Turnkey Health Clinic COVID-19 Updates

Turnkey Health Clinic COVID-19 Updates


Posted on: May 8th, 2020   Topic: Executive Office Notes Sheriff

COVID-19 STATUS UPDATE FOR OKLAHOMA SHERIFF’S ASSOCIATION

May 7, 2020

CDC GUIDANCE & MEDICAL STUDIES

New COVID-19 Symptoms under CDC Guidance

The CDC has added six new symptoms of COVID-19, which are found below.  We recommend updating any screening form to include these (Turn Key has updated its own screening forms, if we are operating within your jail). From CDC website:

People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness.

Symptoms may appear 2-14 days after exposure to the virus.

People with these symptoms or combinations of symptoms may have COVID-19:

  1. Cough
  2. Shortness of breath or difficulty breathing

Or at least two of these symptoms:

  1. Fever
  2. Chills
  3. Repeated shaking with chills
  4. Muscle pain
  5. Headache
  6. Sore throat
  7. New loss of taste or smell

Symptoms 4-9 above are the 6 recently added as COVID-19 symptoms by the CDC.  Their website also has the following list of symptoms with prevalence data.

The signs and symptoms of COVID-19 present at illness onset vary, but over the course of the disease, most persons with COVID-19 will experience the following:

  • Fever (83–99%)
  • Cough (59–82%)
  • Fatigue (44–70%)
  • Anorexia (40–84%)
  • Shortness of breath (31–40%)
  • Sputum production (28–33%)
  • Myalgias (11–35%)

Findings from Medical Studies

Additionally, recent medical studies arising from COVID-19 treatments across the globe have demonstrated two other symptoms that are emerging as we have more data, although the prevalence is not as high as the symptoms listed above. These include: “Covid toes”, which presents as a red rash on the hands and toes and usually precedes the onset of other symptoms. The other associated symptom is conjunctivitis (pink eye). Either of these symptoms can be associated with mild or no symptoms of COVID-19, but they have also been noted in some patients who died from the illness.

Updated CDC Guidelines for Discontinuation of Transmission-Based Precautions

CDC has updated guidelines for discontinuation of transmission-based precautions:

The decision to discontinue Transmission-Based Precautions should be made using a test-based strategy or a non-test-based strategy (i.e., time-since-illness-onset and time-since-recovery strategy). Meeting criteria for discontinuation of Transmission-Based Precautions is not a prerequisite for discharge from a healthcare facility.

  1. Test-based strategy.
  1. Non-test-based strategy.
    • At least 3 days (72 hours) have passed since recoverydefined as resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms (e.g., cough, shortness of breath); and,
    • At least 7 days have passed since symptoms first appeared

DISPOSITION OF COVID-19 (or suspected COVID-19) PATIENTS: CDC states “Patients can be discharged from the healthcare facility whenever clinically indicated.”

Patients returning after hospitalization or ER evaluation for covid-19 (or suspected covid-19): If Transmission-Based Precautions are still required, they should go to a facility with an ability to adhere to infection prevention and control recommendations for the care of COVID-19 patients. Preferably, the patient would be placed in a location designated to care for COVID-19 residents.If Transmission-Based Precautions have been discontinued, but the patient has persistent symptoms from COVID-19 (e.g., persistent cough), they should be placed in a single room, be restricted to their room, and wear a facemask during care activities until all symptoms are completely resolved or until 14 days after illness onset, whichever is longer.If Transmission-Based Precautions have been discontinued and the patient’s symptoms have resolved, they do not require further restrictions, based upon their history of COVID-19.

