COVID-19: Hospital Preparedness and Planning

General Measures

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  • Exercise general infection precautions
  • Person-to-person transmission occurs with close contact (6 feet)
  • Direct Transmission: contact with mucous membranes or respiratory droplets
  • Indirect Transmission: cough —> secretions left on surface —> 2nd person touches surface secretions and touches face & mucous membranes
  • Hygiene General Recommendations
    • Avoid touching your face
    • Frequent Handwashing
    • Alcohol based hand sanitizer
    • Diligent hand wasing
    • 20 seconds minimum
    • Image shows commonly forgotten areas: thumb (ulnar aspect), fingertips, WRIST (Borrowed from WHO Hand Hygiene for Healthcare)
    • Wear a mask if you develop respiratory symptoms (fever, cough, rhinorrhea, congestion) to prevent spread
    • Avoid unnecessary travel
    • Stay home if symptomatic
    • Home care does not mean being out in the parks with other groups of people
    • Contact your supervisor: due to expected HCW shortages, minor symptoms may be allowed to continue working with adequate PPE to prevent infection spread

Contact with Patients at Risk/Persons Under Investigation

Recommended PPE

Contact and droplet precautions including eye protection

  • Droplet = surgical mask, eye protection
  • Contact = gown and gloves
    • If gowns in short supply, consider reserving for PUIs and/or aerosol-generating procedures
  • Negative pressure room preferred may be prefered for PUIs, but not required
See video below indicates the proper order for donning and doffing PPE for clinical evaluation of a patient

Patients and Procedures Included in this Category

  • General care of PUI patients
  • Collection of nasopharyngeal swab specimens

Field Hospitals

Alternative Testing Sites

COVID-Specific Clinics

Quarantine/Isolation Centers

Telemedicine

EMS