Bangkok Hospital Headquarters’ Home Isolation Program
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Process of our service includes:
1). Confirmed COVID-19 infection by SARS-CoV-2 RT-PCR testing or Rapid Antigen Test (from standardized laboratories)
2). BHQ COVID-19 Center helps coordinating and arranging beds in the hospital:
- If beds are available at the BHQ: Symptomatic patients or patients with risk factors for poor outcome, will be hospitalized for 14-day mandatory isolation program.
- If NO beds available: home isolation will be offered to all patients who are in the BHQ waiting list.
- Asymptomatic patients without risk factors for poor outcome will be offered to join Home Isolation program.
- (2.1) BHQ COVID-19 Center’s doctors inform the test results to the patients and triage patients for Home Isolation program.
- (2.2) BHQ COVID-19 Center’s nurses assess and evaluate patients’ self-contained accommodations to ensure that they are appropriate for Home Isolation purpose.
- (2.3) My B+ application will be the main monitoring and communication tool between doctors, nurses and patients.
- (2.4) All relevant instructions for Home Isolation program will be provided to the patients via QR codes and My B+ application.
- (2.5) Thermometer and fingertip pulse oximeter will be provided to the patient.
3). Self-monitoring during Home Isolation:
- Self-monitoring and recording of relevant parameters e.g. body temperature, oxygen saturation (both at rest and after 2-minute step test) and other symptoms are required twice a day at 0800 hours and 1600 hours via My B+ Application.
Classification of COVID-19 patients based on disease severity
- Patients with no or mild signs and symptoms e.g. fever, cough, runny nose, red eyes and skin rash.
- Patients with mild to moderate signs and symptoms, shortness of breath (dyspnea) and fast breathing (tachypnea).
- Patients with at least one of the following risk factors for poor outcomes:
- Age > 60-year-old
- Lung and respiratory diseases, e.g. Chronic Obstructive Pulmonary Disease (COPD)
- Chronic Kidney Diseases (CKD)
- Cardiovascular diseases (including Congenital Heart Disease)
- Neurovascular diseases e.g. stroke
- Poorly-controlled diabetes
- Obesity (weight greater than 90 kg and/or Body Mass Index (BMI > 30 kg/m2)
- Liver diseases
- Immunodeficiency disorders (defined as low white blood cell counts, less than 1,000 cells/ mm3)
- Patients with severe respiratory symptoms, e.g. shortness of breath and trouble breathing. Chest x-ray shows signs of severe pneumonia.
- Patients with pneumonia (Fingertip oxygen saturation at rest < 96% or post-exercise fingertip oxygen saturation drops ≥ 3%).
Home Isolation is recommended for:
- Newly diagnosed COVID-19 cases who are waiting for hospital or hospitel beds.
- Existing non-severe COVID-19 cases who have been isolated and treated in the hospital or hospitel for more than 7 days with stable or improved clinical conditions. The 14-day mandatory isolation can be completed as Home isolation.
Recommendations on Home Isolation for COVID-19 patients
Amidst the crisis of COVID-19, home isolation serves as an alternative option for COVID-19 patients who are asymptomatic or having mild symptoms to help preserving hospital beds for those who have more severe symptoms or severe diseases.
Criteria set for home isolation care
Eligible homes or accommodations for home isolation care for asymptomatic or mild cases of COVID-19 are as follows:
- Chosen home must be available for the patients to stay as long as treatment period requires. The patients must entirely isolate themselves from other household members while staying in the identified room at all times, without leaving the place.
- The patients should be kept in a well-ventilated, ideally private, bedrooms with good ventilation. If private rooms are inapplicable, the space must be large enough to follow recommendations on social distancing.
- There should be care givers available to provide assistance on 24/7 basis. However, no close contact or sharing facility during the caring process.
- Other household members must strictly comply with all preventive measures while isolating from the patients.
- Communication between the patients or caregivers and hospital is a prerequisite for the entire duration of home isolation.
- In case that existing homes do not meet the eligible criteria for home isolation care, it is recommended to seek other suitable places.
Instructions for COVID-19 patients during home isolation care
- It is compulsory to suspend all work, study and activity for the entire duration of home isolation until all signs and symptoms are significantly alleviated or subsided (e.g. no fever, cough and runny nose). Home isolation program requires at least 14 days or longer.
- If fever presents, antipyretic drugs, such as paracetamol can be taken as directed. Other symptomatic treatments, e.g. antihistamine and mucolytic drugs might be also considered as suggested by the doctors or pharmacists.
- To bring down body temperature during fever, a tepid sponge using tap water is recommended. During tepid sponging, immerse small towel in the tap water and squeeze it to avoid dripping. Then, gently apply on the extremities towards the trunk, placing more on the forehead, armpits and the groin area, repeat if necessary. To prevent chills, cover the chest area while applying tepid sponge on the extremities. Tepid sponging must be discontinued if the patient starts to shiver. In such case, it is recommended to keep the body warm by wearing warm clothing or wrapping in blankets.
- Patients should drink plenty of fluids, including water and fresh juice to maintain adequate hydration. Cold drinks should be avoided.
- It is advised to refrain from spicy foods and eat adequate amount of healthy diets, such as congee, boiled rice, eggs, vegetables and fruits.
- Patients must take rest in an isolated room with optimal temperature and good ventilation system.
For more information, please contact BHQ COVID-19 Center.
Opening hours: Everyday. 08.00 a.m. – 08.00 p.m.
* The arrangements of hospital beds conducted by the Thai government, please call 1330 (dial 14) or 1668.