S. No. | Setting | Activity | Risk | Recommended Products | Remarks |
1 | Health Desk | Provide information to travellers | Low risk | Triple layer medical mask Thermometer N95
Gloves |
Minimum distance of one meter needs to be maintained. |
2 | Immigration counters, customs and
airport security |
Provide services to the passengers | Low risk | Triple layer medical mask
Thermometers KN95 Gloves |
Minimum distance of one meter needs to be maintained. |
3 | Temperature recording station | Record Temperature with
hand held thermal recorder. |
Low risk | Triple layer medical mask Thermometers
Kn95 w valve Gloves |
|
4 | Holding area/ Isolation facility | Interview & Clinical examination by
doctors/ nurses |
Moderate Risk | PPE KitFace Shield
N95 |
|
5 | Isolation facility | Clinical management (doctors, nurses) | Moderate Risk | PPE Kit
RT PCR Kit N-95 masks Gloves Coverall |
|
Attending to severely ill passenger | High risk | Full complement of PPE | When aerosol generating procedures are anticipated | ||
5 | Sanitary staff | Cleaning frequently touched surfaces/
Floor/ cleaning linen |
Moderate risk | N-95 mask Gloves
Coverall |
|
6 | Administrative staff | Providing administrative support | No risk | 3 Layer Surgical Mask | No contact with patients of COVID-
19. They should not venture into areas where suspect COVID-19 cases are being managed. |
Out Patient Department (Respiratory Clinic / Separate screening area)
S. No | Setting | Activity | Risk | Recommended Products | Remarks |
1 | Triage area | Triaging patients
Provide triple layer mask to patient. |
Moderate risk | N 95 mask
Thermo KN95 (w or w/I valve) Gloves |
Patients get masked. |
2 | Screening area help desk/ Registration
counter |
Provide information to patients | Moderate risk | N-95 mask
Gloves Thermometer |
|
3 | Temperature recording station | Record temperature with
hand held thermal recorder |
Moderate Risk | N 95 mask
Gloves |
|
4 | Holding area/ waiting area | Nurses / paramedic
interacting with patients |
Moderate Risk | N 95 mask
Gloves |
Minimum distance of one meter needs to be maintained. |
5 | Doctors chamber | Clinical management (doctors, nurses) | Moderate Risk | N 95 mask
Gloves |
No aerosol generating procedures should
be allowed. |
6 | Sanitary staff | Cleaning frequently touched surfaces/ Floor/ cleaning
linen |
Moderate risk | N-95 mask Gloves | |
7 | Visitors accompanying young children and elderlies | Support in navigating various service areas | Low risk | Triple layer medical mask | No other visitors should be allowed to accompany patients in OPD settings. The visitors thus allowed should practice hand
hygiene |
# All hospitals should identify a separate triage and holding area for patients with Influenza like illness.
In-patient Services
S. No. | Setting | Activity | Risk | Recommended
Products |
Remarks |
1 | Individual isolation rooms/ cohort
isolation rooms |
Clinical management | Moderate risk | N 95 mask Gloves
Sanitizer |
Patient masked. Patients stable. No aerosol generating
activity. |
2 | ICU/ Critical care | Critical care management | High risk | Full complement of PPE
Powered Respirators |
Aerosol generating activities performed. |
3 | ICU /critical care | Dead body packing | High risk | Full complement of PPE
Powered Respirators |
|
4 | ICU/ Critical care | Dead body transport to mortuary | Low Risk | Triple Layer medical mask
Gloves |
|
5 | Sanitation | Cleaning frequently touched surfaces/ floor/ changing
linen |
Moderate risk | N-95 mask Gloves | |
6 | Other Non- COVID
treatment areas of hospital |
Attending to infectious and non-infectious patients | Risk as per assessed profile of patients | PPE as per hospital infection prevention control practices. | No possibility of exposure to COVID patients. They should not venture into COVID-19
treatment areas. |
7 | Caretaker accompanying the admitted patient | Taking care of the admitted patient | Low risk | Triple layer medical mask | The caretaker thus allowed should practice hand hygiene, maintain a
distance of 1 meter |
Emergency Department
S.No | Setting | Activity | Risk | Recommended
Products |
Remarks |
1 | Emergency | Attending emergency cases | Moderate risk | N 95 mask
Thermometer Gloves |
When aerosol generating procedures are
anticipated |
2 | Attending to severely ill
patients of SARI |
High risk | Full complement of PPE
Powered Respirators |
Aerosol generating activities performed. |
Pre-hospital (Ambulance) Services
S. No. | Setting | Activity | Risk | Recommended Products | Remarks |
1 | Ambulance Transfer to designated hospital | Transporting patients not on
any assisted ventilation |
Moderate risk | N-95 mask
PPE Kit classic Gloves Face shield |
|
Management of patient while transporting | High risk | Full complement of PPE | When aerosol generating procedures are
anticipated |
||
Driving the ambulance | Low risk | Triple layer medical mask
Gloves |
Driver helps in shifting patients to
the emergency |
Other Supportive/ Ancillary Services
S. No. | Setting | Activity | Risk | Recommended
Products |
Remarks |
1. | Laboratory | Sample collection and transportation | High risk | Full complement of PPE
Powered respirators |
|
Sample testing | High risk | Full complement of PPE
Powered respirators |
|||
2 | Mortuary | Dead body handling | Moderate Risk | N 95 mask Gloves
Sanitizers |
No aerosol generating procedures should be allowed.
No embalming. |
While performing autopsy | High Risk | Full complement of PPE | No post-mortem unless until specified. | ||
3 | Sanitation | Cleaning frequently touched surfaces/ Floor/ cleaning
linen in COVID treatment areas |
Moderate risk | N-95 mask Gloves
Coveralls Face Shields |
|
4 | CSSD/Laundry | Handling linen of COVID patients | Moderate risk | N-95 mask
Gloves |
|
5 | Other supportive services | Administrative Financial Engineering Security, etc. | No risk | 3 Layer Surgical Mask
Sanitizers |
No possibility of exposure to COVID patients. They should not venture into COVID-19 treatment
Areas. |
S. No. | Setting | Activity | Risk | Recommended
Products |
Remarks |
1 | Field staff | Field Surveillance | Low Risk | Triple layer mask Gloves | Maintain distance of one meter.
Surveillance team to carry adequate triple layer masks to distribute to suspect cases detected on field surveillance |
2 | Doctors at supervisory level conducting field
investigation |
Field surveillance Clinical examination. | Medium risk | N 95 mask Gloves. |
S. No. | Setting | Activity | Risk | Recommended
Products |
Remarks |
1 | Persons being quarantined | Low Risk | Triple layer mask | ||
2 | Healthcare staff working at quarantine facility | Health monitoring and temperature recording | Low Risk | Triple layer mask Gloves | |
Clinical examination of symptomatic persons | Moderate Risk | N-95 masks Gloves | |||
3 | Support staff | Low Risk | Triple layer mask Gloves |
S. No. | Setting | Activity | Risk | Recommended Products | Remarks |
1 | Persons being quarantined | Low Risk | Triple layer mask
Gloves |
||
2 | Designated family member | Taking care of person being quarantined | Low Risk | Gloves
Triple layer mask |
While cleaning commonly touched surfaces or handling soiled linen |
3 | Other family | No Risk | Sanitizers
Triple Layer mask |
Maintain a distance of at least 1 meter from person under home quarantine. Senior citizens in the household should stay away from such persons under home
quarantine. |