COVID-19 healthcare Provider & lab guidance

- Interactive mapping tool to help guide rural communities’ strategies around COVID-19. The publicly available tool provides information on COVID-19 vaccination rates, including newly released data on bivalent boosters, COVID-19 cases and hospitalizations, and other health and sociodemographic information for communities across the United States. (NORC at the University of Chicago)
Care of Patients with COVID-19 Infection
When evaluating and providing medical care for a person with confirmed or suspected COVID-19 infection, please refer to CDC infection prevention and control recommendations.
General Testing Recommendations
Medical providers are recommended to test individuals with signs and symptoms compatible with COVID-19 infection, including:
- Fever or chills
- Cough
- Shortness of breath or difficulty breathing
- Fatigue
- Muscle or body aches
- Headache
- New loss of taste or smell
- Sore throat
- Congestion or runny nose
- Nausea or vomiting
- Diarrhea
Testing at the South Dakota Public Health Laboratory
The following groups of individuals will be prioritized for testing:
- Hospitalized patients
- Healthcare workers, first responders, and active military, with symptoms
- Individuals living or working in institutional settings, such as long-term care facilities, with symptoms
- Underinsured or uninsured individuals, with symptoms
- Low-income individuals or those unable to pay for testing, with symptoms
- Homeless individuals with symptoms

- Guidance on specimen collection and testing, infection control practices, and other considerations are available at:
- SD-HAN 20-024: South Dakota Patient Education Reminders & NEW Close Contact Definition
- SD-HAN 20-023: South Dakota Considerations for Patient Education Around COVID-19 Contact Tracing (9/29/20)
- SD-HAN 20-022: SD Guidance on Testing of Asymptomatic Close Contacts and Isolation Discontinuation (7/23/20)
- SD-HAN 20-021: COVID-19 Antibody Testing Guidance (6/6/20)
- SD-HAN 20-016: COVID-19 Isolation Discontinuation Guidance (5/1/20)
- SD-HAN 20-015: COVID-19 Testing Guidance (4/29/20)
- SD-HAN 20-007: Guidance on Evaluating Persons for COVID-19 Infection (Updates SD-HAN 20-003)
- SD-HAN 20-006: Healthcare Facility Checklist
- SD-HAN 20-005: CDC COCA Call
- SD-HAN 20-004: Webinar for Healthcare
- SD-HAN 20-003: Evaluating Persons for COVID-19
- SD-HAN 20-002: Monitoring and Movement Guidance on Novel Coronavirus
- CDC Clinician Call: What Clinicians Need to Know to Prepare for COVID-19
- CDC HAN Messages
- CMS Guidance
- Frequently Asked Questions to Assist Medicare Providers (CMS)
- Translated Resources and Materials for Medicare Providers (CMS)
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Clinician Outreach and Communication Activity (COCA) Calls/Webinars (CDC)
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Cleaning and Disinfecting 3M Powered Air Purifying Respirators following Potential Exposure to Coronaviruses
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COVID-19: Healthcare Responder Stress Guidance - During the COVID-19 outbreak in South Dakota, you may experience far greater than average stress. This document will help you learn ways to recognize your stress reactions and practice stress management.
Personal Protective Equipment (PPE)
- Personal Protective Equipment (PPE) optimization strategies: Provides options for extended use, reprocessing, and reuse of the various PPE components given current shortages of PPE being reported in many areas of the country.
- Fact Sheet: PPE Preservation Planning Toolkit (HHS)
- Videos on proper use of PPE (CDC)

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SD-DOH would like to remind medical providers, hospitals, and laboratories that cases of COVID-19, caused by the SARS-CoV-2 virus, are considered immediately reportable in South Dakota (under Coronavirus Respiratory syndromes).

