Key measures |
Staff and patient education
Management of visitors
Review infection prevention policies and procedures
Pre-training of wearing protection clothing
Environmental cleaning and hand hygiene
Terminating the use of air conditioning and keep windows open for
ventilation
Division of the ward area into contaminated, transition, and clean regions to
reduce cross-infection under the guidance of experts for infectious
disease
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For suspected or confirmed patients with COVID-19 in our department before
transfer to designated isolation wards of the hospital, the following measures
are defined:
Single-patient room equipped with air sanitizer, limit the range of patient
activities, environmental cleaning and disinfection twice per day, contact
precautions, designated medical team for patient management, external visits
forbidden, patient required to wear mask, immediate transfer to
COVID-19-specific wards once confirmed, disinfection, and disposal of patient
items
For patients excluded from infection: mask wearing, external visits
forbidden
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PPE applied |
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Level 1 protection
Equipment: surgical mask (or N95 respirator), disposable cap, disposable
isolation gown (or white coat), medical gloves (if necessary), rapid hand
disinfection solution
Applied settings: clean or transition region of the workplace; general
medical contact with non-infected patients
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Level 2 protection
Equipment: disposable cap, goggles (or facemask), N95 respirator,
disposable protective overall, medical gloves, disposable shoe covers,
rapid hand disinfection solution
Applied settings: general medical contact (not aerosol-generating
procedures) with confirmed, suspected patients, or their close contacts,
and patients with fever of undetermined origin
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Level 3 protection
Equipment: disposable cap, particulate respirator (or comprehensive
respiratory apparatus), N95 respirator, disposable protective overall,
medical gloves (two layers), disposable shoe covers (or protective boots),
disposable waterproof isolation gown, rapid hand disinfection solution
Applied settings: aerosol-generating procedures (endotracheal intubation,
nebulizer treatment, sputum induction, cardiopulmonary resuscitation,
etc.), cardiovascular interventions (emergent coronary intervention,
implantation of pacemakers or other assisting devices, etc.).
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