SOP issued for OPD/IPD services at pvt hospitals in Bhubaneswar

Bhubaneswar: In view of the detection of a large number of COVID-19 cases from healthcare facilities in Odisha capital, the Bhubaneswar Municipal Corporation (BMC) on Friday issued an SOP for management of OPD/IPD services of patients from COVID hotspot districts at private hospitals/nursing homes in the city.
The SOP is to be mandatorily followed by all healthcare facilities in Bhubaneswar.
OPD cases
* Triaging should be done at OPD entrance for segregating the patients/attendants coming from hotspot districts. They should not be allowed to mix with other patients/attendants.
* In case a suspect is identified (patient with fever/SARI/ILI symptoms ), COVID-19 test is recommended. It is the responsibility of the hospital to send his/her nasopharyngeal sample/oropharyngeal sample for COVID-19 test and the hospital will keep the detailed address and contact no. of such patients.
* Patients whose swabs have been collected for testing should be asked if he/she has adequate accommodation arrangement for his isolation in Bhubaneswar or not. If it is found that the patient doesn’t have an adequate accommodation arrangement, he/she will be shifted to Govt. quarantine centres till test results come. The transportation of the patient to the quarantine centre will be the responsibility of the healthcare institution.
* The same procedure will be adopted for patients whose address is found to be from the slum area of Bhubaneswar. In such cases, also steps will be taken for the collection of swab sample and shifting him/her to an institutional quarantine facility.
* The hospital will appoint one nodal officer who will coordinate with the Deputy Commissioner, BMC, Kamaljeet Das (Mob: 9439431672) for coordination and shifting to quarantine centres.
* In case any sample is found to be positive, the hospital will immediately inform the IDSP cell and BMC.

IPD cases
* If a patient is in IPD and detected COVID positive, then the guideline issued by Director, Health Services vide letter No. 8456 dated 28-03-2020 shall have to be followed strictly. For referring a positive case already in IPD/ICU to designated COVID hospital, the guideline issued by BMC vide order No. 24364 dated 30-06-2020 will be followed.
* As a measure of extra precaution if an IPD patient whose swab has been collected for COVID testing, such patient in IPD may be treated as if he/she is a suspected COVID case and the requisite protocol followed for treatment of positive case be followed. This will reduce the risk of infection within the health care facility. Such IPD patients should be kept in the isolated bed of the hospital which is segregated from other areas of the hospital, preferably to a single cabin with attached toilet till detection of positive result & even after tested positive till shifting to COVID hospital is done.
* In case a positive case is detected in a healthcare institution, then aggressive contact tracing should be started from the hospital itself. Data collection must be initiated at the hospital-level and be furnished to the state IDSP cell and BMC for further action.

General instructions
* The hospital should practise aggressive visitors restriction and should also enforce on its employees coming from slum areas of the city a 14-day duty roster schedule. The hospital should provide necessary accommodation for its on duty slum-dwelling employees.
* All other essential services will continue maintaining standard precautionary measures like wearing of masks, physical distancing of 2 metres between individuals and regular hand washing practices in addition to adhering the Infection Prevention Control guidelines.

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