|
Administration
|
| Creation of a core Covid-19 action group |
| Daily debriefings and formulation of action plans |
|
Cancer care
|
| Avoidance of complex surgeries likely to require multiple blood transfusions and prolonged intensive care unit stays |
| Use of hypofractionated regimens whenever possible (e.g., for breast, prostate, and lung cancers); provision of palliative radiotherapy in a single fraction or weekly regimens |
| Reduced use of myelosuppressive systemic therapy; conversion to oral agents when feasible; deferral when magnitude of benefit is marginal |
|
Patient-directed
|
| Establishment of “screening camps” outside the hospital to reduce patient visits |
| Stringent restriction of relatives and friends in outpatient clinics and inpatient wards |
| Use of teleconsults as a substitute for routine follow-up visits |
|
Hospital preparedness
|
| Establishment of standard operating procedures for cases of suspected or confirmed Covid-19 infection; use of simulation drills |
| Establishment of a fever clinic and creation of isolation wards |
|
Employee-directed
|
| Provision of paid leave for high-risk staff members (elderly people, people with multiple comorbidities or who are taking immunosuppressive agents, and pregnant people) |
| Rotation of staff to ensure a fallback option in case of mass quarantine |
| Provision of hospital buses to transport staff unable to reach work because of the transportation lockdown |
