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

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

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.

  • No visitors will be allowed for adult patients with suspected or confirmed COVID-19 at the medical center or in the ER, end of life situation will be determined by the attending physician. 

  • One designated visitor will be allowed per inpatient/observation patient per hospital stay. Visiting hours will be daily from 7 a.m.–7 p.m. No overnight stays will be permitted. (Visitors for patients with special needs will be allowed for overnight stays if approved by the attending physician.)
  • One parent/guardian per pediatric patient (overnight stays allowed)
  • Two support people in the Birthing Center (overnight stays allowed) 
  • One support person in the emergency department (must stay in patient room.) 
  • One support person for surgery and procedure patients, including same day patients (must wait in patient room or car until patient returns to a room)
  • End of life (limited to four (4) family members at a time in the patient room/hospital. If attending physician approves more than four (4) visitors, the visitors will need to wait outside the medical center until someone leaves so that only four (4) are in the hospital at one time. Overnight stays to be determined by attending physician.)
  • One visitor currently allowed at Inpatient Rehabilitation.
  • One visitor for outpatient testing or appointments
  • No visitors under age 16
    • Enter through the North Tower main entrance.
    • Put on a mask before entering the building.
    • Wear a mask the entire time they are in the hospital.
    • Be registered in the computer as the patient’s designated visitor.
    • Be screened for COVID-19 prior to entering the hospital (overnight visitors must be screened by the nurse each morning).
    • Stay in the patient room for the entire visit - will not be permitted to go to other areas of the hospital, including the café or out to smoke.
    • You may not leave the building for any reason and come back the same day. For inpatient visitors, please ask staff for a menu or call ext. 3663 to order a food tray from Food Services. 
    • The patient's designated visitor will be the point of contact for all other family members to call for information about the patient. 
    • ER waiting room, additional visitors will not be permitted to wait in the waiting room while the patient and designated visitor is in a treatment room.

CRMC encourages families to stay updated with their hospitalized loved ones via phone with calling and texting as well as video apps like FaceTime.

DESIGNATE ONE FAMILY MEMBER TO BE THE PATIENT CONTACT

The patient or family should designate one contact person within the family for patient updates. The patient’s nurse will call that contact person daily with an update between 2–4 p.m. CRMC asks family members and caregivers refrain from calling the nursing unit for information unless it is an emergency.

PATIENT FOOD FROM OUTSIDE
To help prevent the spread of COVID-19 within the facility, CRMC will be following these restrictions:
  • If a patient’s family brings food for the patient from outside the facility, it must not be brought from home and it cannot be stored in the refrigerator. If the food can stay in the patient’s room, it is okay for the patient to have food from outside. 
  • Patients can have clean clothing or phone/chargers (things that can be wiped down) brought in a bag and taken to the nurse by front door staff or the patient’s nurse may pick up from front desk.
  • The nurse will then check items and wipe down if possible.
  • It is okay to continue to have food delivered for staff to front desk.
  • No outside food or drink allowed in the Emergency Department. 

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.

Inpatients with suspected or confirmed COVID-19

  • No visitors will be allowed for adult patients with suspected or confirmed COVID-19 at the medical center or in the ER, end of life situation will be determined by the attending physician. 
  • One designated visitor will be allowed for patients who are under 18 or who are dependent adults living with parents. The designated visitor must remain in the room. A guest tray will be provided for meals.

*ALL VISITORS MUST BE 16 YEARS OF AGE OR OLDER.

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. 

All patients required to wear masks 

All patients coming to the medical center or any of its locations must wear a face mask at the recommendation of the CDC. If you have one, please wear it when you come. There will be some available at each public entrance.

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.