Screening, triage, and management of participants​​​

Am I responsible for screening research participants for COVID-19? 
Yes. Whoever first encounters a patient will do the screening (front desk staff when applicable, or study staff). Research staff will have access to the Travel Screening Job Aid in Maestro Care for Duke patients (directions accessible here), and a paper version is available here for research participants who are not DUHS patients or when the Travel Screening Job Aid is not easily accessible via Maestro Care. These will be updated as needed. For Duke patients, the use of Maestro Care to screen patients is encouraged so that the screen results are recorded and, when applicable, the high-risk travel is documented and a flag created.  

**Starting Monday, March 16, for all essential studies with continued in-person research visits, participants should be called in advance for over the phone pre-screening. If a participant screens positive for symptoms or a high-risk contact or travel, the research visit should be deferred and the participant should be instructed to call their PCP office or local health department. If the participant screens negative, they should be instructed to call the research team immediately if they develop symptoms before the in-person research visit the next day.** 

If the contact with the participant will only be remote/virtual, and there will be no person-person contact with the participant, screening is not required.  


I do community-based research. What about screening for visits that are not on Duke premises? 
For all essential studies with continued in-person research visits, participants should be called in advance for over the phone pre-screening. If a participant screens positive for symptoms or a high-risk contact or travel, the research visit should be deferred and the participant should be instructed to call their PCP office or local health department. If the participant screens negative, they should be instructed to call the research team immediately if they develop symptoms before the in-person research visit the next day. 

If the contact with the participant will only be remote/virtual, and there will be no person-person contact with the participant, screening is not required. 


Where do I get the paper version of the Travel Screening Job Aid to use for non-DUHS  patients?  
A paper version of the Travel Screening Job Aid will is accessible here.   


What do I do if a participant who is a Duke Health Patient screens positive?  
If a research participant screens positive and they are a Duke Health patient on Duke Health premises, they should be immediately placed in a surgical mask and placed in an isolation room. Please immediately page/call Duke Infection Prevention for guidance on the next steps:  

  • For Duke University Hospital, please page 919-970-9721
     
  • For Duke Regional Hospital, please page 919-470-4636 #7171
     
  • For Duke Raleigh Hospital, please page 919-206-3311
     
  • For Duke Primary Care and Urgent Care, please call 919-896-2428
     
  • For Private Diagnostic Clinics, please call 919-451-8828 

Do not send the participant to the Emergency Department, Urgent Care or their primary care provider unless instructed to do so by Infection Prevention. When a participant screens positive, one should stop managing them as a research participant and think of them as a patient. There should be a research-to-clinical care transition plan, and research activities should be deferred.    

All research staff members still conducting in-person research visits should pre-screen all research participants by phone. If a participant screens positive for symptoms or a high-risk contact or travel, the research visit should be deferred and the participant should be instructed to call their PCP office or local health department. If the participant screens negative, they should be instructed to call the research team immediately if they develop symptoms before the in-person research visit the next day. If a research participant shows up for a visit and screens positive, despite phone pre-screening, call Duke Primary Care and Urgent Care hotline at 919-896-2428 OR call the Duke Hospital Incident Command Center at 919-684-2222 (this will be operated daily from 7 am-5 pm), and the research visit should be deferred. 


What do I do if a participant who is not a Duke Health Patient screens positive? 
All research participants should be pre-screened by phone (see “am I responsible for screening research participants” above) and research visits should be deferred if a participant screens positive. When participant screens positive, one should stop managing them as a research participant and think of them as a patient. There should be a research-to-clinical care transition plan and research activities should be deferred.    

If the participant has a primary care provider, EITHER the research staff member should call the participant’s primary care provider to develop a clinical care transition plan, or if the participant is capable and willing, they can call the PCP themselves. Do not send the participant to urgent care or an emergency department. If the PCP cannot be reached, the staff member can call Duke Hospital Incident Command Center at 919-684-2222 (this will be operated daily from 7 am-5 pm). This line is not for patient use.  

If the participant does not have a PCP, EITHER the research staff member should contact the participant’s local health department (for Durham County residents 919-560-7600) or the NC Department of Public Health Communicable Disease Branch 24/7 Hotline (919-733-3419) or if the participant is capable and willing, they can make the calls themselves. As a last resort, the staff member can call the Duke Hospital Incident Command Center at 919-684-2222 (this will be operated daily from 7 am-5 pm). This line is not for patient use. Do not send the participant to urgent care or an emergency department. 


What if a participant who screens positive refuses to wear a mask? 
They will need to leave the premises and the study visit must be deferred. Please inform them of their obligation to self-isolate for the next 14 days. Please instruct them to call their PCP office or their local health department. 


What if a participant who screens positive refuses to stay while triage and management planning is ongoing? 
The staff member should ensure they leave with a mask on and inform them of their obligation to self-isolate. Please instruct them to call their PCP office or their local health department.