The information and guidelines below are based on information and guidance from the CDC (Centers for Disease Control and Prevention).

VISITORS TO CRMC

​All visitors must follow these guidelines:

 

Note: Labor and delivery patients and their visitors are allowed to enter through the East Entrance for COVID-19 screening. Same day patients (surgery and GI procedures) will enter at the North Patient Tower entrance. Emergency room visitor presenting with the patient to triage will be screened by the triage nurse. ER visitor presenting after the patient is in the room will need to enter through the East Entrance for COVID-19 screening. No outside food or drink is allowed to be brought in the Emergency Department.

UPDATED June 22, 2022:

With low community transmission and following CDC guidelines, Cookeville Regional has updated its masking policies.

Changes include:

Staff who are up-to-date with COVID vaccination may remove their masks while in break areas and during meetings where patients will not be encountered.

Up-to-date is defined by the CDC as having received all doses and in the primary series (2 doses of a 2 dose vaccine or 1 dose of a 1 dose vaccine) AND one booster.

Universal masking is still required in all clinical areas of the hospital and in hallways, the cafeteria, elevators, and any other areas where patients could be present.

Physical distancing continues to be encouraged.

Staff at increased risk for severe disease, have someone in your home or you yourself are immunocompromised are encouraged to continue to mask at all times when around others. No changes have been made to the current patient and visitor masking requirement. If the community transmission rate reaches the substantial to high category, Cookeville Regional will update the policies at that time.

Due to the decline in COVID patient census we will be going back to our regular visitation policy effective on Monday, May 2, 2022.  The policy is outlined below.

Visitors may visit a patient on the patient floor during established visiting hours. The number of visitors for a patient may be limited based on the condition of the patient. The patient's physician or the charge nurse may restrict the number of visitors or visiting hours at their discretion. Cookeville Regional allows a support person chosen by the patient to be with the patient during the course of stay for emotional support as long as it does not infringe on the other patients' rights. Visitation will not be determined on the basis of race, color, national origin, gender, sexual orientation, or disability.

VISITING HOURS/POLICIES

Visiting hours at Cookeville Regional Medical Center shall be observed as follows:

General units: 7 a.m.-8 p.m. unless otherwise permitted by physician or nursing staff.

The patient's physician or the charge nurse may restrict the number of visitors or visiting hours at their discretion. Restricted areas are:

  1. Labor & delivery/post-partum: Visitation is set by the patient and supported by staff. Only one visitor over the age of 16 years may stay the night with patients. Siblings may not be left unattended with the patient when another care giver is not present. The number of visitors in the room at any given time cannot compromise safety and is limited at the discretion of staff and providers.
    Nursery: Visitation is limited to a maximum of two people over the age of 16; there are no visitors under the age of 16 allowed in the nursery. Visitors must be free of signs and symptoms of illness (including but not limited to fever or cough). 1 visitor must have a matching band to the baby. Visitors cannot compromise safety or care of the patient and may be limited at the discretion of staff and providers.
  2. Emergency department: Visitors in the ED are limited to two (2) unless physician/nursing staff approves variability.
  3. ICU – One support person of the patient's choice will be allowed to remain with the patient 24 hours a day to provide emotional and social support. One additional visitor may visit from the hours of 7:30 a.m.-6:30 p.m. and 7:30-9 p.m. Two visitors is the maximum that our rooms will accommodate and still allow us to care for patients. Additional visitors may remain in the larger ICU waiting room. Children under the age of 12 are not routinely permitted to visit. All visitors will check in at the nurses' station and receive a visitor badge that is to be worn during the visit to the patient. Visiting hours may be altered due to extenuating circumstances and/or patient condition.
  4. CVICU: One support person of the patient's choice will be allowed to remain with the patient 24 hours a day to provide emotional and social support. One additional visitor may visit from the hours of 7:30 a.m.-2 p.m., 4-6:30 p.m. and 7:30-9 p.m. Two visitors is the maximum that our rooms will accommodate and still allow us to care for patients. Additional visitors may remain in the larger CVICU waiting room. Children under the age of 12 will not routinely be permitted. As circumstances necessitate, visiting hours may be changed to or omitted in order to provide essential care for our patients.
  5. The Same Day Surgery and GI lab waiting areas will allow two visitors with each patient.

CHILDREN

  1. General patient care areas:

Children under the age of 12 may be allowed to visit in patient care areas only after receiving special permission from the charge nurse on the floor to be visited. This precaution is taken in order to reduce the chances of compromising our patients through the spread of infectious diseases. During certain times of the year, visitation may be restricted due to the risk of spreading infectious diseases such as Influenza during the flu season. Children must remain under adult supervision at all times in the public waiting areas of the hospital or in the patient room when visiting.

