This document provides guidelines for clinic management and precautions for healthcare workers during the COVID-19 pandemic. It discusses topics like visitor management, entry and exit precautions for healthcare workers, basic treatment procedures, cleaning and disinfection protocols, patient and visitor awareness, and stress management. Specific guidelines are provided, such as limiting visitors, instructing visitors and patients on symptoms, restricting high-risk patients, proper use of PPE, disinfection procedures, social distancing measures, and ways for healthcare workers to manage stress.

2. Clinic Management
During Covid Pandemic
for
Paramedical Staffs

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"When someone is going through a storm, your silent
presence is more powerful than a million empty words."
…for You..from the core of our Heart

4. TOPICS to be Covered
☺Visitor Management as per CDC guidelines
☺Precautions for Healthcare Workers (HCWs) during ENTRY and EXIT
☺Precautions for Healthcare Workers (HCWs) during basic treatment procedures
☺Cleaning and Disinfection protocols
☺Patient and Visitor awareness initiatives
☺Stress Management

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Limit All Visitors During the COVID-19 Pandemic
*WHO advice on the use of masks in the context of COVID-19 is available here: https://www.who.int/publications-detail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-
settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak
If visitors are allowed into the facility:
 Instruct visitors with symptoms of acute respiratory illness
(e.g., fever, cough or shortness of breath) to remain outside
of the facility
 Encourage visitors to be aware of signs and symptoms of
acute respiratory illness
 Follow Govt. guidelines regarding the use of medical masks
or face covers by healthy visitors*

6. Inform Visitors about Symptoms
 Place visual alerts at facility entrances and
other strategic areas
 Signs should:
• include signs and symptoms of COVID-19
• instruct visitors not to enter the facility if
they have respiratory symptoms
• instruct visitors whom to notify if they have
respiratory symptoms

7. Restrict Visits to High-risk Patients
 Visitors should not visit patients who are at high
risk for severe illness from COVID-19, such as:
• older adults
• people who live in a nursing home or long-term
care facility
• people of any age with underlying medical
conditions

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Precautions while you enter the hospital

9.  Avoid bringing handbags and wearing watches,
rings, bangles to clinic. Keep your personal
belongings locked in your vehicle or provided
locker.
 Long hair to be kept neatly tied up.
 Mobile phones may be brought in a zip lock cover
Precautions for Health Care Workers (While Entering)

10. Precautions for Health Care Workers (While Entering)
 Remove footwear, wash hands & change to hospital
outfit. (Cap, mask, goggles, gloves, footwear/ cover,
gown/apron, etc.)
 Check temperature & enter in log
 If you are suffering from any COVID related
symptoms, please inform manager & do not attend
work. Take appropriate precautions & treatment.

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Precautions while you exit the hospital

12.  Remove Clinic Footwear, change to your own.
 Remove goggles & clean with soap & water & keep it
separately.
 Remove cap & mask and dispose it appropriately.
 Mask should be removed last.
 Change from hospital outfit.
Precautions for Health Care Workers (For Exit from
Hospital)

13.  Wash your hands with soap & water. Wash your face &
neck before you leave.
 Collect all personal items
 Check temperature again& enter in log
 Leave Clinic
 Take hot water bath immediately after reaching home.
Precautions for Health Care Workers (For Exit from
Hospital)

14.  Regular corrective spectacles are not considered
adequate eye protection. Goggles with good
adhesion to the face are ideal. They can be reused
after proper disinfection.
 Alternatively if possible use face shields.
 Do not put your hands to your face during
examination.
Precautions for Health Care Workers (During Basic
treatment procedures)

15.  3 ply surgical masks are recommended for patients &
health care workers in outpatient clinics.
 Use disposable gloves
 Avoid touching patients while instilling dilating drops.
Instruct patients to pull lower lid down by themselves
or use a bud.
Precautions for Health Care Workers (During Basic
treatment procedures)

16.  All proper instructions should be given to the
patients before the examination.
 Maintain adequate physical distance
 Minimize contacts & potential transmission
Precautions for Health Care Workers (During Basic
treatment procedures)

17.  If possible do not keep any chair for attendant or patient. If possible make
the patient sit in examination chair directly.
 Careful cleaning of the slit lamp & surfaces after the examination.
Precautions for Health Care Workers (During Basic
treatment procedures)

18. Cleaning & Disinfection Protocols
 Entire clinic should be Cleaned with soap & water prior to opening & after
end of OPD
 After drying the same should be Disinfected with 1% Sodium Hypochlorite at
least thrice a day- before OPD, after about 2 hours & after end of OPD. Dilute
1 liter of solution with 5 liters of water.

19.  Use alcohol based solutions for disinfection of equipments or devices
 The door knob/ touch surfaces can be covered with disposable cap. Dispose
at the end & wipe with sanitizer
Cleaning & Disinfection Protocols

20. Instructions for the Patients
 Kindly avoid bringing an attendant. If not possible then
only one attendant is allowed per patient.
 Kindly avoid bringing children to the hospital unless they
are the patients themselves
 The patients and the attendant should wear mask. Sanitize
your hands.

21.  Kindly bring minimum personal things like bags, etc.
 Avoid use of mobiles inside the clinic
 Avoid cash payments
 Ensure prior appointment is taken before coming
Instructions for the Patients

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23. Patient & Visitors awareness initiatives
Temperature
Check…
…Communication

24. Control Excess
visitors at a time..
…Communication
Patient & Visitors awareness initiatives

25. Restrict entry …
…Communication
Patient & Visitors awareness initiatives

26. Missed Area of
Hand Washing…
...Communication
Patient & Visitors awareness initiatives

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Coping with Stress during COVID-19

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Covid19 Stressors
 Dealing with a rapidly changing situation
 Fear of sickness and isolation
 The need to take precautions - stay home, work
from home, practise social distancing, etc
 Loneliness
 Loss of income
 Shortage of essential items

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Stress Symptoms
 Tense or aching muscles
 Headache
 Sleep disturbances
 Digestive disturbance - nausea, constipation or
lack of appetite
 Rapid heartbeat

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Stress Symptoms
Lack of
concentration
Nervousness
or anxiety
Increased
anger
or aggression
Irritability Sadness

31. Coping with Stress during Covid19
 Take breaks from listening to,
watching or reading about COVID-19,
including checking social media.
 Focus on the facts of COVID-19 and
understand the risk to yourself and
those you care about.
 Separate facts from rumors.
Gather information from reliable
sources.
 Keep yourself in the best possible
health. Sleep well, eat healthy, and
be physically active.
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32. Coping with Stress during Covid19
 Plan your day, prioritise tasks. Feel
good about the decisions you make.
 Engage in activities you enjoy-
keep yourself stimulated and
entertained.
 Talk to people you trust, share your
concerns and feelings.
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 Practise positive thinking.

33. Coping with Stress during Covid19

34. What we Feel…
Your care for the patients in this critical time is nothing
less than the duties & sacrifices of a Mother