The strain of Coronavirus associated with COVID-19 Disease has led to a global public health problem, a pandemic. With special care, and attention to detail, COVID-19 Disease can be prevented. Prevention is possible at personal, community and occupational levels.
All clients should enter from designated entry points with hand hygiene facilities and screening devices that should run 24/7
All staff posted at entry points for the purpose of screening and triaging patients, as well as staff assigned to care for those with suspected or confirmed COVID-19 Disease should be vetted and approved by the Supervisor of Nursing Services or the Chief of Center for this role. Specifically, staff who have HIV Disease, those under treatment for Cancer, and staff who are receiving immunosuppressive therapy for any reason should not be given such an assignment. As much as possible, it is recommended that staff assigned to this “front line” role be less than 50 years of age.
All individuals receiving patients should wear gloves and a facemask.
Place sanitizers for clients to use at the entry points where temperatures are taken.
Take the temperature of each client including care givers and visitors at point of entry
Clients with higher than normal temperatures or cough should be given a mask to wear, before entry into the facility and should be separated and kept in a designated area where they can be seen promptly by clinician.
Emphasize on hand hygiene: All health providers need to wash hands with soap and water for 40 to 60 seconds or by using alcohol hand rub before and after seeing each client.
Emphasize on the use of gloves: Health care providers must wear disposable gloves in caring for all clients with potentially infectious material.
For those special situations involving patient care activities in which contact with blood spatter, respiratory secretions, or other body fluids is anticipated, Health Care Providers should wear Personal Protective Equipment (PPE) like gloves and masks. In these situations, a disposable gown (or plastic apron) and face shield (or goggles) should be worn by the Health Care Worker. This is in addition to the routine use of gloves and facemask (which are mandatory for all patient encounters).
Wear gowns, mask and face shield or googles (personal protective equipment=PPE) Health care workers should wear PPE for all patient care activity in which contact with blood, respiratory secretions, or other body fluids are anticipated.
Keep the environment clean: The health facility premises must be kept clean at all time.
Put up posters and notices all over the health facility on COVID 19 to educate staff and clients
Post a contact number for staff and clients to call in case of suspected cases.
Put in place a system to rapidly transfer suspected cases to referral centers for testing and proper management.
Place potable hand sanitizers at visible places for sale as need be
Place a contact telephone number on several locations in the institution for staff and clients to call in case of a suspected case.
Give information on the COVID 19 daily to clients and staff
Quickly Identify, and isolate suspected cases until proven otherwise
All health care workers should have PPE (at a minimum: Face Mask, Gloves, and a protective Vinyl or Plastic Apron) prior to entering a patient’s room, if the patient is suspected of having COVID-19 Disease.
Limit number of healthcare workers, family members, and visitors in contact with patient with suspected COVID 19 infection. Only one caregiver allowed per patient.
Maintain record of all persons entering patient’s room, if Covid19 is confirmed. This list may eventually be used for contact tracing physically or by telephone calls.
Maintain environmental cleanliness and disinfect surfaces promptly with 0.5% chlorine bleach.
Place suspected patients in adequately ventilated single rooms.
When private rooms are not available, group patients together with patient beds ≥ 1.5 meters apart.
Hospitalized patients with suspected COVID-19 Disease should wear a facemask, if required to leave their room and should use respiratory hygiene, cough etiquette, and hand hygiene.
Practice safe waste management by making sure waste is appropriately segregated and transported using PPE.
Teach all patients and care givers hand hygiene and cough etiquette (cough into the flexed elbow or into a tissue paper and carefully discard it to a bin)
Make sure all health care workers have hand sanitizers in their uniform pockets all the times
Designate staff and care items in isolation rooms
Staff should perform hand hygiene and put on PPE before entering patient isolation rooms
All health care workers should respect “my five moments for hand hygiene”
Before Patient Contact
Before an Aseptic task
After body fluid Exposure risk
After Patient Contact
After contact with Patient Surroundings
All health care personnel should avoid touching their faces
Avoid keeping long and/or attached nails
Avoid wearing jewelry at work
Absolutely no cell phones during clinical activities