Setting (healthcare facilities) | Target (personnel or patients) | Activity | Type of PPE or procedure |
---|---|---|---|
Inpatient facilities | |||
Screeninga Clinical triage for prioritization of care according to severity should be performed in separate area for individuals with symptoms and signs | Health care workers | Preliminary screening not involving direct contactc | • Maintain physical distance of at least 1 m. • Ideally, build glass/plastic screens to create a barrier between health care workers and patients. • No PPE required. • When physical distance is not feasible and yet no patient contact, use mask and eye protection. |
Patients with symptoms suggestive of COVID-19 | Any | • Maintain physical distance of at least 1 m. • Provide medical mask if tolerated by patient. • Immediately move the patient to an isolation room or separate area away from others; if this is not feasible, ensure spatial distance of at least 1 m from other patients. • Perform hand hygiene and have the patient perform hand hygiene. | |
Patients without symptoms suggestive of COVID-19 | Any | • No PPE required. • Perform hand hygiene and have the patient perform hand hygiene. | |
Patient room/ward | Health care workers | Providing direct care to COVID19 patients, in the absence of aerosol generating procedures | • Medical mask. • Gown. • Gloves. • Eye protection (goggles or face shield). • Perform hand hygiene. |
Health care workers | Providing direct care to COVID19 patients in settings where aerosol generating procedures are frequently in placeb | • Respirator N95 or FFP2 or FFP3 standard, or equivalent. • Gown. • Gloves. • Eye protection. • Apron. • Perform hand hygiene. | |
Cleaners | Entering the room of COVID-19 patients | • Maintain physical distance of at least 1 m. • Medical mask. • Gown. • Gloves. • Perform hand hygiene. | |
Visitorsd | Entering the room of COVID-19 patients | • Maintain physical distance of at least 1 m. • Medical mask. • Gown. • Gloves. • Perform hand hygiene | |
Areas of transit where patients are not allowed (e.g. cafeteria, corridors) | All staff, including healthcare workers. | Any activity that does not involve contact with COVID-19 patients | • Maintain physical distance of at least 1 m. • No PPE required. • Perform hand hygiene |
Laboratory | Lab technician | Manipulation of respiratory samples. Specimen handling for molecular testing would require BSL-2 or equivalent facilities. Handling and processing of specimens from cases with suspected or confirmed COVID19 infection that are intended for additional laboratory tests, such as haematology or blood gas analysis, should apply standard precautions. | • Maintain physical distance of at least 1 m. • Medical mask. • Eye protection. • Gown. • Gloves. • Perform hand hygiene. |
Administrative areas | All staff, including health care workers. | Administrative tasks that do not involve contact with COVID-19 patients. | • Maintain physical distance of at least 1 m. No PPE required. • Perform hand hygiene. |
Outpatient facilities | |||
Screeninga/triage | Health care workers | Preliminary screening not involving direct contactc | • Maintain physical distance of at least 1 m. • Ideally, build glass/plastic screens to create a barrier between health care workers and patients. • No PPE required. • When physical distance is not feasible and yet no patient contact, use mask and eye protection. • Perform hand hygiene |
Patients with symptoms suggestive of COVID-19 | Any | • Maintain spatial distance of at least 1 m. • Provide medical mask if tolerated. • Perform hand hygiene. | |
Patients without symptoms suggestive of COVID-19 | Any | • No PPE required. • Perform hand hygiene | |
Waiting room | Patients with symptoms suggestive of COVID-19 | Any | • Provide medical mask if tolerated. • Immediately move the patient to an isolation room or separate area away from others; if this is not feasible, ensure spatial distance of at least 1 m from other patients. • Have the patient perform hand hygiene. |
Patients without respiratory symptoms | Any | • No PPE required. • Perform hand hygiene. | |
Consultation room | Healthcare workers | Physical examination of patient with symptoms suggestive of COVID-19 | • Medical mask. • Gown. • Gloves. • Eye protection. • Perform hand hygiene. |
Healthcare workers | Physical examination of patients without symptoms suggestive of COVID-19 | • PPE according to standard precautions and risk assessment. • Perform hand hygiene. | |
Patients with symptoms suggestive of COVID-19 | Any | • Provide medical mask if tolerated. • Hand hygiene and respiratory etiquette | |
Patients without symptoms suggestive of COVID-19 | Any | • No PPE required. • Have the patient perform hand hygiene. | |
Cleaners | After and between consultationswith patients with respiratory symptoms | • Medical mask. • Gown. • Heavy-duty gloves. • Eye protection (if risk of splash from organic material or chemicals). • Closed work shoes. • Perform hand hygiene | |
Administrative areas | All staff, including healthcare workers | Administrative tasks | • Maintain physical distance of at least 1 m • No PPE required. • Perform hand hygiene. |