]  [PPT (password protected)]  [PDF]

Handout: Responding to Vaccine Misinformation & Questions

Please review the following guidance on clinical indications, accessibility and distribution of therapeutics for the treatment and prevention of COVID-19 in San Francisco, as well as links with additional information.  Also visit our Health Alerts page to see the January 2022 SFDPH Health Advisory relating to these new drugs. Please be aware, however, that health alerts are not updated when new information becomes available.

• Provider Guidance on the use of Outpatient COVID-19 Therapeutics (SFDPH, 5/12/2022)

Test-to-Treat

The Federal government is now distributing treatments for COVID-19 directly to local pharmacies and healthcare centers, where individuals can both test and have immediate access to free therapies if their test is positive.

• A list of current California sites participating in this “Test-to-Treat” program (CDPH)

Additional Links

• COVID-19 Treatments (CDPH)
• FDA Fact Sheets for Outpatient Therapeutics (CDPH)
• State/Territory-Coordinated Distribution of COVID-19 Therapeutics (PHE)
• The COVID-19 Treatment Guidelines Panel’s Interim Statement on Patient Prioritization for Outpatient Anti-SARS-CoV-2 Therapies or Preventive Strategies When There Are Logistical or Supply Constraints (NIH)
• Department of Health and Human Services (HHS) COVID-19 Therapeutics Locator

• Memo: Update on Recommended Algorithms for Antigen Testing (SFDPH, 11/9/21)
• Interim Guidance for SARS-CoV-2 At-Home Self-Testing (SFDPH, Retired 2/1/2022)
  • For interpretation of results, see https://www.cdc.gov/coronavirus/2019-ncov/testing/index.html 
  • For a more comprehensive description of what parameters you need to take into account, see https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Over-The-Counter-Tests-LHJ-Guidance.aspx
• Memorandum Rescinding of Health Officer Order No. C19-08b and Directives Nos. 2020-08b, 2020-09c, and 2020-20c  (SFDPH 5/20/21)
• NOTICE OF THE HEALTH OFFICER REGARDING HEALTH OFFICER DIRECTIVE NOS. 2020-08b, 2020-09c, AND 2020-20c (SFDPH 4/28/21)
• Memo: Hospital Visitation During the COVID-19 Pandemic (SFDPH, 4/7/21)
• COVID19 Specimen Collection & Handling (SFDPH, Retired 6/30/21)
  • CDC for Collecting and Handling of Clinical Specimens for COVID-19 Testing (CDC)
• Interim Guidance: Discharging Suspected or Confirmed COVID-19 Cases From an Emergency Department, Hospital, or Skilled Nursing Facility (SFDPH, Retired)
  • See COVID-19 Isolation & Quarantine for Providers: FAQ on how to keep your patients safe
• Community-Based Testing Services for HIV, Sexually Transmitted Infections and Hepatitis C (SFDPH, Retired 10/29/21)
• Discharge or Transfer of Patients with COVID-19 to a Skilled Nursing Facility: Checklist for Hospitals and Other Facilities (SFDPH, Retired 1/31/2022)
• Blood Type Screening as Risk Factor for Severity of COVID-19 Illness (SFDPH, Retired 1/31/2022)
• Statement on Serologic Testing for SARS-CoV-2 (SFDPH, Retired 1/31/2022)

Additional Links:

• CDC COVID Testing information: Test for Current Infection (Viral Tests)
• COVID-19 Guidance for EMS Providers

Please visit our Influenza Guidance for Providers page

• COVID-19 Isolation & Quarantine for Providers: FAQ on How to Keep Your Patients Safe (SFDPH, Updated 5/3/2022)
• Ending Home Isolation for Persons with COVID-19 Not in Healthcare Settings (CDC)
• Isolation of patients with COVID-19 in health care settings (CDC)
• Return to Work Criteria for Healthcare Personnel with COVID-19  (CDC)
• Work restriction for HCP/quarantine for patients and residents in healthcare settings after exposures, in “Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination (CDC)

