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. 2020 Aug 18;30(4):215–220. doi: 10.4103/ijn.IJN_299_20

Table 2.

Check list for transplant unit

Is there enough stock of PPE and drugs? Yes/No
Are all HCW patients, attendants and caregivers wearing a three-layer surgical facemask inside the pre and post-transplant area? Yes/No
Is training for use of PPE including donning, doffing and proper disposal is completed for HCW? Yes/No
Have HCW received training in updated clinical knowledge of COVID-19 & guidelines from government, academic society, and hospital authority, cough etiquette, hand hygiene, social distancing, PPE and universal precautions? Yes/No
Have HCW received training for clinical, epidemiology, laboratory screening of patients, donors, care takers and COVID consent process? Yes/No
Have HCW self-monitored their symptoms and informed transplant program head in case they or their family members develop symptom(s) suggestive of COVID-19? Yes/No
Is list of staff recorded and be retained by transplant team head? Yes/No
Have HCW had meals at different times after washing hands with flowing water? Yes/No
COVID FREE SAFE PATHWAY FOR TRANSPLANT Yes/No
 Is there a designated entry and exit for patients and HCW involved in transplant? Yes/No
 Is there a dedicated area for pre-transplant evaluation to maintain distance between patients, donors and health workers, and is it cleaned between sessions? Yes/No
 Is cleaning and disinfection time table of pre-transplant area displayed at entry gate? Yes/No
PRE AND POST-TRANSPLANT OPD AND WARD Yes/No
 Is there an alcohol-based hand sanitizer at entry? Yes/No
 Are the following equipment either used separately for each patient OR disinfect between the shifts? Yes/No
  Stethoscopes (diaphragms and tubing cleaned with an alcohol based disinfectant) Yes/No
  BP cuffs (NIBP cuffs can be cleaned by alcohol or 1% sodium hypochlorite) Yes/No
  Oxygen saturation probes Yes/No
  No sharing of thermometers Yes/No
Are posters displayed on education and preventions of COVID-19 (hand hygiene, social distancing, COVID-19 symptoms and testing and universal precautions)? Yes/No
Transplant infectious disease assessment if required Yes/No
Transplant psychiatry assessment if required Yes/No
Are disinfection, environmental cleanliness, and good air conditioning & ventilation conditions instituted? Yes/No
Is social distancing followed? Yes/No
Are all frequently touched surfaces inside the transplant unit, cleaned and disinfected frequently and duty list maintained? Yes/No
Transplant OT Yes/No
 Is there dedicated transplant OT and HCW for surgery? Yes/No
 Is there cleaning and disinfection of OT and timetable? Yes/No
Post-Transplant Yes/No
 Post-transplant patient and donor in separate rooms with an attached bathroom Yes/No
 Are visitors limited to one visitor for 10 minutes with social distancing (2 meter), wearing a surgical mask and a gown? Yes/No
 Determine approaches to minimize exposure to the healthcare setting for non-essential services Yes/No
 Is telemedicine and emergency consultation contact number available? Yes/No
 Recipients should avoid travel to area with COVID-19 cases Yes/No
 Can patients find information about the latest developments regarding COVID-19 on the hospital and government website? visit https://www.mohfw.gov.in/ Yes/No
Remark : Date: Name/Signature