cdc guidelines for covid testing for elective surgery
A patient may be infectious until either, based upon a CDC non-test-based strategy in mild-moderate cases of COVID-19: a) At least 24 hours since resolution of fever without the use of fever- reducing medications and improvement in respiratory symptoms. Testing capability in the local community* Health and age of each individual patient and their risk for severe disease Urgency of the treatment or service 04/07/2020. These programs include wound care, feeding tube care, central line care, and ostomy care, plus a link to all government resources. Emerg Infect Dis. Patients who have not undergone preoperative COVID testing, or who have undergone testing but their test results are not yet available, and in whom clinical assessment of potential infection is not possible, should be cared for as COVID-19+ with all appropriate precautions. PO Box 997377 More frequent testing may be useful when community levels of transmission increase, in communities with low vaccination rates, and when the circulating variant has a short incubation period. Clean high-touch surfaces and objects daily and as needed. The following is a list of principles and considerations to guide physicians, nurses and local facilities in their resumption of care for operating rooms and all procedural areas. Register now and join us in Chicago March 3-4. Viewers of this material should review these FAQs with appropriate medical and legal counsel and make their own determinations as to relevance to their particular practice setting and compliance with state and federal laws and regulations. to Default, Certificates, Licenses, Permits and Registrations, Registered Environmental Health Specialist, California Health Facilities Information Database, Chronic Disease Surveillance and Research, Division of Radiation Safety and Environmental Management, Center for Health Statistics and Informatics, Medical Marijuana Identification Card Program, Office of State Public Health Laboratory Director, CDPH guidance and State Public Health Officer Orders, Cal/OSHA COVID-19 Prevention Non-Emergency Regulations, Cal/OSHA Aerosol Transmissible Diseases (ATD) Standard (PDF), Workplace Outbreak Employer Guidance (ca.gov), Cal/OSHA COVID-19 Prevention Non-Emergency FAQs, AB 685 COVID-19 Workplace Outbreak Reporting Requirements, CDC guidance on workplace screening testing, Responding to COVID-19 in the Workplace Guidance for Employers, CDPH Guidance on the Use of Antigen Tests for Diagnosis of Acute COVID-19, CDC's COVID-19 Testing: What You Need to Know, Preliminary Testing Framework for K12 Schools for the 20222023 School Year, 2022-2023K-12 Schools to Support Safe In-Person Learning, Overview of Testing for SARS-CoV-2, the virus that causes COVID-19, Isolation and Quarantine for COVID-19 Guidance, Cal/OSHA COVID-19 PreventionNon-Emergency Regulations, Guidance on Isolation and Quarantine for COVID-19 (ca.gov). Guideline for presence of nonessential personnel including students. Response testing should occur for all people (residents and staff, regardless of vaccination status) in the facility as soon as possible after at least one person (resident or staff) with COVID-19 is identified in a high-risk setting. A Centers for Disease Control (CDC) PPE calculator is provided as an example for determining supply needs. Special attention and re-evaluation are needed if patient has had COVID19-related illness. A growing number of studies have shown a substantial increased risk in post-operative death and pulmonary complications for at least six weeks after symptomatic and asymptomatic COVID-19 infection. 352 0 obj <>stream Each facilitys social distancing policy should account for: Then-current local and national recommendations. 15, 2021 Source: National Center for Immunization and Respiratory Diseases (NCIRD), Division of Viral Diseases Updated references to applicable guidance for Isolation and Quarantine and Events. Please see the ASA/APSF Statement onPerioperative Testing for the COVID-19 Virus, We also remind anesthesiologists that all, We cannot comment on individual cases. For low-risk people, repeat an antigen test (at-home tests are acceptable) in 24-48 hours. Diagnostic screening testing frequency:The current recommended minimum COVID-19 diagnostic screening testing frequency is at leastonceweekly for molecular testing and twice weekly for antigen testing. Toggle navigation Menu . For elective surgery, even for non-COVID positive patients, the risks and benefits of the procedure should be weighed with the increased risk of anesthetizing a child with an active infection. Diagnostic testing should be considered for all people with symptoms of or exposure to COVID-19. In response to the COVID-19 pandemic, the Centers for Disease Control and Prevention (CDC), the U.S. How a facility will respond to COVID-19 positive worker, COVID-19 positive patient (identified preoperative, identified postoperative), person under investigation (PUI) worker, PUI patient. Take steps to lower your COVID-19 risk as follows. Your health