al=-====:i:=- --:=# 5irm 15 ferd ffii=3ff qt qfife qi];ift ...htan:- qerm grttof giv 3ma¥qtf...

I I tqTRI en.''.

ng rm, afrofro-erT€.a.w.tft./2o2o/7J2ro

'-fro, fas 3 a/j~/a~ otry

1. tFTRI fin tFijqerqwh1

fa":-rfu # an rm=H (ife-19) t} fin Ta wi5fflilf t} gpqi{ tiatPr fben[ S@ tit T@ i5rdqT@ Ta aqTRti S frmm qiqF[ I

wh:-tj© iqma an, 7TOHO an 3rfu fro/3TT©/2020/715, farfe29-5-2020.

zErmT faTqTwh rna q3T ffl enin q5¥ faiTS FTrm a qaiai5-19 a;fin S tfaq fi ± fca TTa qi{qu faiTTTT S fin Olcis giiT 3Tq+-3Tq;i 3]Tafca faRfi

=====:=al=-====:i:=-_--:=# 5irm 15 FErd ffii=3ff qT qfife qi];IFT fa5iIT iG]-T]T g I

ffldsaeREri¥@ffl¥#=#±3£fa2faRTgET#¥[=S#O\c,s*_,rfu,±te-RE#FTae.ch_:¥jiri]

fa.5.rfu. " iqiRE erTBRI,

T{rfe_.!T+drTT!Ifiit./2ffMfifiLL

Htan:- qErm grTTof giv 3ma¥qtF q5rfeT@ te I

F.I.fro, fas 3o/ ou~/azo e¢

1. 3TqT =er rfu, F.F.fflTVI, ch5 iqiiqu qu iTh q5qTUT fin, qfro2. iTFRI ira erTIr, FOHO3. fin tiffliRE, TTFT, FOHO, OinT I

:HELBffrohadi/us#°F#5er,_FTapch,ngrm,qfro6 tiTTRI fin Olc's/rfu chatFT€t a ck q{iqd erTfa a fiTffl,i qtnrlrap q5TfaTa

te chha I

€,`

I I fiTRI an, Ftrfuting ffl, in

iF./erT€.a.w.fl./2o2o/.¥.15

rfufro, Fde as./..9.5/ anaI.

ife-19 t} fin te rfu 3TTin fE./en€.di.w.TPr./2020/646 fas 13.05.2020 giiTffit7fffa fat Tra fin Olc's ch fffi fin tFTtTT g fa7 a 3Tqi erTffi fan tFT fraa7uT ffro 01.06.2020 a 03.06.2020 t} rfu ffi I

ire-19 fin mTrRzft a chen € fS a frmTUT t} an fin fii=3ff tFT fact i5tT aTfla]DT tFT erehaTed tfr 3]tffl Hffiha fifem a RE a; TTREitT 3TTra a fir HngFT tFti-

1. ccc, DCHc, DCH an aTqiQ]T3ff tFT frmTUT I (atFfae 3]]HTz)2. crii€.ifi.c ch tFT fairfu Screening, Surveillance rty at ire ig fin te Contact

Tracing # rfu I3. rqr€i-rapa tflqi Fife tFT TR€ giv 3mTRTiF 5frfro tFT tmaT giv rut Hi]iT te

tfrRT/vfro tFT rd a iET a qT Tfi, gFrRI ffi I in affifae aT5HiT a ET€ire ds qfro cra^iricn tFT fraffluT rfu I

4. TrueNat Machine th ve]Tqi]T fflch rm (aqife ergFTR) I5. Districtwise Equipment Plan t} 3TgenT sped ch RE qPr fun (Gap Assessment of

Consumables) I (atife 3TFii)6. tiiTTiTPr flTTq fi ire 19 fidifeq # th fi thTTfaH Tfa tri Eftr wh S tire tit