  1. Critical/Intensive Care Unit:

The nursing staff is authorized to allow children under the age of 12 to visit under special circumstances. These circumstances depend on the specific situation, the psychosocial needs of the patient and family members, and the type and severity of the illness. No children are allowed on the Critical Care Unit until they are interviewed by the nurse as to recent febrile or rash illness and are shown to be a febrile, without rash, and not recently exposed to an illness.

 

I. CONTROLLED AREAS

  1. Physicians reserve the right to deny visitation by children and/or adults for the health of their patient(s).
  2. Visitors are prohibited from entering patients' rooms when signs are posted requesting no visitors, as it may be part of the treatment ordered by the patient's physician.
  3. Due to fire and safety regulations, visitors are prohibited from convening in hallways and walkways.
  4. Any visitor entering the facility after 9 p.m. must enter through the Emergency Department (ED) lobby. If the visitor wishes to visit an area other than the ED, they must enter through the east lobby, be signed in by a security officer and be issued a visitor badge with a 24 hour expiration date. This is known as the ePass System.

 

II. PATIENT VISITATION RIGHTS

  1. The patient has the right to choose who may visit them.
  2. The patient has the right to withdraw visitation consent at any time.
  3. The patient's visitation wishes may be in his or her advance directive.

THANK YOU FOR YOUR PATIENCE AND UNDERSTANDING AT THIS TIME.

VISITOR SCREENING:

  • Those visitors allowed in the medical center will be screened before being allowed to visit patients.
  • Screening will consist of a list of questions to determine risk of illness.

LIMITED ENTRY POINTS FOR THE PUBLIC

Only three entrances will remain open for entry by the general public:

  • Main Entrance (North Tower)
  • East Entrance
  • ED Entrance

(The Cancer Center entrance will remain open for Cancer Center patients only. No other visitors may access the hospital from that entrance.)

Employees will still be able to enter in the East Entrance, North Tower Main Entrance, West Entrance and Loading Dock Entrance with their badge. 

COVID-19 OUTPATIENT TREATMENT OPTION

Now Available at CRMC for Certain High-Risk COVID-19 Patients

What is it?

Bamlanivimab (antispike neutralizing monoclonal antibody) has received emergency use authorization only from the FDA for use in certain high-risk COVID-19 positive patients who have NOT been hospitalized. The drug has been shown to decrease viral load more quickly than patients who do not receive the drug and may prevent hospitalization, lessen symptoms and decrease mortality from COVID-19. The earlier the medicine is given, the better the results.

Who can receive this treatment?

To be eligible to receive this medication, the patient:

  • Must never have been hospitalized for COVID-19
  • Received a confirmed positive COVID-19 PCR test (SARS-CoV-2)
  • Be within 10 days since the onset of symptoms

Then, if the patient has any of the high risk conditions below, they qualify for the infusion.

  • Be age 65 or older
  • Have a BMI of 35 or higher (extreme obesity)
  • Have diabetes mellitus
  • Have chronic kidney disease
  • Have an immunosuppressive disease or immunosuppressive treatment

Or, if none of the above conditions are met, a patient will qualify if they are:

  • Age 55 or older AND have one or more of the following:
  • Cardiovascular disease
  • Hypertension
  • COPD or other chronic respiratory disease

How is it administered?

The drug is administered by infusion through a vein and takes approximately one hour for infusion and one hour of observation following the infusion. Please allow for at least 2-3 hours for the appointment.

How do I get the medication?

Your healthcare provider may refer you to CRMC for administration of the drug by faxing the following information to CRMC Registration at 931-783-2266 (phone: 931-783-2630):

  • Pertinent office notes with COVID-19 test results
  • Patient demographics
  • An order asking for 700 mg of bamlanivimab to be given IV over one (1) hour with one (1) hour of observation to follow

The patient will then be notified with the date and time to come into the hospital for the infusion.

Patient referral - (If you cannot reach your healthcare provider quickly and you think that you meet the criteria described above, you may go to Cookeville Regional Urgent Care at 340 N. Cedar in Cookeville to be checked for candidacy for this medication.)  Urgent Care is open 7 days per week from 7 a.m. to 7 p.m.

Appointment information

When coming to your infusion appointment, you must wear a face mask. Upon arrival, tell the door screener that you are here for COVID medication IV infusion (bamlanivimab).

  • Monday – Friday appointments: enter through the North Tower Main Entrance.
  • Saturday and Sunday appointments: enter through the Emergency Room entrance.

 

COVID-19 SIGNS & SYMPTOMS

Symptoms have been reported as ranging from mild to severe. Symptoms may appear 2-14 days after exposure.

