Discharge Instructions: Home Care Isolation for Discharged Patients - Coronavirus Disease (COVID-19):  

If you have been diagnosed with COVID-19

• Stay home and start self-isolation. Don’t leave your home unless you need to get medical care. Don't go to work, school, or public areas. Don't use public transportation or taxis.

• Follow all instructions from your healthcare provider. Call your healthcare provider’s office before going. They can prepare and give you instructions. This will help prevent the virus from spreading.

• If you need to go to a hospital or clinic, expect that the healthcare staff will wear protective equipment such as masks, gowns, gloves, and eye protection. You may be put in a separate room. This is to prevent the possible virus from spreading.

• Wear a face mask. This is to protect other people from your germs. If you are not able to wear a mask, your caregivers should. During a public health emergency, medical face masks may be reserved for healthcare workers. You may need to make a cloth face mask of your own. You can do this using a bandana, T-shirt, or other cloth. The CDC has instructions on how to make a mask.

• Stay away from other people in your home.

• Limit contact with pets and animals.

• Don’t share food or personal items with people in your household. This includes items like eating and drinking utensils, towels, and bedding.

• If you need to cough or sneeze, do it into a tissue. Then throw the tissue into the trash. If you don't have tissues, cough or sneeze into the bend of your elbow.

• Wash your hands often.

Self-care at home 

There is currently no medicine approved to prevent or treat the virus. Some experimental and other medicines are being tested against COVID-19. Other medicines used to treat other conditions are being looked at for COVID-19, but they are not currently approved to treat it.

Current treatment is mainly aimed at helping your body while it fights the virus. This is known as supportive care. Take care of yourself at home by:

• Getting rest. This helps your body fight the illness.

• Staying hydrated. Drink 6 to 8 glasses of liquids every day. Good choices are water, sport drinks, soft drinks without caffeine, juices, tea, and soup.

• Taking over-the-counter (OTC) pain medicine. These are used to help ease pain and reduce fever. Follow your healthcare provider's instructions for which OTC medicine to use.

If you've been in the hospital for suspected or confirmed COVID-19 and now are home, follow all of your healthcare team's instructions. This will include when it's OK to stop self-isolation. You may also get instructions on position changes to help your breathing, such as lying on your belly (prone positioning).

Caring for a sick person 

• Follow all instructions from healthcare staff.

• Wash your hands often.

• Wear protective clothing as advised.

• Make sure the sick person wears a mask. If they can't wear a mask, don't stay in the same room with the person. If you must be in the same room, wear a face mask.

• Keep track of the sick person’s symptoms.

• Clean home surfaces often with disinfectant. This includes phones, kitchen counters, fridge door handle, bathroom surfaces, and others.

• Don’t let anyone share household items with the sick person. This includes eating and drinking tools, towels, sheets, or blankets.

• Clean fabrics and laundry thoroughly.

• Keep other people and pets away from the sick person.

When you can stop self-isolation

When you are sick with COVID-19, you should stay away from other people. This is called self-isolation.

If you are normally healthy, you can stop self-isolation when all 3 of these are true:

1. You have had no fever for at least 72 hours. This means no fever without medicine that reduces fever, such as acetaminophen, for at least 72 hours.

2. Your symptoms are better, such as cough or trouble breathing.

3. It has been at least 14 days since your first symptoms started.

Talk with your healthcare provider before you leave home. Tell him or her if the 3 things above are true for you. He or she may tell you it’s OK to leave home. In some cases, your state or local area may have specific advice. Your healthcare provider will tell you more. 

If you have a weak immune system and COVID-19, your instructions on when to stop isolation will be somewhat different. Some conditions and treatments can cause a weak immune system. These include cancer treatment, bone marrow or organ transplants, and conditions such as HIV or other immune system disorders. Follow your healthcare provider's instructions on how to isolate and when it's OK to stop. You likely will be told to stay in home isolation until all 3 of these are true:

1. You have no fever without fever-reducing medicines.

2. Your breathing symptoms such as cough and shortness of breath have improved.

3. You have 2 negative COVID-19 nose and throat swabs that were collected at least 24 hours apart. If no tests are available, your healthcare provider will likely tell you to follow the isolation instructions for normally healthy people. Follow your provider's instructions on isolation and when it's OK to stop.

When to call your healthcare provider

Call your healthcare provider right away if a sick person has any of these:

• Trouble breathing

• Pain or pressure in chest

If a sick person has any of these, call 911:

• Trouble breathing that gets worse

• Pain or pressure in chest that gets worse

• Blue tint to lips or face

• Fast or irregular heartbeat

• Confusion or trouble waking

• Fainting or loss of consciousness

• Coughing up blood

• Sweating

Going home from the hospital

If you were diagnosed with COVID-19 and were recently discharged from the hospital:

• Follow the instructions above for self-care and isolation.

• Follow the hospital healthcare team’s instructions.

• Ask questions if anything is unclear to you. Write down answers so you remember them.

Last modified date: 4/17/2020