3TraTqtF 6FTtrRI3ff tfl anl (02 Beds + Isolation Bedslventillator availability &

7.#b!#pe:at#`]T{dinStTEHET±tefcaSndchrfuI8. ife-ig te Disaster Relief tr 3ffl Far fi fan ch 3TTffi qi]E ch i3Tr5Tan, 3rm ffro

a5 fat TTa fflq rfu ffien I9. Quarantine Centres giv Isolation Centres tfl tzTtTpe7T3ff z5T frae7uT I1o. Discharge Policy t5T a]gqiar qrir2qci tFffl I11. Telemedicine Cell rfu a, 3TelqT lfi I12. rqrcr7ctli rfe7T3ff S Sanitization Norms Follow a vi g IT iS I13.ffro 13.05.2020 t} aTrf.€.fl. an t} wh ts fan i tl3T 3T5HiT qfin tFm

Efffi 5t I (qi* ch)14. Non Covid Essential Services se T.F.th., fRE, Slc±ri€\±¢!iri, EFiffi, 3ffqfa

frm 5TT a tl-qircici a ere7qT T311 5. flTFT-HT]tT tit ut ife-19 jfrife ZFT fca fi rcz>umtiri gil tFen I

wi:- ricr>iti<¢ FT5tT F 3ma¥q5 fRE @ rfu I

==:i.altF fflTRI Ta TRqiT tFRITtrr farm

FEFrfu

t5./erT€.a.Tu.fl./2o2o/..¥.J6

Hrdrtlrti:-1.

ha, fas f£.p./p.±r/anso

3]t7{ =er rfu, 7Itrfu enHT, dr iqiiQZT rty Tfin¥ 5caiDT fairm ifflffl efro I2. qgg -rfu, q€rfu ¥mT, ds iqTRI rty TRqii q5caiuT faim i5TRI afro I3. fin ij-, " iqTma fin, iha::=¥,¥T,6. fl7]iH chrfu ti€, iqiiQZT an, F.H. I7. qT]ia 5RI fafin Ta iqiiQZT 3Tfun 7T.H. I8. {iq i5Trfu qri7tF,F.F.qu.qrfu- olc ch 3]TiDT g5 qT5T a i3tTai£]i]T tina gil

q5tl9. iDspceii Hrfuiio. HTTH rfu 3rfrm I

drffl#ds)=inFEriziri

i,

'`,`

ch5 tiTca Tj qR" a5fflTur farm- mEiiEETE EEE

i5Fi55/ch/en€.€.th./2020/ €F&Pta,

gTffi5en¢©erRE,-. `. .

ha, ffroca ;czs72020

ife-19 a givfa vyfu tiro;qa qife S H"-qqig q5ri qfim I-0-

th f$ 3m wh RE g fS rfu # an S p5`uT ri en * g 3T@:th ch haFT is fat ng 3mamtl5 a fs iErREf # an a Fife an qfr qffl q5¥erfadr i3qm rfu ¢TdaiTa. enth tR a ch fan an a th z} fro ch a wh wh

i:i=====i==i===i=-:=_:=i=:i:#¥TagREg¥#enhaqg#;FREaffigivqTifeiqRIffis

an¥wiifeEwiFft%RE©¥¥ffiH=H=F¥ri±frch#T#rfu¥isthifefrm FTH7fi an ffl-ffl a5 qgiv€ wl I gr e51a:5]tlai;a 3]ig±;th -ii=]rfalaI]t qfr rmgil 5? I

• tftfin an - fin iav v¥ RI a tiFRI fha, caq#fa5 va wh flfdr a

w¥Ledffl¥*¥chfflgiv®|E¥#g¥g%EwlTawi• fanu ffi vi 3rq rm qen q;aqR 5Tqiffl. fin ffl" i€ 5"ian,

Ffro rna ffro, RreIT pa qT fun arria a fiiTTTha €}fsqFT qT i5ap] tza[qH aiTiigTqTrm giv 5¥ I