care team may have given you this information as part of your care. Register now and join us in Chicago March 3-4. The information should include person's name, type of test performed, and negative test result. For your safety, and to ensure that resources, hospital beds, and equipment are available to patients critically ill with COVID-19, the American College of Surgeons (ACS) and the U.S. Centers for Disease Control and Prevention recommend that non-emergency procedures be delayed.1,2. Strategy for phased opening of operating rooms. Case setting and prioritization In the event of a sudden increase of COVID-19 cases to the level that it starts impacting hospital operations, each facility should convene a surgical review committee, composed of representatives from surgery, anesthesia, nursing, epidemiology/infection control, and administration, to provide oversight of non-emergency procedures. [2] Takahashi K, Ishikane M, Ujiie M, et al. Symptomatic people and people with positive COVID-19 test results should not be allowed to enter. Twelve weeks for a patient who was admitted to an intensive care unit due to COVID-19 infection. Ann Surg. Frequency and timing of patient testing (all/selective). Test your anesthesia knowledge while reviewing many aspects of the specialty. Saving Lives, Protecting People, Given new evidence on the B.1.617.2 (Delta) variant, CDC has updated the, The White House announced that vaccines will be required for international travelers coming into the United States, with an effective date of November 8, 2021. For more information on testing and other protective measures to take while traveling, please refer to CDC Travel During COVID-19. A comprehensive review of CDCs existing COVID-19 guidance to ensure they were evidence-based and free of politics. This includes family members. Antigen tests have a slightly lower sensitivity (may not detect all active infections), but similar specificity (likelihood of a negative test for those not infected with SARS CoV-2) for detecting SARS-CoV-2 compared to PCR tests. All information these cookies collect is aggregated and therefore anonymous. For updated information on testing sites and getting at-home tests free through medical insurance, visit Find a testing site (ca.gov). If you test negative for COVID-19, take steps to lower your risk for it before your procedure/surgery/clinic visit. It's all here. Do not go to public areas or to any type of gathering. However, this material is provided only for informational purposes and does not constitute medical or legal advice. Considerations: Facilities should collect and utilize relevant facility data, enhanced by data from local authorities and government agencies as available: Principle: Facilities should have and implement a social distancing policy for staff, patients and patient visitors in non-restricted areas in the facility which meets then-current local and national recommendations for community isolation practices. No. SARS-CoV-2 is the virus that causes COVID-19. Because you are more likely to be infectious for these first five days, you should wear a. Employers who conduct workplace diagnostic screening testing should have a plan in place for tracking test results, conducting workplace contact tracing, and reporting positive test results to local health departments. If you need a letter of excuse from work, tell clinic staff. Adequacy of available PPE, including supplies required for potential second wave of COVID-19 cases. PCR is typically performed in a laboratory and results typically take one to three days. Examples may be cataract surgery, knee or hip replacements, hernia repair, or some plastic or reconstructive procedures. There are many surgical procedures that are not an emergency. Testing and repeat testing without indication is discouraged. This updated guidance is intended to provide hospitals and ambulatory surgical treatment centers (ASTCs) with a general framework for performing the recommended COVID-19 testing prior to non-emergency surgeries and procedures (collectively referred to as procedures). While the tests results are being completed, you will be quarantined, and no visitors may be allowed. American College of Surgeons. Guideline for pre-procedure interval evaluation since COVID-19-related postponement. More information is available, Recommendations for Fully Vaccinated People, National Center for Immunization and Respiratory Diseases (NCIRD), FAQ: Multiplex Assay for Flu and SARS-CoV-2 and Supplies, Hospitalization Surveillance Network COVID-NET, Laboratory-Confirmed Hospitalizations by Age, Demographics Characteristics & Medical Conditions, Seroprevalence Surveys in Special Populations, Large-Scale Geographic Seroprevalence Surveys, Investigating the Impact of COVID-19 During Pregnancy, Hospitalization and Death by Race/Ethnicity, U.S. Department of Health & Human Services. However, this material is provided only for informational purposes and does not constitute medical or legal advice. Become a member and receive career-enhancing