collect the information regarding steps taken by the Haryana Government to prevent the spread of covid -19
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Principles of infection prevention and control
strategies associated with health care with
suspected nCoV
IPC strategies to prevent or limit infection transmission in
health-care settings include the following:
1. Early recognition and source control
2. Application of Standard Precautions for all patients
3. Implementation of empiric additional precautions
(droplet and contact and whenever applicable
airborne precautions) for suspected cases
4. Administrative controls
5. Environmental and engineering controls
1. Early recognition and source control
Clinical triage including early recognition and immediate
placement of patients in separate area from other patients
(source control) is an essential measure for rapid
identification and appropriate isolation and care of patients
with suspected nCoV infection. To facilitate early
identification of suspect cases, healthcare facilities should:
- Encourage HCWs to have a high level of clinical
suspicion
- Institute screening questionnaire and
- Post signage in public areas reminding symptomatic
patients to alert HCWs.
Promotion of respiratory hygiene is an important preventative
measure.
Suspected nCoV patients should be placed in an area separate
from other patients, and additional IPC (droplet and contact)
precautions promptly implemented.
2. Application of Standard Precautions for all
patients
Standard Precautions include hand and respiratory hygiene;
use of Personal protective equipment (PPE) depending on
risk; prevention of needle-stick or sharps injury; safe waste
management; environmental cleaning and sterilization of
patient-care equipment and linen.
Ensure the following respiratory hygiene measures:
- Offer a medical mask for suspected nCoV infection
for those who can tolerate it
- Cover nose and mouth during coughing or sneezing
with tissue or flexed elbow for others
- Perform hand hygiene after contact with respiratory
secretions.
Personal protective equipment (PPE). Rational, correct3
, and
consistent use of available PPE and appropriate hand
hygiene4
also helps to reduce the spread of the pathogens.
PPE effectiveness depends on adequate and regular supplies,
adequate staff training, proper hand hygiene and specifically
appropriate human behaviour2
.
Ensure that environmental cleaning and disinfection
procedures are followed consistently and correctly. Thorough
cleaning of environmental surfaces with water and detergent
and applying commonly used hospital level disinfectants
(such as sodium hypochlorite) is an effective and sufficient
procedure. Manage laundry, food service utensils and
medical waste in accordance with safe routine procedures2
.
3. Implementation of empiric additional
precautions for suspected nCoV infections
3.1 Contact and Droplet precautions for suspected
nCoV infection:
- In addition to Standard Precautions, all individuals,
including family members, visitors and HCWs
should apply Contact and Droplet precautions
- Place patients in adequately ventilated single rooms.
For naturally ventilated general ward rooms this is
considered to be 160 L/second/patient5
;
- When single rooms are not available, cohort patients
suspected of nCoV infection together;