South Dakota and its health systems have banded together to combat the SARS CoV-2 virus and COVID-19 disease. Developing and using registries to collect, analyze, and share data about the virus and its impact on patients, physicians, and other caregivers will help develop the knowledge to successfully prevent and treat COVID-19. South Dakota clinicians and facilities have access to data collection tools to aid in the gathering of evidence. Learn more below:
Registry
Randomized clinical trials provide the most reliable information to test treatments, but are not always practical or possible, especially during a pandemic. Structured data collection is the pragmatic answer to collecting data outside of a clinical trial. The purpose of the registries is to learn more about the natural history of Coronavirus Disease 2019 (COVID-19), the effects of treatments, possible mechanisms of disease, and to inform the development of diagnostics and therapeutics.
The COVID-19 Positive Patient Registry is more inclusive, creating a database of all COVID-19 positive patients, regardless of their treatment. This registry will provide for the collection of onset symptoms, pre-existing conditions but then also provide for the collection of treatments and outcomes initially and on an ongoing basis until the patient is recovered.
Consolidation of the various sources of data will be structured as the registry volumes mature, anticipated development of the integrated Registry database is fall, 2020. The consolidated registry will be governed with data use agreements and an oversight body to protect the privacy of patients and clinicians, but encourage access by physicians and researchers to answer COVID-19 related questions.

On March 23, 2020, Governor Noem issued Executive Order 2020-07 which recognizes the licenses of medical professionals licensed in another state in accordance with the Emergency Management Assistance Compact. The following professions licensed in other states have the authority to practice in SD based on an active license in another state. They do not need to gain another license in SD. It is recommended that if you are utilizing the services of one of the professionals licensed in other states that you verify the licensure status of that individual. Please contact the board office with any questions that you have during this Coronavirus Pandemic.
- Physicians and Surgeons (SDCL 36-4)
- Physicians Assistants (SDCL 36-4A)
- Advance Life Support Personnel (SDCL 36-4B)
- Respiratory Care Practitioners (SDCL 36-4C)
- Registered and Practical Nurses (SDCL 36-9)
- Certified Nurse Practitioners And Certified Nurse Midwives (SDCL 36-9A)
- Physical Therapists (SDCL 36-10)
- Dietetics and Nutrition (SDCL 36-10B)
- Pharmacies and Pharmacists (SDCL 36-11)
- Social Workers (SDCL 36-26)
- Psychologists (SDCL 36-27A)
- Occupational Therapists (SDCL 36-31)
- Professional Counselors (SDCL 36-32)
- Marriage and Family Therapists (SDCL 36-33)
- Addiction and Prevention Professionals (SDCL 36-34)
- Speech-Language Pathologists (SDCL 36-37)
- Basic Life Support (SDCL 34-11)

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CMS, in conjunction with the Centers for Disease Control and Prevention (CDC), updated its visitation guidance emphasizing the importance of maintaining infection prevention practices. In summary, CMS is issuing new guidance for visitation in nursing homes during the COVID-19 Public Health Emergency, including the impact of COVID-19 vaccination. Please note visitation is now allowed for all residents at all times. View PDF.
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CMS Targeted COVID-19 Training for Frontline Nursing Home Staff & Management
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Point-Prevalence Survey (PPS) Testing for Coronavirus (COVID-19) in Long Term Care
- Sentinel Surveillance Testing for Coronavirus (COVID-19) in Nursing Homes

The Department of Health maintains a variety of LISTSERVs that provide useful information on COVID-19, including current guidance and scheduled calls.

ATTENTION RETIRED OR INACTIVE MEDICAL PROFESSIONALS:
Governor Noem is reaching out to our state’s licensed medical professionals (physicians, nurses, EMTs, etc.) who are willing to volunteer their services during this COVID-19 pandemic through the Department of Health’s Statewide Emergency Registry of Volunteers in South Dakota (SERV SD). SERV SD coordinates the pre-registration of medical and health care professionals who may be willing to volunteer in the event of an emergency.
Whether you work in a health field or not, active or retired, if you have an interest in assisting your community or state during the COVID-19 pandemic, we invite you to join SERV SD. SERV SD will create a database of medical and health care volunteers who can be mobilized immediately in response to an emergency. Participation in a deployment opportunity is optional. You may decide at the time a call is made to volunteer if you are willing and able to respond.
Registering with SERV SD is easy. Go to https://volunteers.sd.gov/.

CDC issued guidance to healthcare facilities in the event that illness is identified.