[ ] Provide handouts to doctors and nurses on a) clinical symptoms of COVID-19 and infection prevention and control measures.
[ ] Make a nurse in-charge of infection control and preparedness at the hospital.
[ ] Display posters on cough etiquette in hospital corridors
[ ] Create physical barrier or teller window between the patients and doctors in all hospital OPDs.
[ ] Instruct periodic decontamination of stethoscopes.
[ ] Create hand-washing ports for places where sufficient hand washing facilities aren't available.
[ ] Post information on Infection Prevention and Control on all doors of wards, clinics and procedure rooms.
Earmarking dedicated resources and facilities
[ ] Use dedicated medical equipment for suspected patients. Doctors should be advised against using personal stethoscopes when checking patients with respiratory symptoms.
[ ] Designate a separate procedure room to carry out aerosol-generating procedures such as swabbing.
[ ] Other aerosol-generating procedures for example, tracheal intubation, bronchial suctioning, bronchoscopy, and sputum induction should be always carried out in negative pressure isolation rooms and preferably with aerosol box.
[ ] Dedicate a restroom for patients who demonstrate symptoms of COVID-19 Put a sign board denoting that the restroom is meant for COVID-19 patients.
[ ] Have dedicated sanitation staff for COVID-19 isolation wards. Sanitation staff should be instructed to take a shower and change entirely before stepping out of isolation wards.
[ ] Dedicate separate ambulance/vehicle for transfers of suspected or confirmed patients. If dedicated ambulance cannot be maintained; ensure that patients aren't grouped with non-suspects.
[ ] Conduct daily 15-minute briefings on infection control in the hospital. Instructions on donning (putting on); doffing (putting off) and optimal use of PPEs should be done.
[ ] Get inventory count for available PPEs in the hospital.
[ ] Decontaminate all high-touch surfaces esp in patient rooms; procedure rooms.
[ ] Check health workers for any possible symptoms and maintain their daily route chart.
[ ] Mandate all patients to use mask/face coverings within the hospital premise.
[ ] Instruct all patients to maintain a distance of 1-meter from the healthcare workers and other patients.
[ ] Do not allow visitors inside neonatal ICUs; oncology wards and critical care units; including pre-op and post-op rooms.
[ ] Instruct avoidance of all physical contacts between patients and visitors.
[ ] Give time cards to visitors so that every visitor is with patient for no more than 30 minutes.
[ ] Visitors to suspected or confirmed cases must be given a symptom monitoring tool and monitored daily for a minimum of 14 days after the discharge of patient.
At entry points of the hospital
[ ] Place cloth masks and hand sanitizers at the door of all procedure rooms and wards, for use by incoming patients and visitors.
[ ] All waste from patient and procedure rooms should be treated as biomedical waste and disposed accordingly.
[ ] Decontaminate the ambulance; wipe surfaces and stretchers with approved disinfectant after each transfer of a patient with suspected or confirmed case.
[ ] Make surgical masks and hand sanitizer available to the patient inside the ambulance.
[ ] If possible, create a physical partition between the paramedical staff and patient.