This checklist contains the guidelines given by the government. This is specifically for various dialysis units across the place. If patients arrive at hospitals with Cocid-19 symptoms, this needs to be followed.
Before The Arrival Of The Patient Done(Y/N) Remarks
Things to Assess:
The dialysis staff needs to be educated about:
- Epidemiology, Testing and Triage of Covi-19.
- Wearing the PPEs.
- Etiquettes to be observed while coughing and sneezing.
- Hand wash and sanitization.
Details related to Stocks:
- Dialysate, dialysers, tubes, catheters, fistula, needles and heparin.
- Disinfectants and medication.
- Stick of PPEs and sanitization materials.
Details related to staff rosters and shifts:
- Presence of adequate staff members.
- Detection of Exposure rate of staff members.
Signboards in all languages in the Dialysis unit
Signage asking patients and relatives to report Covid-19 symptoms
Instructions related to reporting of SAR Covid 19 before embarking into the Dialysis area
The Screening Area
Things to Assess:
Presence of an entry and exit for staff members and patients
Presence of a specific area for screening patients before dialysis begins
Adequate space for social distancing in the wards
Availability of Masks
Screening Guidelines in the Screening area:
- Covid -19 symptoms
- Thermal screening
- Contact History
- Recent Travel History Outside India
Presence of adequate and relevant signage on Covid -19.
Sanitizing norms in the wards – hand wash with at least 60% alcohol for hand
wash with liquids disinfectant soaps for 20 seconds
Signing of consent documents with respect to Covid-19
The Dialysis Area
Elements To be Assessed
Teaching of Cough Etiquettes to patients
Maintenance of Eating guidelines
Presence of alcohol-based hand sanitizer
Presence of Trash cans
Presence and usage of 3-layer surgical masks
Following of hand hygiene rules
Presence of Questionnaire on Respiratory symptoms of dialysis staff
Social distancing norms maintenance in the unit
Availability and Usage of:
- Oxygen saturation probes
- BP cuffs
Guidelines for Suspected Patients
Dialysis arrangements for Covid -19 patients:
Staff division between positive and negative patients
Dialysis norms of patients detected for Covid -19 in the last few hours.
Distance of 2 meters maintained between two patients
Usage of PPE for staff caring for Covid-19 infected patients
- Shoe covers
- Mask N95 or Triple layer
- Surgical gloves
Maintenance of usage guidelines of PPEs and disposal
Notification about Covid-19 positive patients to District medical teams
Cleaning and Disinfection Process
Cleaning details of dialysis machines and trash cans after each shift
Change of upholstery and bed linen after each shift
Maintenance of gowns and kits and disinfection with 2% hypochlorite solution
Disinfection of furniture – beds, tables, trays, counters, toilets, faucets, taps, bathroom WC.
Presence of dedicated cleaners for wheelchairs and weighing machine
Usage and maintenance of 2 % hypochlorite, 60 % alcohol and other disinfectants
Proper usage and disposal of gloves
RO disinfection procedure maintenance