Training of HCWs on COVID-19
Most patients with COVID-19 predominantly have a respiratory tract infection associated with SARS-CoV-2 infection. However, in a small proportion of cases, they can progress to a more severe and systemic disease characterized by the Acute Respiratory Distress Syndrome (ARDS), sepsis and septic shock, multi-organ failure, including acute kidney injury and cardiac injury.
COVID-19 Infection prevention and control
Clinical management of COVID-19
What patients can do before and upon arrival to a healthcare facility?
What healthcare facilities can do to minimize risk of infection among patients and healthcare workers?
Communicate with patients before arriving for triage
Set up and equip triage
Visual Alert to Direct Patient with Respiratory Symptoms
If you are experiencing cold or flu symptoms like
REPORT Immediately to the registration desk!
Key requirements in triage or screening area
Screening for COVID-19 - In Health Care Facilities
Screening of visitors and close contacts
Sample collection and testing
Current Testing Strategy
In hotspots/cluster (as per MOHFW) and in large migration gatherings/ evacuees centres
RECOMMENDED CLEANING SCHEDULES IN THE CONTEXT OF COVID-19
|Patient area||Frequency||Person / staff responsible||Products/ Supplies||Additional guidance|
|Triage area||At least daily, twice daily preferable||Environmental cleaning (EC) staff||Cleaning solution (neutral detergent and water); Disinfectant (alcohol, chlorine based, other as approved*) Freshly made solutions, cloths, and mops for each cleaning session PPE: gowns and/or impermeable aprons, rubber gloves, medical mask, and eye protection (preferably face shield) DISINFECTANTS EFFECTIVE AGAINST COVID-19 (contact time 1 minute): Ethanol ≥70% Hydrogenperoxide 0.5% Hypochlorite from 0.1% (1,000 ppm) or 0.5% (5,000 ppm)||Focus on high-touch surfaces, then floors (last)|
|Inpatient rooms / cohort – occupied||At least daily, twice daily preferable||EC staff OR clinical staff if possible||Focuses on high-touch surfaces, starting with shared/common surfaces, then move to each patient bed; use new cloth for each bed if possible|
|Inpatient rooms – unoccupied (terminal clean)||Upon discharge/ transfer||EC staff||Low-touch surfaces, high- touch surfaces, floors (in that order); waste and linens removed, bed thoroughly cleaned and disinfected|
|Outpatient / Ambulatory Care rooms||After each patient visit and at least once daily terminal clean||Clinical staff (after each patient); Terminal clean (EC staff)||High touch surfaces to be disinfected after each patient visit; terminal clean as above (end of day)|
|Hallways / Corridors||At least daily, twice daily preferable||EC staff||High-touch surfaces (e.g., railings)|
|Patient toilets||Private (at least daily); Shared (at least three times daily)||EC staff||High-touch surfaces, including door handles, light switches, counters, faucets, then sink bowls, then toilets and finally floor (in that order)|
B. Sample collection centers and laboratories for COVID-19 suspected patients
C. Quarantine Camps/Home care for COVID-19 suspected patients
Less quantity of biomedical waste is expected from quarantine centers.