On July 22, 2020, the Health Officer issued blanket Isolation Orders that apply to all persons diagnosed with suspected or confirmed COVID-19 and blanket Quarantine Orders that apply to all close contacts of cases.
- Order Requiring Isolation of Those Presumptively Infected with COVID-19 English Español
- Order Requiring Quarantine of Those Individuals Who Have Been in Close Contact with Someone Presumptively Infected With COVID-19 English Español
Effective July 22, 2020, Santa Cruz County Health Services Agency (HSA) directs healthcare partners to disseminate Isolation Orders to all patients being tested for COVID-19 or who are presumptively diagnosed with COVID-19 without testing BEFORE they leave the health care facility. In addition, healthcare partners are directed to disseminate quarantine orders to all close contacts of cases.
The provider is responsible for informing suspected and confirmed patients about the need for them to self-isolate and for their close contacts to quarantine. Provide them with printed information as specified below, and make sure they understand the self-isolation instructions. Public Health is no longer calling patients and their contacts to provide this information.
Additionally, the ordering provider is responsible for informing tested patients of their COVID-19 test results, both positive and negative. For confirmed cases, when the clinician provides the positive test result they are also responsible for reinforcing the continued need for the patient to isolate (and for household members/close contacts to quarantine).
Healthcare providers are responsible for the clinical care and oversight of their patients. Public Health maintains responsibility for ensuring the general control of COVID-19 in the entire county, which includes ongoing surveillance of COVID-19, conducting outbreak investigations, and providing technical guidance for high-risk cases and settings.
Actions Requested of Providers
When you suspect a patient has COVID-19…
Assess patient and prioritize testing
Provide guidance and patient education materials
- Print the packet (Isolation Order, Sign, Instructions) Requiring Isolation of Those Presumptively Infected with COVID-19 English Español and/or the packet (Quarantine Order, Sign, Instructions) Requiring Quarantine of Those Individuals Who Have Been in Close Contact with Someone Presumptively Infected With COVID-19 English Español to all patients being tested for COVID-19 or in whom you strongly suspect COVID-19 but will not be testing. The isolation and quarantine instructions are also posted here:
- Place a patient identification sticker or handwrite the patient’s name on the Health Officer Order of Isolation.
- Provide additional Packets for close contacts who must self-quarantine, including the Health Officer Order of Quarantine.
- Instruct your patients to:
- Self-isolate at home for the appropriate duration per their positive test date as well as symptom onset date and date of symptom resolution, if they are or become symptomatic.
- Adhere to the Health Officer Order of Isolation if their COVID-19 test results are positive or if you diagnose them with COVID-19 without laboratory testing.
- Immediately inform their household members, intimate partners, in-home caregivers and other close contacts of the need to self-quarantine. The patient must also provide those individuals with the Health Officer Order of Quarantine, and the Home Quarantine Instructions that are included in the Packet.
- Post the notice at every entrance to their location of isolation or quarantine.
Report COVID-19 cases to Public Health
- Immediately report the following to Santa Cruz County Public Health, Communicable Disease Unit (CDU):
Phone call notification is NOT required, unless the patient meets a Vulnerable Population
- All Lab-Positive Cases
- Any Suspected Case associated with a Vulnerable Population (noted in CMR)
- Two options to report to Public Health:
- Electronic Reporting (CalREDIE) – Preferred
Submit COVID-19 Confidential Morbidity Report (CMR) and supplemental documents directly into CalREDIE via the Provider Portal.
To request access, follow the directions in this link
- Fax or Email
Complete the COVID-19 Confidential Morbidity Report (CMR)
Send via Email HSACD@santacruzcounty.us or Fax (831) 454-5049
Questions? Call the Communicable Disease Unit on weekdays 8am–5pm at (831) 454-4114. Outside of these hours, leave a voicemail for later response.