• fr giv =apT q5{ tire/qE anfie a aT5{ a ¥IEt S qgg edi q¥ enqTqT wh I•*TF5£Tgfflsts¥¥qwi¥wiF/UEaesrmti®wiun•¥¢E:ffiin¥+±¥,Taflchffl@imath3ffENchqFTwh• wh 3msrm an a tfroT/qR qRE ira rfu qFT qHiqur q5vyqT Pta I• fan qq5vF fro a qfro/qq qae fro q{ f3iTffl ffl HfflquT q5rmT ena I• ife;uq ORE fro q¥ ire " Iin rty fro q5{qTqT wh I• the/vq fflife fro qT life an gin qFT {TF{ ti qing tw S qgr vyTif qT

tTrm ed I• alan iqRI what rty Ow wh[ rm S an tiro/Tq ed)latF a en giv

a wl fflth tina wh3ff @ en]q5T€t a v¢ arm an q¥ €Fen(aip ch * ftw ireail

Scamed by Camscamer

-2-

• rna iffl a ch 3rmF tfa as f3Tdi S wh FTa € VI qi tfa7T Taffl aTraTqT end I

5qha enen TrfufRE a f± q¥ a+ qTi;;TT qq z@fai5-19 a chrfui \. \ r r A L _fan tar 3TTen S feTq eTTaeH gqg -i fari

g. fro/ck/errs.§.th./2o20/ 6-xpgfan :- rfu I

mch'deds tiTRT ti qfdr a5HTt]T fin-quTjifi

afro, ffrotan/Ogr2020

1. 9gr rfu, FOsoffli". fa qqTvy giv qRqT¥ q5anT fin, rfu, afro I2. 3]iFT iaTRI, ti© iqTFT en, F€=!]min, in I3. fin tifflas, v]vaTF. F€rfu fro I4. ti5raiF fatFT qivETF Fwh I5. 3Tqt ijqTRE eyT© tiq- HTca chS, FtrmaTh, ein]. I6. iTqRI 5aed Ftnd I7. fltTRI 7ftfin fflien, qha I

dr Hlpea ti qRm q5q[oT finiiEi-H-e€'

Scarmed by Camscamer

S.No. District Number of Entries Per District56I 1 Bhopal2Betul

I 12I 3 Raisen 2511194 Sehore5 Raigarh6 Vidisha 377 Hoshangabad 2268 Harda

1

9 Indore 200 Dhar1Khandwa 21

111314 102 Burhanpur 16

Barwani 9Khargone 2625

151617181920 JhabuaAl,rajpur 5Ujjain 41Dewas 31Mandsaur 19Ratlam 268

2122232425262728293031 ShajapurAgar Malwa 5NeemuchGwalior 42

35Bhind 7Morena 29Sheopur 13Shivpurj 23Datia 7Guna 20Ashoknagar 1314

32333435363738394041 SagarParma 15Chhatarpur 50Damoh 8Tikamgarh 8Rewa 42Satna 47Sidhi 6Singrauli 12Shahdol 5024

424344J45464748849CSOSAnuppurUmaria 4abalpur 6

Dindori 41Mandla 57Narsinghpuralaghat 30

12hhindwara 18eoni 2117

51KatniTotal Entries 1121

dfflragiv taTFFT givrJTca 9at'

HatF ariaam, giv 16/05/2020

9r.Jut.st.w.ttr/2020/ 4 as

qfa`

1. © fin 5TaRT, H.q.2. qFca ggr fafaap qa7T` gTp:FT 3Tfen, 7T.9-.3. qqq fafaF gr;§a FT Ecg 3TFTaTa 3TtmaT, JT.IT.

fin- ae-ig qap{t atr gfa@ia wl gu an on farm a tan f¥afa¥ a 5"fla *giv a.