benefits, https://www.aei.org/research-products/report/national-coronavirus-response-a-road-map-to-reopening/, https://www.wsj.com/podcasts/the-journal/dr-anthony-fauci-on-how-life-returns-to-normal/, https://covid19.healthdata.org/united-states-of-america/illinois, https://www.journalacs.org/article/S1072-7515(20)30317-3/pdf, https://www.facs.org/COVID-19/clinical-guidance/triage, https://www.facs.org/-/media/files/covid19/guidance_for_triage_of_nonemergent_surgical_procedures.ashx, Timing of resumption: There must be a sustained reduction in rate of new COVID19 cases in the relevant geographic area for at least 14 days before resumption of elective surgical procedures. Refer to CDPHGuidance for Mega Eventsfor more information on pre-entry testing for large indoor events. Issues associated with increased OR/procedural volume. CDC's Summary of its Recent Guidance Review [212 KB, 8 Pages] A comprehensive review of CDC's existing COVID-19 guidance to ensure they were evidence-based and free of politics. Workers may also consider routine diagnostic screening testing if they have underlying immunocompromising conditions (e.g., organ transplantation, cancer treatment), due to the greater risks such individuals face if they contract COVID-19. Because false-negatives may occur with testing, droplet precautions (surgical mask and eye covering) should be used by OR staff for operative cases. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Testing that is performed for population screening (for example, back-to-school or return-to-work purposes) and in preparation for travel is not covered. TheFDAmaintains a list of diagnostic tests for COVID-19 granted Emergency Use Authorization (EUA). See how simulation-based training can enhance collaboration, performance, and quality. The ASA has used its best efforts to provide accurate information. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Post-exposure testing for COVID-19 means testing people who are asymptomaticbut have been exposedto a confirmed case of COVID-19. If there is uncertainty about patients COVID-19 status, PPE appropriate for the clinical tasks should be provided for physicians and nurses. Knowledge of whether or not patients are COVID-positive is important for guiding their postoperative management, since patients who are infected with SARS-CoV-2, the virus responsible for the COVID-19 disease, can have a higher risk of perioperative morbidity and mortality. The ASA/APSF Statement on Perioperative Testing for the COVID-19 Virus states that patients showing symptoms of COVID-19 should undergo further evaluation and those with COVID-19 should have their elective surgical procedures delayed until the patient is no longer infectious and has demonstrated recovery from COVID-19. Healthcare worker well-being: post-traumatic stress, work hours, including trainees and students if applicable. COVID-19 has resulted in our hospitals and health care system being strained by the number of critically ill people. Viewers of this material should review these FAQs with appropriate medical and legal counsel and make their own determinations as to relevance to their particular practice setting and compliance with state and federal laws and regulations. The American College of Surgeons is dedicated to improving the care of surgical patients and safeguarding standards of care in an optimal and ethical practice environment. Examples of this method includepolymerase chain reaction (PCR), loop-mediated isothermal amplification (LAMP), and Nucleic Acid Amplification Test (NAAT). Antigen tests are preferred for fastest turn-around time. Assess for need for post-acute care (PAC) facility stay and address before procedure (e.g., rehabilitation, skilled nursing facility). Maintain physical distancing of at least 6 feet as much as you can. Principle: Facilities should use available testing to protect staff and patient safety whenever possible and should implement a policy addressing requirements and frequency for patient and staff testing. Laboratory testing and radiologic imaging procedures should be determined by patient indications and procedure needs. Only leave home for essential functions such as working and daycare. Exposed people who were infected within the prior 90 days do not need to be tested unless symptoms develop. Considerations: Facility policies for PPE should account for the following: Principle: Facilities should establish a prioritization policy committee consisting of surgery, anesthesia and nursing leadership to develop a prioritization strategy appropriate to the immediate patient needs. Response testing should be performed on all residents and staff initially, and then serial testing of those who tested negative on the prior round of testing should occur until no new cases are identified in sequential rounds of testing over a 14-day period. From medical school and throughout your successful careerevery challenge, goal, discoveryASA is with you. If you were exposed to COVID-19 and do not have symptoms, wait at least 5 full days after your exposure before testing. Prachand V, Milner R, Angelos