Lion Health

Point of Entry

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
5	Isolation facility	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.

Hospital Setting

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

Emergency

Attending emergency cases

Moderate risk

N 95 mask

Thermometer

Gloves

When aerosol generating procedures are

anticipated

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
1.	Laboratory	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.
2	Mortuary	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.

Health Workers in Community Setting

S. No.

Setting

Activity

Risk

Recommended

Products

Remarks

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

Doctors at supervisory level conducting field

investigation

Field surveillance Clinical examination.

Medium risk

N 95 mask Gloves.

Quarantine facility

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
2	Healthcare staff working at quarantine facility	Clinical examination of symptomatic persons	Moderate Risk	N-95 masks Gloves
3	Support staff		Low Risk	Triple layer mask Gloves

Home Quarantine

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.

Points to remember while using our products