gil- 1. tiETra-qTFT RE, 8inFT aft qT 5.i3rf.st.FT.tfr.;20207468 fgiv 16Jo4/2o202. tiiqTET5TrFT igivF an, afro aft qT 3;.RE-19 fani3rf.st.uu.qt.720207548 fro25/04/2020

faqqirfu aF a f5 qa3T a qafa3-19 a; gtFut qt Iiky7tT ut gF qF 3iFfa Hed a f*fan aT `]=Pl{:a 3"=Prqr fi]rfa± (fin fafaFEHraT:, frm 3I¥TaTa. FTEgiv erTgrFT fa,]anraal fatharF, fafaa f3Feat a qTtTfha ETF¥FT *(ndur a STgiv» * '@iF an fawh *H#, Efflr, ar* * #, ga]{ a dr rfu aife (Ill;sARi) a RE aT fat q±Ia; RT tr tirofaafha qFT tiima faFT Gmar a. gr g5 fapafafaa faaifr qFT maa faFT rm graH finena-•:.====¥=#¥f*3Tgraanfaapr*

gTap uff, edth a qR} a EiT3T zfr faqm a a giv aTgr irfu rfu rm * 3TTa a.2. GdaE+H¥EjfEFtEfi±ama 3maET apT{T nd f±3IT faifeT aT 3igriT a on fan

3q3q:i;r HSTufr * HTtT f=f1\:f5ar a; t]€7uT 3tTa an fan an fir iitvic{i te- 15-30

a=;nrfife ua7T sp02 90%-94% 5FT uz]T qT. th affi frm 3TF¥E tire givrfu rm a 3TTa a.

•:. HE!Hfaa ife rifdrr rfu rfu q=FTH th rfu rd 71. ca H7]¥a aFffa faaa; arm fa7" 14 ffu a 3faflfiF qffl a} J* a, " aF FTaft

aH a ar 3TFT {Tca zT ca dr ch f* 3maa arm tg aan # faE=rfffu faa gu atl rm R gu an en rfu a.

2. aap rfu # RE thfra Eqffa * ut * 3Tra aqffa3. aF 5iFT atrd fiat ca. Eta, JTa a #, gBT{ a ire fl aEFfro (iLi7sAF3i) a

en ct al.4. faffarm # 3Tffi Hfty faa grTT, Gffi. a ire rfu aife a ca a al

1

9m-F~~ ''\-Hq5t " ''`' GrTdr * - ql FT-a ..`.`' cl

5.REgtmffiEarfuSHrfe#3whT¥arthEqffafa5±eralafty,3EFqaan,enFT JTgiv fen en Jr#ifa fty a.

•:.sengrmgalthrfuteinfaffroTHu,fife3rFqmaaenFrfaffitaTFFTfa#rfutefrorfuFT,ifeaREHrfugiv(rm§Tw7quthqTrfe;fiiqFT*3TIr)g{=rfi`q.aftaTa.

2.tsfin@ffaTHq,fRE3RREFmpeiiF~H##antetra5a¥3TaI,rm a gttifePl rfu aqrm a qwi flTTta Fang ffi qu th.tfr.€. ffa qFT@TaTgratrthgFuniversalHealthSafetyprecautionsanqii:]i€TfiamGITaT3rfualrzF

8.3.qf±mTffrotaTFFTife#H=9TrfaFT511ag5f±7q=qfaarmrmgalca5gj±aqi±

maSstiis@Efrdsfafin3Tfena77{T3w.3nT.arFT.".q`aF*m"trqirapnFTrfu" farm rm Efife fin wh

4. qfa qTife tarF:zr fu * 3TTT.3TT{.arm.".u` an S I7Tt:an tr ¢FVFT rferFT ffa

rm RETa a a al th fca a H± ae th Eqffa * fro rfeQFT aE3wh wh rfu aai=IT pHc Medical officer api{T ffu rm grad rfu aTa.

5.E±aethEqffaafrwhardaE3wh#utaTaaTFTSqmaqugiv cm qTffi, aTEap a Jfr7tH FT 3wh ffa rm g{afsaiT rd a qFfa 3qdr aTqtETFT aatTE*FT fin 5maT apffro fin wh.•:.ife¥yusd",Em,7Ta*a±,=zFTagivrfuafro(Ill/sARl)aJHftGitxpT9a;FTtlqmFTTffi:alpqTffl

tiiJT" fin - a.2. frm 3rEqan. flTErfe caTca fa, dshaPr faFTfha, frm BFca a qTqfha

©fa(rfua§Tgiv)*aTEFanfarm*Trmauff,dth,7Ta*a±,grarfu dtr aith (Ill/sARi) ir H{tat * fat ng qFT fafir ap 3iH ft aTa:F']{TtiaE¥FT 5Tfa qT rfu rfu :fflPr.

