Table 1.

Transplant unit preparedness checklist to deliver safe transplant during and after COVID-19 pandemic

Checklist for transplantation	Donor	Recipient	HCW	Care Givers
1) Social distancing: Practicing social distancing for 14 days prior to surgery to avoid unnecessary exposure	Yes/No	Yes/No	Yes/No	Yes/No
2) Health education on COVID-19 prevention	Yes/No	Yes/No	Yes/No	Yes/No
3) COVID-19 Diagnosis
Epidemiological screening for travel and potential exposures
Travel to or residing in an area in the preceding 21 days, where local COVID-19 transmission is occurring	Yes/No	Yes/No	Yes/No	Yes/No
Direct contact with known or suspected case of COVID-19 in the preceding 21 days	Yes/No	Yes/No	Yes/No	Yes/No
Confirmed Diagnosis of COVID 19 in the last 28 days	Yes/No	Yes/No	Yes/No	Yes/No
Travel to or residing in an area which has been designated as a containment zone in the last 28 days	Yes/No	Yes/No	Yes/No	Yes/No
Any suspicion to conceal history of exposure to COVID-19 in patient and donor in order to receive transplant	Yes/No	Yes/No	NA	NA
CLINICAL screening for COVID-19 symptoms
History of fever (>38°C or 100.3°F) and or	Yes/No	Yes/No	Yes/No	Yes/No
Respiratory symptoms: Cough shortness of breath, wheezing or chest tightness, sore throat, flu like symptoms. Consider excluding symptoms attributable to other causes and allergies	Yes/No	Yes/No	Yes/No	Yes/No
Temperature (thermal screening)	Yes/No	Yes/No	Yes/No	Yes/No
Laboratory screening with COVID-19 RT-PCR test of airway specimen (1-3 days before transplant)			If required or hospital is a COVID facility
Date and time
Specimen used: nasopharyngeal, oropharyngeal swab, bronchoalveolar lavage, endotracheal aspirate or a combination
Results	+ve/-ve	+ve/-ve	+ve/-ve	+ve/-ve
4) Potential risk of COVID-19 consent: have transplant recipient and donor signed an informed consent accepting a potential risk of COVID-19 infection in hospital and after transplant?			NA
5) Other Optional Tests if suggested by the transplant team
CT chest
Date and time
Results : normal/suspicious of COVID-19
LABORATORY screening (COVID-19 RT-PCR test of airway specimen) (second test such as in hot spot)
Date and time
Specimen used
Results
PCR every week during their stay and before discharge
COVID-19 IgM/IgG antibody rapid test if approved by the government
Pro-calcitonin
Highly reactive C reactive protein
Complete blood count: lymphocyte count
6) COVID-19 assessment Acceptable To Proceed for surgery	Yes/No	Yes/No	Yes/No	Yes/No
Date and time of proposed surgery
Is laboratory testing compatible with proposed transplant date and time?	Yes/No	Yes/No	Yes/No	Yes/No
Remark
Date: Name/Signature

This checklist should be used in conjunction with policies and official guidance from local health authorities or hospitals