This list is not all inclusive. Other less common symptoms have been reported, including gastrointestinal symptoms like nausea, vomiting, or diarrhea.

  • 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

If you are having trouble breathing, experience pain in your chest, are confused, unable to wake or stay awake, or have bluish lips or face, get medical attention immediately by calling 911 or going to the nearest emergency department.

Click below for the CDC's Cornavirus Self-Check Tool! 

Coronavirus Self-Check Tool

WHAT DO I DO IF I THINK I MAY HAVE COVID-19?

Unless symptoms are severe, it is recommended that you stay home and avoid close contact with others.

If you develop a fever, cough and/or shortness of breath, and have been in close contact with a person known to have COVID-19
OR
If you have fever, cough and/or shortness of breath, and have recently traveled from an area known to have active COVID-19 activity, please follow these recommendations:

CALL AHEAD TO YOUR PROVIDER, EMERGENCY DEPARTMENT OR CLINIC TO DISCUSS YOUR SYMPTOMS TO DETERMINE IF YOU SHOULD BE TESTED.

Be prepared to note symptoms, travel history, or if you were exposed to a person diagnosed with the virus.

You may also call the

Tennessee Department of Health Coronavirus Public Information Hotline

877-857-2945

833-556-2476

(available Monday - Friday 10 a.m.–8 p.m. CDT and Saturday-Sunday 10 a.m.-4 p.m. CDT)

Note: Some people are at higher risk for complications from COVID-19, including:

  • Older adults
  • Patients with chronic health conditions such as diabetes; lung, kidney or heart diseases; as well as patients who smoke
  • Patients with compromised immune systems, such as those undergoing chemotherapy of taking certain types of medications

Patients with these higher risk conditions who experience COVID-19 symptoms should contact their provider immediately.


PLEASE DO NOT DELAY COMING TO THE HOSPITAL, THE EMERGENCY ROOM, URGENT CARE, OUTPATIENT IMAGING CENTER (OIC) OR OTHER HOSPITAL DEPARTMENTS FOR CARE BECAUSE OF FEARS THAT YOU MIGHT BE EXPOSED TO COVID-19.

We have taken a number of precautionary measures to create a safe environment for the care you  need.

At Cookeville Regional, we...

  • continue to screen all staff, providers, and patients
  • practice universal masking of all staff and providers throughout the medical center and its locations
  • continue to disinfect and clean areas frequently
  • mask all patients upon arrival to facility
  • rapidly move patients to rooms
  • ensure patients remain a safe social distance from each other
  • provide proper personal protective equipment (PPE) for staff members 
  • continue to practice safe social distancing

WAYS TO PREVENT THE SPREAD OF COVID-19 AND AVOID GETTING SICK

The CDC recommends everyday preventive actions to help reduce the spread of this illness.

  • Avoid close contact with people who are sick.
  • Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Avoid close contact with people who are sick.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces.
  • Practice “social distancing” by avoiding large crowds, gatherings and events. Keep at least six feet away others when possible.
  • Boost your immune system – get a good night’s sleep; eat a well-balanced diet; and exercise.

WHAT IF I HAVE POSSIBLE OR CONFIRMED COVID-19? HOW DO I PROTECT THOSE WHO LIVE WITH ME?

The CDC recommends the following things to manage your health at home.

If you have possible or confirmed COVID-19:

  • Stay home from work, school, and away from other public places. If you must go out, avoid using any kind of public transportation, ridesharing, or taxis.
  • Monitor your symptoms carefully. If your symptoms get worse, call your healthcare provider immediately.
  • Get rest and stay hydrated.
  • If you have a medical appointment, call the healthcare provider ahead of time and tell them that you have or may have COVID-19.
  • For medical emergencies, call 911 and notify the dispatch personnel that you have or may have COVID-19.
  • Cover your cough and sneezes.
  • Wash your hands often with soap and water for at least 20 seconds or clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol.
  • As much as possible, stay in a specific room and away from other people in your home. Also, you should use a separate bathroom, if available. If you need to be around other people in or outside of the home, wear a facemask.
  • Avoid sharing personal items with other people in your household, like dishes, towels, and bedding
  • Clean all surfaces that are touched often, like counters, tabletops, and doorknobs. Use household cleaning sprays or wipes according to the label instructions.

For any additional questions about your care, contact your healthcare provider or state or local health department.

There is no specific antiviral treatment recommended for COVID-19. People with COVID-19 should receive supportive care to help relieve symptoms. 

For severe cases, treatment should include care to support vital organ functions.

People who think they may have been exposed to COVID-19 should contact their healthcare provider immediately.

Decisions remain the responsibility of the physician who has direct responsibility to their patients.