IAP Guideline on Practicing Safely During COVID-19 Era: Clinics and Small Establishments

Justification The unprecedented COVID-19 pandemic has had a formidable impact on Indian health care. With no sight of its end as yet, various establishments including the smaller clinics and nursing homes are restarting full operations. Hence, there is the need for recommendations to allow safe prac...

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Published in:	Indian pediatrics Vol. 58; no. 4; pp. 383 - 390
Main Authors:	Basavaraja, G. V., Chandrasekar, Supraja, Bansal, Arun, Gupta, Dhiren, Parekh, Bakul Jayant, Kamath, S. S., Desai, Snehal, Nagar, Pritesh, Shah, Nitin, Bhadra, Atanu, Chitkara, A. J.
Format:	Journal Article
Language:	English
Published:	New Delhi Springer India 01-04-2021
Subjects:	COVID-19 - epidemiology COVID-19 - prevention & control COVID-19 - therapy COVID-19 - transmission Critical Pathways - organization & administration Critical Pathways - standards Critical Pathways - trends Humans India - epidemiology Infection Control - instrumentation Infection Control - methods Infection Control - organization & administration Infectious Disease Transmission, Patient-to-Professional - prevention & control Intersectoral Collaboration Maternal and Child Health Medicine Medicine & Public Health Neonatology - organization & administration Neonatology - standards Organizational Innovation Pediatric Surgery Pediatrics Pediatrics - organization & administration Pediatrics - standards Recommendations SARS-CoV-2 Societies, Medical India Preparedness Physical distancing Resource-limited setting SARI
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Summary:	Justification The unprecedented COVID-19 pandemic has had a formidable impact on Indian health care. With no sight of its end as yet, various establishments including the smaller clinics and nursing homes are restarting full operations. Hence, there is the need for recommendations to allow safe practice ensuring the safety of both the heath care worker (HCW) and patients. Process Indian Academy of Pediatrics organized an online meeting of subject experts on 27 July, 2020. A committee was formed comprising of pediatricians, pediatric and neonatal intensivists, and hospital administrators. The committee held deliberations (online and via emails) and a final consensus was reached by November, 2020. Objectives To develop recommendations to provide a safe and practical healthcare facility at clinics and small establishments during COVID times. Recommendations The key recommendation to practise safely in this setting are enumerated. Firstly, organizing the out-patient department (OPD). Secondly, appropriate personal protective equipment (PPE) to provide protection to the individual. Thirdly, decontamination/disinfection of various common surfaces and equipment to prevent transmission of infection from fomites. Next, maintaining the heating ventilation and air conditioning (HVAC) to provide a stress-free, comfortable, and safe environment for patients and HCWs. Finally, steps to effectively manage COVID-19 exposures in a non-COVID-19 facility. All these measures will ensure safe practice during these unprecedent times in clinics and smaller establishments.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Instructional Material/Guideline-2 ObjectType-Feature-3 content type line 23
ISSN:	0019-6061 0974-7559
DOI:	10.1007/s13312-021-2201-y