Following the spread of MERS-CoV in the Middle East and South Korea and its introduction in Thailand, Samitivej Hospital, in accordance with the Ministry of Health, has put in place the following protocols.
MERS-CoV Infection Prevention and Screening at Samitivej Hospital
- Establish a war room to monitor the situation and develop/update a plan every morning and evening, when there is an outbreak.
- Maintain a state of readiness by:
a. Providing information to doctors and health staff at all levels.
- Providing protective equipment, including personal protective equipment (PPE) to health staff who have contact with at-risk patients and providing negative pressure rooms so as to prevent transmission.
- Conduct screenings by:
a. Having a health information center in the hospital and providing information through other channels, such as social media outlets.
b. Controlling building entry and exit to screen ‘at-risk’ patients.
c. Thermoscan installation according to hospital policy.
d. Providing masks and alcohol-based hand gel at every entry and exit point.Providing masks and alcohol-based hand gel at every entry and exit point to minimize risk of patient-patient infection.
e. Checking the symptoms and travel history of people who traveled to affected countries in the past 14 days.
- If a potential case is found:
a. Patient and health staff must wear masks to prevent transmission.
b. A quarantine area will be provided for patients awaiting evaluation.
c. Patients must be placed in a negative pressure room in a quarantine area while waiting for evaluation so as to prevent transmission.
d. Any patient considered a potential case attempting to enter the building must immediately be escorted, outside of the building, to the quarantine entrance.
e. Doctors and health staff treating patients must wear PPE to prevent infection.
f. Potential MERS-CoV specimens will be sent to the lab at the Department of Medical Sciences and Ramathibodi Hospital for evaluation.
g. The Department of Disease Control must be informed about patients who are at risk.
h. When a patient is allowed to go home, he/she will receive self-care advice and hospital staff will make a follow-up telephone call.
- If a potential MERS-CoV patient is admitted:
a. Patient will be transferred from the quarantine area in the emergency room for treatment in the negative pressure room in the ICU by using transport routes separate from other patients.
b. Masks and protective equipment must be worn while transporting the patient.
- Establish standard cleaning procedures for patient rooms and all areas.
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