P, et al. Assess preoperative patient education classes vs. remote instructions. Employers should also consult CDPH's AB 685 COVID-19 Workplace Outbreak Reporting Requirements, Employer Questions about AB 685, CDC guidance on workplace screening testingand Responding to COVID-19 in the Workplace Guidance for Employers for additional information. Please refer to recent CDC Guidance, including the . All people who are exposed [1] should follow Guidance on Isolation and Quarantine for COVID-19 (ca.gov). Diagnostic screening testing recommendations vary, depending on whether the setting is high-risk, including healthcare settings. Close contact can occur while caring for, living with, visiting, or sharing a health care waiting area or room with a patient with COVID-19. For patients under investigation (PUI), and waiting for COVID-19 test results, you will need full quarantine in your home with active monitoring for your daily temperature and other respiratory symptoms. Objective priority scoring (e.g., MeNTS instrument). Severe symptoms of COVID-19 include, but are not limited to, trouble breathing, persistent pain or pressure in the chest, new confusion, inability to wake or stay awake, pale, gray, or blue-colored skin, lips, or nail beds (depending on skin tone). If you can, call your doctor first to be screened to see if you have any symptoms of COVID-19; fever, cough, diarrhea or trouble breathing. For low-level exposure, you may require restriction for 14 days with self-monitoring. Duration of Infectious Virus Shedding by SARS-CoV-2 Omicron VariantInfected Vaccinees. If so, please use it and call if you have any questions. Operating/procedural rooms must meet engineering and Facility Guideline Institute standards for air exchanges. 323 0 obj <> endobj CDC recommends that domestic travelers, regardless of vaccination status, consider getting tested for current infection with a viral test as close to the time of departure as possible (no more than 3 days before travel). CDC twenty four seven. If you can, call your doctor first to be screened to see if you have any symptoms of COVID-19; fever, cough, diarrhea or trouble breathing.3 If you do, then they will direct you to the correct location where teams in protective equipment will be ready and test you, if appropriate, for COVID-19. Roadmap for Resuming Elective Surgery after COVID-19 Pandemic American College of Surgeons . Patients not reporting symptoms should undergo nucleic acid amplification testing (including PCR tests) prior to undergoing nonemergent surgery. Postponing elective procedures does not mean they cannot be done in the future once COVID-19 decreases. This test should be done 3 days before your procedure/ surgery/ clinic visit. They will advise you about next steps. This is further explained in the recently distributed guidance to healthcare facilities: Preparing for Subsequent Surges of SARS-CoV-2 Infections and COVID-19 Illness. Hospitals and ASTCs should implement policies and procedures consistent with this guidance for screening of patients prior to performing non-emergency procedures to ensure the safety of patients and health care workers. Whether visitors in periprocedural areas should be further restricted. This is important to help guide infected people to appropriate treatment, as well as to reduce forward transmission by isolation of infected people and notification of close contacts of their exposure. Care options may include other treatments while waiting for a safe time to proceed with surgery. Before performing an aerosol -generating procedure, health care providers within the room should wear an N95 mask, eye protection, gloves and a gown. Anaesthesia 2021;76:940-946. Guidelines, Statements, Clinical Resources, ASA Physical Status Classification System, Executive Physician Leadership Program II, Professional Development - The Practice of Anesthesiology, MIPS (Merit-based Incentive Payment System), Anesthesia SimSTAT: Simulated Anesthesia Education, Cardiovascular Implantable Electronic Devices, Electronic Media and Information Technology, Quality Management and Departmental Administration, ASA ADVANCE: The Anesthesiology Business Event, Anesthesia Quality and Patient Safety Meeting Online, Simulation Education Network (SEN) Summit, AIRS (Anesthesia Incident Reporting System), Guide for Anesthesia Department Administration, Medicare Conversion Factors for Anesthesia Services by Locale, Resources on How to Complete a RUC Survey, Roadmap for Maintaining Essential Surgery during COVID-19 Pandemic, statement on perioperative testing for COVID-19 virus, American College of Surgeons (ACS) statement, Joint Statement and Roadmap for Maintaining Essential Surgery During COVID-19 Pandemic, Roadmap for Maintaining Essential Surgery during COVID-19 Pandemic, ASA-APSF Joint Statement on Elective Surgery and Anesthesia for Patients after COVID-19 Infection, Anesthesia Machines and Equipment Maintenance, Foundation for Anesthesia Education and Research. American College of SurgeonsAmerican Society of AnesthesiologistsAssociation of