CORRECTIONAL MEDICINE TRENDS & UPDATES

Screening Measures

  • The CDC has noted that there are many opportunities for COVID-19 to be introduced into a detention facility, including staff shift changes; transfer of inmates between facilities, to court appearances, and to outside medical visits; and visits from family, legal representatives, and other community members.
  • To address that risk, we recommend every jail implement screening measures for any person entering the jail, including employees, inmates, vendors, and visitors.
    • For employees, contractors, visitors, and vendors, screening can be accomplished through temperature screening (anyone with a temperature of 100.4 should be denied entry) and visible symptoms of COVID-19, including cough or shortness of breath. Those who appear to be symptomatic should be denied entry.
  • We recommend the screening form for inmates contain at least the following questions:
    • Whether that person has traveled outside the U.S. within the past 30 days.
    • Whether the inmate has had close contact with anyone known to have traveled outside of the U.S. within the past 30 days.
    • Whether that person has come into contact with a lab-confirmed COVID-19 case (the incubation period of 2-14 days).
    • Whether that person has fever, cough, shortness of breath, difficulty breathing, persistent pain or pressure on chest, bluish lips or face, chills, shaking with chills, muscle pain, headache, sore throat, newly noticed difficulty with smell or taste, or other symptoms of lower respiratory illness.

If the inmate answers “yes” to any of the above questions, we recommend immediately placing a mask on that inmate and escorting him/her to an isolation cell. If available, have medical personnel assess that inmate.

Impact of Lifting Shelter-in-Place Restrictions

  • As shelter in place restrictions begin expiring, jails should prepare for an increase in arrests and bookings into the jails. Any new intake into the jail runs the risk of creating exposure to COVID-19, particularly as we know that many carriers are asymptomatic. We recommend continuing to screen all new arrivals. 

Resuming In-Court Participation

  • In anticipation of the resumption of in-person court participation, here are our recommendations for jails to prepare:
  1. Conduct temperature checks for inmates prior to transport to the court, as the courts are unlikely to allow any such inmates to enter into the courthouse.
  2. Conduct temperature checks for all inmates and staff upon arrival back at the jail from court.
  3. Face masks should be worn by all inmates and staff during transport and anytime they must be within 6 feet of another person.

COURTS ACROSS OKLAHOMA[1]

Court/County Last Updated Summary
Western District of Oklahoma Mar. 17, 2020 General Order 20-8 (Mar. 17, 2020): Personal service requirement suspended, grand jury sessions cancelled through April 21, 2020, continuing April 2020 civil & criminal dockets

 

General Order 20-7 (Mar. 16, 2020): Limiting entry into the courthouse.

Northern District of Oklahoma Apr. 28, 2020 General Order 20-10: Continuing all hearings and trials scheduled before May 31, 2020, continuing all grand jury proceedings.
Eastern District of Oklahoma Apr. 30, 2020 General Order 20-11: Continuing jury trials through July 6, 2020, the June 9, 2020 grand jury session will move forward, and all jury trials and naturalization ceremonies through July 6, 2020 are continued.
Oklahoma Supreme Court May 1, 2020 SCAD N. 2020-38 entered on May 1, 2020: adds in pleading requirements for Petitions for Forcible Entry and Detainer/Affidavits for Possession, noting that there is a moratorium on forcible entry and detainers for nonpayment of rent under the CARES Act.

 

SCAD No. 2020-36 entered on April 29, 2020:

·         All criminal jury trials shall be rescheduled on the next available jury docket after July 31, 2020

·         Beginning on May 16, 2020, all rules and procedures, and all deadlines whether prescribed by statute, rule or order in any civil, juvenile or criminal case, shall be enforced…

·         All civil and criminal non-jury hearings and other matters may be set after May 16, 2020.