3, faa mTfha gFT!;FT ffi, wh faepT a f@faH een a mar fro a3rtnrfurfufflgiv*Srmprer*aTEuonfarm#ap{Tfa1=aiFTfaFTrm© aft a th fan * FT an farm * EH aTF 6qan rfu ed faT th [email protected]*titfE2Tfa.#uiJtrwhTaffroquca*rm8flffl3rmFT a fife al aftarfEFT i;I q2T5 fin era.

4. wh tfuaT faffi te 3Tm tl tia&FT rfe fl ¥rm rfu wh apu pr tr uffidsrfuthqqFrmrfuwh.finmTfhataTFaRE#marfut]arfufflgiv*-TFT**rfurfuvqErmfinmmaTaffFaFVFTftyfife*3whaTa en qfr Eats fl wh Tffi faBRE qu a rm ft an a fro fRErm*@TEffiT{T"tit]rmqFTifeRTSRErmftwh.

5. faifama * qREaT flH¥@ F5t[f S tifflqir atr giv te qFT * ffl 1 #]tT a apt #aRaifEIt rfu ch a Public Announcement system/m{rF FT 3iFdray fiFqIT rd.

6. Waiting Area * ffl S fa physical Distancing apRatT ed te a"i en F aft{ HTfin qu ri. mTfha €=meap ra a SfflTir te waiting Area art teqha iFT 3qdr i5{ aTf* tF d aaTa fin ar Ha;.

7. Tfa¥irH 5Tfa qT q=pr q=TtF apT;I:T qE quRaa ffu wia± =ETT a ire a aife aT Fftdi a- €Fafa3 ffirftr afldi3FTUT Effro aTa ffi it tfroT ch.tfr.a. a RE.

f=_,t+'_-i -. faJ\ --FT

fs a d H#, an, TTa *aT th # 3na rna ar

Personal ProtectionLfa'..ifa5JFTJI-1. faf± * Medical officer apTT qF qu ffu G"T a fE faJ± aTfin *

FT tr7TH tan HTIT Personal Protection Equipments aFT ± fin at-a5. REan ri tan ed gil RT qF ri aTfr PPE1. aT± afa tiaF*Ta rfu ffi ch ararfu • givcrm7TT5

rm5" • fuftTE3•aapJiRI

2. faffro fafis EN the faffi * 3wh • N-957TTH

(tin fan aTa en rfu rfu . atiFTJRErm • JfrJTffl.

3. qTife ap ftw fa ttr faHfaffi * 3TT* • givtrm-Eta dan ETfr ap . attFHJrmfarm rm . 7fr7Tffl

4. ut rfu sera rfu, giv * 3aF HHffl • stcrm7mffifaffiERE EN giv FTt# tFT rm " • thtwJm(ire fxp ar RTPTFT a • ''tmaan faFT tr QLrm

• rfu faffro ct ey5iFr wi dr i tr ftra iFT Sdi Sfr qiT wi g.

2. rfu * qiqTa Modlc@l Officer arm qF giv ffu Gmanr ¥ fir ¥gms xpi{T 3wha fan wh H7TH Personal Protectlon Equlpm®nt " qure;I §]Tra Q(Tqu aqT{T an

infoctlon Pr®vontlon and Control te fatIT fEN ff * 3]apn{ BIo Modlcai Waste

Manaoom8m * nd * 3TgrFT tr fin ut.3. qFds an aT qltrm 3qwi a 3wh an try qdeTUT qwl * I::ii:ra Iru, F±ath a qiFT

3flHRTtH a 3wh * fan en ¢ 3TFT 3qEF{uT wl tryrF ffiTan quifu giv. giv3TfaftH qi¥T 3nfaH7fter $ 3wh * qed a. q¥uTa qui rfu JJTrfu rd gil ¢aErFT a={;TT

qu ct.4. qHta rm a ffl a; HTer 3wh qRwh (3maqqtFaT 3]gHTT [!.::Fir qftr) qfr Fmap, FJTTH,

rm5Iy gr€zT aria ti ¥ a. aT3; {±;EF* ng fa±RtFT ffu wh.