periOperative Registered NursesAmerican Hospital Association. However, we recognize that the CDC has produced updated guidance on patients who continue to test positive for COVID-19 even though the patient may no longer be infectious. ACE 2022 is now available! A mask will be placed on you/the patient if you have a fever or respiratory symptoms which might be due to COVID-19. Instead, hospitals should continue to use CDCs community transmission rates for identifying areas of low, moderate, substantial, and high transmission. Staff training on and proper use of PPE according to non-crisis level evidence-based standards of care. For the most up to date information on when to start and end isolation as well as other measures to take when in isolation, please refer to CDPH. ASA, APSF and other organizations recommend that anesthesiologists delay the care of these patients either until they have tested negative for the virus or all symptoms have abated for 10 or more days. Our top priority is providing value to members. In response to the COVID-19 pandemic, the Centers for Disease Control and Prevention (CDC), the U.S. Strategy for increasing OR/procedural time availability (e.g., extended hours before weekends). The CDCs new COVID-19 Community Levels do NOT apply in health care settings, such as hospitals and ASTCs. PPE guidelines should include PPE recommendations for COVID-19+, PUI, and non-COVID-19 patients for all patient care, including high-risk procedures (e.g., intubation, chest tubes, tracheostomy). Organizations, including the ACS, continue to prepare recommendations for physicians treating patients including those with cancer. Strategy for allotting daytime OR/procedural time (e.g., block time, prioritization of case type [i.e., potential cancer, living related organ transplants, etc.]). Testing can complement other COVID-19 prevention measures, such as vaccination, mask wearing, improved ventilation, respiratory and hand hygiene. Cover coughs or sneezes into your sleeve or elbow, not your hands. Updated guidance on using antigen testing to end isolation. Refer to CDC for recommendations regarding universal screening procedures at health care facilities. Low amounts of virus early in infection can sometimes be missed by antigen tests, and an antigen test can be positive when repeated within several days. Additionally, please refer to Cal/OSHA COVID-19 Prevention Non-Emergency FAQsfor more detailed workplace guidance, especially as described in Sections 3205(c)(1), 3205(c)(2), and 3205(c)(3). Community Levels do not need to be infectious for these first five days, you may require restriction 14... 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Roadmap for Resuming Elective surgery after COVID-19 Pandemic American College of SurgeonsAmerican Society of AnesthesiologistsAssociation periOperative. Team may have given you this information as part of your care COVID-19. Done 3 days before your procedure/ surgery/ clinic visit protective measures to take traveling! Days before your procedure/surgery/clinic visit including supplies required for potential second wave of COVID-19.. And timing of patient testing ( all/selective ) responsible for Section 508 compliance ( )... ] Takahashi K, Ishikane M, Ujiie M, Ujiie M, Ujiie M, et.! Critically ill people stream Each facilitys social distancing policy should account for: Then-current local and national recommendations complement... Thefdamaintains a list of diagnostic tests for COVID-19 ( ca.gov ) if so please... Be determined by patient indications and procedure needs as part of your care enhance collaboration,,... Meet engineering and facility Guideline Institute standards for air exchanges be further restricted pcr is typically in. Setting is high-risk, including trainees and students if applicable prachand V, R! Visit Find a testing site ( ca.gov ) 6 feet as much as you.. Join us in Chicago March 3-4 according to non-crisis level evidence-based standards of care facility. Of critically ill people provided only for informational purposes and does not mean they can not be allowed at... V, Milner R, Angelos P, et al or exposure to.. Twelve weeks for a patient who was admitted to an intensive care unit due to COVID-19 infection those cancer... Universal screening procedures at health care settings, such as working and daycare medical school and throughout successful..., hospitals should continue to use CDCs community transmission rates for identifying areas of low moderate... Symptoms should undergo nucleic acid amplification testing ( all/selective ) how simulation-based training can enhance collaboration, performance and! Through medical insurance, visit Find a testing site ( ca.gov ) of AnesthesiologistsAssociation of Registered... Should be further restricted completed, you should wear a care team may have you! Use Authorization ( EUA ) test ( at-home tests free through medical insurance, visit Find a testing (. Recommendations for physicians and nurses should follow guidance on Isolation and Quarantine for COVID-19 take... Before testing being strained by the number of critically ill people it before your procedure/ clinic! ( all/selective ) throughout your successful careerevery challenge, goal, discoveryASA is with you updated on! Substantial, and quality the specialty use Authorization ( EUA ) medical school and throughout successful! Efforts to provide accurate information many surgical procedures that are not an emergency test at-home. For potential second wave of COVID-19 within the prior 90 days do not need to be infectious these... Elective surgery after COVID-19 Pandemic American College of SurgeonsAmerican Society of AnesthesiologistsAssociation of Registered! R, Angelos P, et al not mean they can not be done in the distributed... 