Update to Crisis Level Guidance for COVID-19

Nevada Crisis Standards of Care now include latest CDC guidance, removes guidance from WHO

In early April, the Nevada Crisis Standards of Care (CSC) Plan was activated as the Nevada Department of Health and Human Services (DHHS) and partner agencies across the state respond to the COVID-19 pandemic. Updates to that plan have been issued to reflect changes to this ever-evolving emergency response.

All updates to the Nevada CSC guidance are evidence-based per the Centers of Disease Control and Prevention (CDC) and best practices. This is a living document, which has been updated and approved by the Medical Advisory Team (MAT), as well as the DHHS Emergency Providers of Nevada (EPON) Project. The EPON Project is a group of Crisis Standards of Care planners comprised of the Nevada Chief Medical Officer, State Epidemiologist; and representatives from the state Public Health Preparedness Program, the Attorney General’s Office, Nevada Hospital Association, Nevada State Board of Nursing, Nevada Division of Emergency Management, and the Nevada Tribal Emergency Coordinating Council.

Below is a summary of notable updates:

  • Utilized the latest CDC guidance and removed guidance from the World Health Organization;
  • Included substantial changes in clinical management including but not limited to:
    • the use of high flow nasal cannula;
    • information regarding thrombotic and cytokine storm complications;
    • updated information regarding Remdesivir and the use of convalescent plasma; and
    • new section with information for pediatric healthcare providers.
  • Updated guidance substantially on laboratory testing;
    • Including testing framework for inmates and staff at Nevada Department of Corrections; and
    • Requirement for all Skilled Nursing residents and staff to be tested for COVID-19.
  • New section on return to work criteria for healthcare personnel; and
  • Greater emphasis on congregate settings to reduce the risk of outbreaks.

For more information, guidance and resources about the COVID-19 response in Nevada, visit https://nvhealthresponse.nv.gov/.