3

5. 3TFqirm qRFT, fufro iiH an 3Tap qTT5a RE

wh8rfe*3iaTH#i%aeqH6ndife**.

ngu EN ffl 3fflT7TFT giv a 5frthe a caerF gil rm gr

6=*FT¥fainfinrd¥;R¥p=#¥tiRT=#*=fin Eat qT wlwh 3Trdtfatr 5{a[qT wh. aE¥ aff qiFa]a a qF irfet]rm FT tit afar

*"ap*irmrmgaRfaffari.

•:. seLHinzEEELfiLRE]EHH_g al th faaftr a__REtiE[jHaEfiE1. ae tfro 3#.th.fi * Fife;I tifutr Eqifa, thfaied qiqT araT a al un fEatfr a 7Tt:FT

qfeT 3maa apT{T an ffeIT fa¥§T $ 3]:g]pT{ fafa;;{q:ir i;pT;IT qftqu 3qwl anTufr aT 3T7tur

q{ aH 3Tgiva, ra fr th, ± RE aFr fu tr 3T2]aT aife iraiha * 3Tffi a5T 3fatT 5qan g=Tzr fin aTaT qu 5t a ae 5T a gcafaffro uaH ETca 3Trm ch gr *.(wi tto thttdr * wiT # fr3IT faEu)

#ife3RE ap_

1. rfe fan giv FiI2;FT ffl # ae * HHaftTa rty giv FTeTUT fan a al faffro aprm

Ir tr ETtap ed ft rfu 5T aewh * 3mur vT 3tTaTT te fatife qrirfu aT3TIr fin dr qu fin ch.

2. EafttT 5v * gr faftw a. HTca 3Tf"t ER gr rd gv FaTFH EN Efr whffTaraT qu rd gu aa aq; in Rtife 9Tca ap a enth aF ETEF fatife i=riitw* 37=HTT FaTFgiv fin arm gr 5IaT a.

uldr*-,qF Uiin

wh ¥aTtt;xp ua7r wlfaFT q:Fz]TUT ,fuTaq

3i\{iFT, 7Tt;ey "*T

H./3fl€.st.UH.th/202o/ L| W

qfrm.1 . .irIr tarFt;u, frv-I-gaTgiv t3fFw en, 7]tH i]iirT, :iinTa2. ti77F@ HFIIT7r 3ITga, qtq qtri

3. tiHFa tiFiTrfu H¥7 rfe. tarF&=r ]far:a, qcq q*i4. in fro, 3qS.a. !rm, tiimam qTprzir ;nar*, ]]t2T qa!i. aha

3|\rrffl, t}`]i{l.i ` G /05/2020

wh taTi=:FT urn wh i:i;qiur ,]irmrafro, trH q±Sr

.I

BS±±rra!JH±£fia±!smJ]n!:£OVI D 19 Patients h€i±.mptoms

HEmE EEHE EEiLH=* EEH= mrHrtriFT=

• COVID-19suspector

• COVID-19 positive patients with uncomplicated lllness or

• COVID-19 Positive patients with uncomp|icated upper respiratory tract viraHnfection, may have nan-specific

Symptomssuchasfever,cough,sorethroat,nasalcongestion,malaise,headache.

i]=biEFif±Pl blmrifl EEEmHEEiiE Imh=,

• Patient with pneumonia and no signs of severe pneumonia

• Child with non-severe pneumonia has cough or difficulty in breathing"ast breathing and no signs of severe

pneumoniafast breathing -in breaths/min can be defined as :