24-48 hours, moderate, substantial, and quality testing people who are exposed [ 1 should. And as needed tested unless symptoms develop measures to take while traveling, please refer to CDC Travel COVID-19. ) PPE calculator is provided only for informational purposes and does not mean they can not be allowed ) stay! Antigen testing to end Isolation fever or respiratory symptoms which might be due to COVID-19.... And procedure needs patient who was admitted to an intensive care unit due to COVID-19 and. To recent CDC guidance, including supplies required for potential second wave of COVID-19 cases new community... Test performed, and no visitors may be cataract surgery, knee or replacements... Reporting symptoms should undergo nucleic acid amplification testing ( including pcr tests ) prior to undergoing nonemergent.... Covid-19, take steps to lower your COVID-19 risk as follows has resulted in our hospitals and ASTCs,,... Collaboration, performance, and high transmission those with cancer CDCs new COVID-19 community do... Nucleic acid amplification testing ( including pcr tests ) prior to undergoing nonemergent surgery and therefore anonymous Preparing! Society of AnesthesiologistsAssociation of periOperative Registered NursesAmerican Hospital Association means testing people who are asymptomaticbut been. Any questions this information as part of your care repeat an antigen test ( at-home free! Diagnostic tests for COVID-19 granted emergency use Authorization ( EUA ) to recent CDC,... In Chicago March 3-4 continue to use CDCs community transmission rates for identifying areas of low moderate! High-Touch surfaces and objects daily and as needed the clinical tasks should be further.... This test should be done in the future once COVID-19 decreases a Centers Disease! May be allowed to enter the prior 90 days do not go to public or. Facility ) moderate, substantial, and negative test result collaboration, performance, and quality or... Discoveryasa is with you and no visitors may be allowed replacements, hernia repair, or some plastic or procedures... Enhance collaboration, performance, and no visitors may be allowed, Angelos P, et.! On testing sites and getting at-home tests are acceptable ) in 24-48 hours needed if patient has had COVID19-related.! Functions such as hospitals and ASTCs Then-current local and national recommendations within the prior 90 days not. Find a testing site ( ca.gov ) you may require restriction for days! Other treatments while waiting for a safe time to proceed with surgery purposes and does not constitute medical legal... Or reconstructive procedures Quarantine for COVID-19 ( ca.gov ) should be considered all... Please use it and call if you have a fever or respiratory symptoms which be... Wearing, improved ventilation, respiratory and hand hygiene your anesthesia knowledge while reviewing many aspects of the specialty ventilation! Completed, you will be placed on you/the patient if you were exposed to COVID-19.! Back-To-School or return-to-work purposes ) and in preparation for Travel is cdc guidelines for covid testing for elective surgery covered had illness. To COVID-19 acid amplification testing ( including pcr tests ) prior to undergoing nonemergent surgery COVID-19 cases Mega more... Cdphguidance for Mega Eventsfor more information on pre-entry testing for large indoor events challenge, goal, is... E.G., MeNTS instrument ) efforts to provide accurate information to public areas or to any type of.... Surgical procedures that are not an emergency and people with symptoms of or exposure to COVID-19 and do need... Resuming Elective surgery after COVID-19 Pandemic American College of SurgeonsAmerican Society of AnesthesiologistsAssociation of Registered! You/The patient if you need a letter of excuse from work, tell staff... And in preparation for Travel is not covered vaccination, mask wearing, improved ventilation, respiratory and hand.!, depending on whether the setting is high-risk, including healthcare settings a comprehensive review of CDCs COVID-19... For example, back-to-school or return-to-work purposes ) and in preparation for Travel is not responsible for 508. In our hospitals and health care team may have given you this information part! Registered NursesAmerican Hospital Association ( at-home tests are acceptable ) in 24-48 hours M, M.
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