3.9 COVID-19 Control Measures

3.9.1 Patient placement

3.9.2 Hand hygiene

3.9.3 Personal Protective Equipment

3.9.4 Safe Management of care Equipment

3.9.5 Safe Management of Care Environment

3.9.6 Waste and Linen

3.9.7 Staff

3.9.8 Management of staff exposed to a case

3.9.9 Closure of the ward/unit

3.9.10  Other control measures which may be considered by the IMT

3.9.11 Conversion of outbreak ward to high risk pathway

 

Control measures should be implemented immediately to prevent onward transmission of COVID-19.  These must include:

3.9.1 Patient placement

Any asymptomatic contacts should be isolated or remain cohorted together until the 14 day isolation period has elapsed. 

During the isolation period, contacts must be managed in the same manner as a confirmed case on the High risk pathway.

3.9.2 Hand hygiene

3.9.3 Personal Protective Equipment

3.9.4 Safe Management of care Equipment

3.9.5 Safe Management of Care Environment

3.9.6 Waste and Linen

3.9.7 Staff

3.9.8 Management of staff exposed to a case

3.9.9 Closure of the ward/unit

3.9.10  Other control measures which may be considered by the IMT

3.9.11 Conversion of outbreak ward to high risk pathway

Where bed capacity in the board is extremely limited, the board may consider converting the outbreak ward into a high risk pathway ward to allow confirmed COVID-19 cases to be transferred/admitted to the area and utilise bed capacity within the ward.  This is an operational decision which must be carefully considered, documented and undertaken as a last resort.  The following must apply;

In choosing to convert the outbreak ward to a high risk pathway ward, IMTs alongside hospital management must weigh up the risk associated with transferring contacts to other wards and the demand for patient beds to accommodate emergency admissions.