Guidelines for Flu or COVID

Symptoms	Stay at Home	If at Work When Symptoms Began	Return to Work
Fever Defined as temperature higher than 100.4 degrees Fahrenheit	If your fever is higher than 100.4 Fahrenheit	If your fever is > 100.4 F: Stop patient activities Notify your supervisor Go home	When you have been fever free for 24 hours without taking fever reducing medication such as Tylenol or Motrin
Symptoms without fever Cough Sore throat Nasal congestion/runny nose Myalgia (body aches)	If you work on a high-risk unit* or with immunocompromised patients and have ONE or more symptoms from the left column OR If you work on another unit and have TWO or more symptoms from the left column	If you work on a high-risk unit* or with immunocompromised patients and have ONE or more of the symptoms from the left column OR work on another unit and have TWO or more symptoms from the left column: Stop patient activities Don mask Notify supervisor Go home	> 24 hours after onset of symptoms AND Symptoms have significantly improved Wear a mask if you have residual symptoms. Practice cough etiquette, hand and respiratory hygiene.
Symptoms with fever (Presumed influenza) Fever > 100.4° F Cough Sore throat Nasal congestion/runny nose Myalgia (body aches)	If you have had a positive flu test OR If your temperature is higher than 100.4 degrees Fahrenheit and you have at least one of the symptoms from the left column.	If you have a fever > 100.4 F and have at least ONE of the symptoms to the left: Stop patient activities Don mask Notify supervisor Go Home	Isolate until you have been fever free for 24 hrs. without taking fever reducing medication AND Symptoms have significantly improved Wear a mask if you have residual symptoms. Practice cough etiquette, hand and respiratory hygiene.
Symptoms with or without fever due to COVID-19 Fever > 100.4° F Cough Sore throat Nasal congestion/runny nose Myalgia (body aches)	If you have had a positive COVID-19 test and one of the symptoms from the left column OR You have had a positive COVID-19 test and are asymptomatic	If you have a positive COVID-19 test and/or have a fever > 100.4 F and have at least ONE of the symptoms to the left: Stop patient activities Don mask Notify supervisor Go Home	At least five days after onset of symptoms, fever free for 24 hours without taking fever reducing medications AND Symptoms have significantly improved Mask must be worn for 5 days after you return to work. Practice cough etiquette, hand and respiratory hygiene.**

Symptoms

Stay at Home

If at Work When Symptoms Began

Return to Work

Fever

Defined as temperature higher than 100.4 degrees Fahrenheit

If your fever is higher than 100.4 Fahrenheit

If your fever is > 100.4 F:

Stop patient activities
Notify your supervisor
Go home

When you have been fever free for 24 hours without taking fever reducing medication such as Tylenol or Motrin

Symptoms without fever

Cough
Sore throat
Nasal congestion/runny nose
Myalgia (body aches)

If you work on a high-risk unit* or with immunocompromised patients and have
ONE or more symptoms from the left column

If you work on another unit and have TWO or more symptoms from the left column

If you work on a high-risk unit* or with immunocompromised patients and have ONE or more of the symptoms from the left column

work on another unit and have TWO or more symptoms from the left column:

Stop patient activities
Don mask
Notify supervisor
Go home

> 24 hours after onset of symptoms

AND

Symptoms have significantly improved

Wear a mask if you have residual symptoms. Practice cough etiquette, hand and respiratory hygiene.

Symptoms with fever
(Presumed influenza)

Fever > 100.4° F
Cough
Sore throat
Nasal congestion/runny nose
Myalgia (body aches)

If you have had a positive flu test

If your temperature is higher than 100.4 degrees Fahrenheit and you have at least one of the symptoms from the left column.

If you have a fever > 100.4 F and have at least ONE of the symptoms to the left:

Stop patient activities
Don mask
Notify supervisor
Go Home

Isolate until you have been fever free for 24 hrs. without taking fever reducing medication

AND

Symptoms have significantly improved

Wear a mask if you have residual symptoms. Practice cough etiquette, hand and respiratory hygiene.

Symptoms with or without fever due to COVID-19

Fever > 100.4° F
Cough
Sore throat
Nasal congestion/runny nose
Myalgia (body aches)

If you have had a positive COVID-19 test and one of the symptoms from the left column

You have had a positive COVID-19 test and are asymptomatic

If you have a positive COVID-19 test and/or have a fever > 100.4 F and have at least ONE of the symptoms to the left:

Stop patient activities
Don mask
Notify supervisor
Go Home

At least five days after onset of symptoms, fever free for 24 hours without taking fever reducing medications

AND

Symptoms have significantly improved**

Mask must be worn for 5 days after you return to work. Practice cough etiquette, hand and respiratory hygiene.

Wash your hands often with hand sanitizer or soap and water. Use disinfectant wipes to clean frequently touched surfaces (e.g. keyboards, phones, desks, and work surfaces).
*High risk units (NICU, BMT, Transplant units/clinics).
**If you tested NEGATIVE for Influenza A & B and /or COVID-19, then you may return to work after you have been fever-free for 24 hours without antipyretics and your symptoms have significantly improved.
**If you test positive for COVID-19, notify your leadership team right away. Stay home and isolate from Day 0 (symptom onset) through Day 5. On Day 6, check the flu/COVID grid to see if you can return to campus. Following these guidelines is essential to maintaining a safe and healthy workplace for everyone.