Wednesday, March 11, 2020

IMA – CMAAO Guidelines for Hospitals, Nursing homes, CLINICS and OFFICES

IMA – CMAAO Guidelines for Hospitals, Nursing homes, CLINICS and OFFICES

Dr Rajan Sharma, Dr RV Asokan, Dr KK Aggarwal

In the unfortunate event if there is a confirmed case of COVID-19 from amongst any employees’ what would be the right step to undertake for the office premise.

• Issue one circular that if anyone or in his or her family is having with fever and cough, he or she should immediately notify the management
• People with cough and fever gets paid leave, work from home
• All with cough and fever should take tele consultation with doctor without delay
• De-contaminate all surfaces of the office in the night with 0.1% bleach as done in any hospitals or washrooms at home
• All persons should enter the office after cleaning the hands with soap and water or 70% alcohol-based sanitiser
• Make sanitisers in your office (70% isopropyl alcohol and 30% PEG or aloe vera gel)
• Wash hands after lunch break, and joining after lunch break, and at signing off
• No biometric attendance
• No touching of papers and currency with oral saliva
• If someone corona infected attends the office, fumigate that room immediately, all persons of that room go for home working
• No international visitors in the office without prior risk assessment
• No leave to be given for people to visit their state and come back
• All employees are directed to inform if they have met anyone with fever and cough visiting from affected countries or Indian states
• If anyone disobeys his services will be terminated and police informed under section 270 IPC)
• Office shut down can only be decided by government under epidemic disease act, if someone is positive
• 50+ people in any organisation with comorbid conditions needs special precautions. People with comorbid conditions should immediately disclose their illnesses to the management
• Follow and greet with only corona namaste, no contact policy, no elbow touch- no shake hands
• Use Tele meetings as much as possible
• Doctors at high risk with comorbid conditions should not see patients with fever and cough or wear N 95 masks
• All should disinfect mobile phones before entering the office
• Disinfects office and personal cars daily
• Eligible people should get flu and pneumonia vaccination done, so that they do not end up with preventable illnesses
• Safai karamcharis should wear gloves and take special precautions
• All persons should give daily undertakings that they are not on cough syrups or anti fever drugs
• No lose tablets to be dispensed
• Surgical masks should be available at the reception desk, entry of labs, imaging centers for anyone who develops fever and or cough
• Separate line in hospital reception, labs, imaging centers for people with cough, Fever. They all should be on surgical masks.
• All visitors should be checked for fever, made to wash hands and undertaking that they do not have fever and or cough
• Even one bought of cough and feverish feeling cannot be ignored
• Enough tissue papers to be made available
• Send circulars of how to wash hands, cough etiquettes and respiratory hygiene
• Doorknobs, handles, toilet seats, to be cleaned after every use
• The employee and his close contacts should follow the clinical protocol to be quarantined/isolated.
• Doctors should always write what physicians should do when examining patients. Like abbreviated physical exam, only necessary ones. Examine heart and chest standing at back etc.

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