Adair County Mar. 17, 2020 Administrative Order No. AO-20-1: suspending certain in-person court meetings.
Alfalfa County Mar. 18, 2020 Emergency Disaster Declaration: restricted courthouse access and screening of individuals.
Atoka Mar. 19, 2020 AO-20-03 & AO-20-04 (Mar. 19, 2020): Courthouse closed, access to the building is restricted, and March/April jury docket cancelled.
Beaver Mar. 23, 2020 Resolution No. 7651 & 7652: Limited access to the courthouse.
Beckham Mar. 20, 2020 AO 2020 3 & AO-2020-_: Outlining date and manner in which to safely resume court services.
Blaine Mar. 19, 2020 AO-2020-7: Suspending certain in-person court proceedings and implementing temporary measures. Jury trials suspended through April 15.
Bryan Mar. 25, 2020 AO-20-8 & AO-20-14: Courthouse is closed to the public. Cancellation of April/May 2020 jury docket for the 19th Judicial District. Suspending certain in-person court proceedings. Guidelines. Resetting misdemeanor disposition docket now scheduled for March 19 to May 28, 2020. Initial Appearance/Arraignments scheduled May 1.
Caddo   https://www.oscn.net/notices/: Civil motion dockets rescheduled.
Canadian Mar. 17, 2020 AO-2020-1: Cancellation of Canadian County jury term. Restricted access to courthouse.
Carter Mar. 30, 2020 AO-2020-01: Suspending certain in-person court proceedings. May jury docket is canceled.
Cherokee Mar. 20, 2020 AO-2020-: Rescheduling of dockets.
Choctaw Mar. 30, 2020 AO-2020-3A: Courthouse closed to the public with exceptions for emergencies. Dockets rescheduled.
Cimarron Mar. 17, 2020 Resolution No. 14-2020: Courthouse closed to the public.
Cleveland Apr. 24, 2020 AO-2020-01 & AO-2020-1: Amended order suspending certain in-person court proceedings
Coal Mar. 19, 2020 AO-20-03 & AO-20-04: Administrative order suspending certain in-person court proceedings and continuity of operations plan for the 25th Judicial District. Cancellation of March/April Jury Docket.
Cotton   https://www.oscn.net/notices/: Courthouse is closed to the public. Hearings held by Telephone or SKYPE. In-person hearings suspended until further notice.
Craig Mar. 17, 2020 Resolution: Courthouse closed to the public.
Creek Mar. 30, 2020 AO-20-4: All dockets affected. Emergency matters and hearings will be scheduled by assigned judge on a case by case basis. Courthouse access is restricted.
Custer Mar. 19, 2020 AO-2020-19 & Court Notice: Outlining date and manner in which to safetly resume court services.
Delaware Mar. 19, 2020 Courthouse Protocol: Courthouse closed to the public. Protocol for front door security
Ellis Mar. 19, 2020 AO-2020-03 & Emergency Declaration: Outlining date and manner in which to safely resume court services.
Garfield Mar. 19, 2020 AO-2020-5 & Emergency Declaration Proclamation: Suspending certain in-person court proceedings and implementing temporary measures. Jury trials suspended through April 15.
Garvin Mar. 16, 2020 AO-2020-1: Emergency Directive, Order Suspending April 2020 Jury Term, Order Suspending Certain In-Person Court Proceedings, Guidelines for in person court proceedings.
Grady Mar. 30, 2020 General Order: Rescheduling Jury Term March 23-April 3, 2020. Clerks’ office to remain open.
Grant Mar. 19, 2020 AO-2020-2: Suspending certain in-person court proceedings and implementing temporary measures. Jury trials suspended through April 15.
Greer Mar. 2020 Order: Restricted public access. Rescheduling of specific dockets.
Harmon Mar. 2020 Order: Restricted public access. Rescheduling of specific dockets.
Harper Mar. 23, 2020 Resolution: The County Courthouse is closed to the public.
Haskell Mar. 16, 2020 AO-2020-1: March/April jury term is postponed.
Hughes Mar. 31, 2020 AO-20-04: Administrative Order suspending certain in-person court proceedings and implementing temporary measures.
Jackson Mar. 2020 Order: Restricted public access. Rescheduling of specific dockets.
Jefferson Mar. 17, 2020 Order No. 20-1: Suspending certain in-person court proceedings.
Johnston Mar. 18, 2020 AO-2020-1A: All in-person proceedings are suspended until further notice. Limited public access to courthouse.
Kay Mar. 16, 2020 Disaster Emergency Proclamation: Kay County Courthouse is closed to the public.
Kingfisher Mar. 23, 2020 AO-2020-3 & Resolution No. 19: Suspending certain in-person court proceedings. Courthouse is closed to the public.
Kiowa Mar. 2020 Order: Restricted public access. Rescheduling of specific dockets.
Latimer Mar. 16, 2020 Administrative Order: March/April jury term is postponed.
LeFlore Apr. 6, 2020 Administrative Order: Judges and staff rotation schedules. March/April jury term is postponed.
Lincoln Mar. 24, 2020 Emergency Order & AO-2020-01: Restricted public access to the courthouse. Visitors will be screened for fever and symptoms. Rescheduling of certain in-person court proceedings. Administrative Order regarding court filings.
Logan Mar. 16, 2020 AO-2020-3: Jury trials, non-jury trials and prelim hearings are stricken and set to be rescheduled.
Love Mar. 18, 2020 AO-2020-1A: All in-person proceedings are suspended until further notice. Limited public access to courthouse.
Major Mar. 26, 2020 Public Notice: Courthouse is closed to the public.
Marshall Mar. 18, 2020 AO-2020-1A: All in-person proceedings are suspended until further notice. Limited public access to courthouse.
Mayes Mar. 27, 2020 CA-2020-02: Rescheduling Criminal & Civil trials. Court Clerk will remain open for limited operations.
McClain Mar. 16, 2020 AO-2020-1: Emergency Directive, Order Suspending April 2020 Jury Term, Order Suspending Certain In-Person Court Proceedings, Guidelines for in person court proceedings.
McCurtain Mar. 30, 2020 AO-2020-3A, Alias Order, Order Striking Non-Jury Trial, Order Striking PTCs, Order Striking PO Trials, & Order Striking Status Conferences: Courthouse closed to the public with exceptions for emergencies.
McIntosh Apr. 23, 2020 AO-20-3: To the extent practicable all civil, criminal, juvenile and special proceedings operate as scheduled. Guidelines and practices outlined.
Murray Mar. 18, 2020 AO-2020-1A: All in-person proceedings are suspended until further notice. Limited public access to courthouse.
Muskogee Mar. 2020 AO-20-2: Public Access to Courthouse is limited to necessary matters. All non-essential matters are continued until further notice. Email filing will be accepted by the Court Clerk.
Noble Mar. 16, 2020 Public Notice: Courthouse is closed to the public.
Nowata Apr. 1, 2020 AO-2020-3: Courthouse is closed to the public until further notice.
Okfuskee   https://www.oscn.net/notices/: Courthouse is closed to the public.
Oklahoma May 6, 2020 AO7-2020-21 & Emergency Order Vacating Writs of Habeus Corpus. In sum, pertinent updates include:

·         Beginning May 18, 2020, entry into the Courthouses will be allowed as follows:

o   Only attorneys, litigants, subpoenaed witnesses, victims/their immediate family/their representatives, and the accused’s immediate family may enter the courthouse to attend that proceeding. After the proceeding is concluded, they must immediately leave the building.

o   Upon entering any county facility, all persons are encouraged to wear masks (and some judges may require masks in their courtrooms).

·         The following people are prohibited from entering any courtroom, court clerk’s office, judges’ offices, jury room, or other facility used by the district courts:

1.       Persons who have been diagnosed with or have direct contact with anyone diagnosed with COVID-19.

2.       Persons with symptoms such as fever, severe cough, or shortness of breath.

3.       Persons who have traveled to any country outside the U.S. in the past 14 days, and those with whom they live or have had close contact.

4.       Persons who are quarantined or isolated by any doctor or who voluntarily quarantine.

·         Criminal Felony, Misdemeanor, Drug Court and Mental Health Court Matters:

o   Prior to June 1, with limited exceptions, only in custody arraignments, bond proceedings, preliminary hearing conferences, prelim hearings, pretrial conferences, revocation hearings, disposition dockets, drug court, and mental health court proceedings may be held, utilizing video equipment to the greatest extent possible… Attorneys and defendants shall not approach the bench unless requested to do so by the judge.

o   After June 1, judges are encouraged to use authorized remote participation formats to conduct all matters until social distancing isn’t required.