For non-provider, public-facing materials about isolation and quarantine, see www.sfcdcp.org/i&q

CCSF Isolation and Quarantine Hotels (I&Q Hotels): Interpreting CDC Guidance on Extending Duration of Isolation for COVID19 Patients With Severe to Critical Illness or Severe Immunocompromise (SFDPH, Retired 7/30/21)

• Isolation and Quarantine Guidance (SFDPH)
• Informational Booklet: After your COVID-19 test: What to do while you wait for your test results to prevent the spread of COVID-19 and save lives (SFDPH  Retired)
• Home Isolation and Quarantine Instructions (SFDPH,  Retired)

Infection Control Guidance

Optimizing PPE Supplies

How to safely put on PPE

How to safely take off PPE

What should I do with my stock of PPE that have passed their manufacturer-designated expiration date?

• Do not discard unused, expired N95 respirators. Instead, contact your Infection Control or Health & Safety office. However, as of May 21, 2021, per the CDC, the supply and availability of NIOSH-approved respirators have increased significantly over the last several months. Healthcare facilities should not be using crisis capacity strategies at this time and should promptly resume conventional practices.
• See details here: Strategies for Optimizing the Supply of N95 Respirators

For PPE recommendations for non-healthcare workers, see www.sfcdcp.org/PPE

Eye-Protection-Bulletin (SFDPH, Retired 1/31/2022)

Respirator Medical Evaluations and N95 Testing Resources (SFDPH, Retired 1/31/2022)

• COVID-19 Exposure Investigation and Response at Outpatient Facilities (SFDPH, Retired 11/2/2021)
  • This document has been retired, please visit the following link instead:
    • https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html

• Summary, FAQ and Additional Guidance for Directive 2020-09 (SFDPH, 7/24/2020) Directive Rescinded 5/20/21
• Guidance for Resuming Deferred and Preventative Dental Care (CDPH, 5/7/2020)

• Interim Guidance for Providers: Addressing Needs of People Who Use Alcohol, Tobacco, or Other Drugs Who are Sheltering in Place or Require Isolation or Quarantine Related to COVID-19 (SFDPH, Retired 11/30/2021)
  • This document has been retired. Please visit the following link instead: https://www.cdc.gov/drugoverdose/resources/covid-19.html

• Memorandum: Change to Shelter/BHS Admission Policies (SFDPH, 1/27/22)
• Infection Control Guidance for Clients in Congregate Shelters, Including Shelters for People Experiencing Homelessness (CDPH)
• Interim Guidance for Homeless Service Providers to Plan and Respond to Coronavirus Disease 2019 (CDC)
• Safe Sleep Program Frequently Asked Questions (FAQs) (HSH)

Interim Guidance for Safe Sleeping for Unsheltered Persons Experiencing Homelessness to Reduce the Risk of COVID-19 (SFDPH, Retired on 10/1/21), see CDC Interim Guidance on People Experiencing Unsheltered Homelessness

Interim Guidance for Safe Sleeping Villages to Reduce the Risk of COVID-19 (SFDPH, Retired 8/16/21)

Interim Guidance: Guidance for People Experiencing Homelessness in Shelters and Navigation Centers to Reduce the Risk of COVID-19(SFDPH, Retired 7/20/21)

• Interim Guidance: Prevention and Management of COVID-19 in Long Term Care Facilities (SFDPH, Updated 5/5/2022)

• Interim Guidance: Prevention and Management of COVID-19 in Residential Treatment Settings for Adults, Children, and Youth (SFDPH, Retired 8/6/2021)

• Interim Guidance: Prevention, Screening, and Management of COVID-19 in Outpatient Hemodialysis Centers (SFDPH, Retired)

• Recommendations for Patients with Suspected or Confirmed COVID-19 in Outpatient Hemodialysis Facilities (CDC)