·         Juvenile Proceedings: Through June 1, hearings shall be held via video unless the judge orders otherwise.

 

AO7-2020-14 (Emergency Order Vacating Writs of Habeus Corpus) entered on Mar. 20, 2020: Rescheduling jury weeks to start August 17, 2020.

Okmulgee Mar. 16, 2020 Temporary Measures: Implementing Temporary Measures. Rescheduling of specific dockets. Judges and staff to remain working as normal.
Osage Apr. 23, 2020 AO-2020-6: Order regarding mitigation efforts and occupancy at such time the court and court clerk reopen to the public amid the ongoing covid-19 pandemic.
Payne Mar. 16, 2020 AO-2020-3: Jury trials, non-jury trials and prelim hearings are stricken and set to be rescheduled.
Pittsburg Mar. 23, 2020 AO-20-22: Courthouse is closed to the public. Court filings may be completed by email with a read receipt, or by facsimile copy. Emergency bench warrants issued for FTA on a cost warrant shall be STAYED and held in abeyance for 30 days.
Pontotoc Mar. 31, 2020 AO-2020-002: Suspending certain in-person court proceedings and implementing temporary measures. Courthouse closed by County Commissioners, March 18 – March 23.
Pottawatomie Mar. 1, 2020 AO-2020-2: Suspending certain in-person court proceedings. Limited access to courthouse.
Pushmataha Mar. 30, 2020 AO-2020-3A: Courthouse closed to the public with exceptions for emergencies. Dockets rescheduled.
Roger-Mills Mar. 19, 2020 AO: Outlining date and manner in which to safely resume court services.
Rogers Mar. 30, 2020 AO-2020-16: All judicial offices and courts are closed until April 20 May 15, 2020. Felony and probate cases rescheduled. Jury Term cancelled for April 13-24.
Seminole Mar. 31, 2020 AO-20-04: Administrative Order suspending certain in-person court proceedings and implementing temporary measures.
Sequoyah Mar. 17, 2020 AO-20-1: In-court proceedings are limited to attorneys, parties, witnesses, security officers, and other necessary persons, as determined by the trial judge… No more than 10 persons shall be allowed to congregate in courtrooms.
Stephens Mar. 17, 2020 Order No. 20-1: Suspending certain in-person court proceedings.
Texas Mar. 18, 2020 Resolution No. 166-19-20 & 165-19-20: Courthouse access restricted to south entrance. All persons will be screened for symptoms.
Tillman Mar. 17, 2020 AO-2020-1: Suspending certain in-person court proceedings and implementing temporary measures.
Tulsa Apr. 3, 2020 AO-2020-4, Court Notice, & Tulsa County Release: Judicial offices and courts are closed. Juvenile Division dockets are formally closed until April 20 with exceptions listed within Administrative Order. – David L. Moss Criminal Justice Center is suspending visitors.
Wagoner Mar. 20, 2020 AO: Rescheduling of dockets.
Washington Apr. 1, 2020 AO-2020-3: Suspending certain in-person court proceedings and implementing temporary measures.
Washita Mar. 19, 2020 AO: Outlining date and manner in which to safely resume court services.
Woods Mar. 18, 2020 Resolution No. 19-20-80: Courthouse is closed to the public.
Woodward Mar. 17, 2020 Notice: Restricted courthouse access and screening of individuals.

[1] For the most up-to-date information on Notices and Orders from state courts, you can log into www.oscn.net and scroll to the “FEATURED” section at the bottom of the page for updates from the court network. This will also direct you to Court Notices: https://www.oscn.net/notices/.

 

Click link below to view in Microsoft Word:

Turnkey Health Clinic COVID-19 Updates

 

 

 



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