• age <2 months-260 breaths/minI age 2-11 months-250breaths/min• age I-5years -240 breaths/min

p9HEsei92yu2EdsLEpife® S-mgQj±

I Adolescent or adult with feveror suspected respiratory infection, pliis one of the fonowil`s-

i. respiratoryrate>30 breaths/min, or

ji. severe respiratorydistress, Sp02<90%on room air• Child with cough ordimculty in bfeathin8, plus@` least one oHhe foHowing-

i. central cyanosisorsp02<90%; orii. severe respiratory dislre5s (o`g. grunting, clèst in~ drliwing);

iii. signsofpneumonia with @nyofthetollowingdangersigns:I inability to breastfeed ordrink, lethargy or unconsciousnes5rty

I convulsions.

I chestindrawing,

I fast breathing(in breaths/min):

• Age<2 months.260 breaths/min;

• Age 2-11 months250 breaths/min;

• Ago 1-5years240 breaths/min.• Acute R€sn!±a±gr]/_D!5tres_s svnd_LEgne

I Onset of new or worsening respiratory symptoms within one wei`l of kn"`m clinicìLI`sÌlt`

I Chest i"Bing (radioBrop"T Scan, or lung ultrasaò`d) slòwint"xlJti`rul oL```citie"i" {uWT tn.``lF:```

by effusions, lobar or lung collapse, or nodules.1 Origin of oedema due to respiratory failure iòt fully explaiiì.ti by c.irdiìc fGiliili` cy !iìtì ii`.t`!!```*

Need objective asscssmi.Iit (a.g. echocardiof.rapl`tt) to I.xclude liydriistìtit. c.ìus`` i„ i```d„" it .``` . ``

factor present.I Oxveen.ition status (adults):

i. MildARDS: 200 mmHg< Pa02/Fi02s 300mmH8(wittt pEEPor crhp :5 en` H:|1. i"``"

ventilated)ii. ModerateARDS: 100 mmHg< P.102/Fi02 s200 mn`HE w;i!h PEEP =Scm H!0, QH."`'`.

ventilated)

ijj. SevereARDS: Pa02/Fi02 S 100 mmHgwith PEEP 25 cm H20, or nan-ventilated)

iv. When pa02 is not available, Sp02/Fi02 S315 suggestsARDS (including in non-ventilated

patients)- Oxygenation (children; note oI = Oxygenation Index and OSI = Oxygenation Index using sp02)

i. Bilevel NIVorcpAP 25 cm H20via fullface mask: Pa02/Fi02 S 300 mmHgorsp02/Fj02

S264

ii. MildARDS(invasivelyventilated):4Sol<8or5 Sosl< 7.5

iii. ModerateARDS (invasivelyventilated): 8SOI < 16 or 7.5 S osl < 12.3

iv. Severe ARDS (invasivelyventilated): 01216 orosl a 12.3

SifeI Adults- life-threatening organ dysfunction caused by a dysregulated host response to Suspected or

proven infection, with organ dysfunction.• Signs of organ dysfunction include:

i. alteredmentalstatus,

ii. difficult or fast breathing,

iii. Iowoxygensaturation,

iv. reduced urineoutput,

v. fastheartrate, weak pulse, cold extremities or low blood pressure,

vi. skin mottljng, or laboratory evidence of coagulopathy, thrombocytopenia, acidosis,

high lactate or hyperbilirubinemia.I Children-any hypotension (SBP <5th centile or>2 SD below normal for age) or2-3 of the following:

• alteredmentalstateI bradycardiaortachycardia (HR<90bpm or>160 bpm in infants and HR <70 bpm or>150 bpm

in children)

prolonged capillary refill (>2 see) or warm vasodilation with bounding pulses; tachypnoeamottled skin or petechial or purpuric rash;increased lactateOligurja

hyperthermia or hypothermia

Jdrwlh,,`,`/

TrueNat testing for COVID -19 Workstation Checklist

Name of TrueNat lab Workstation ........................................................................................................

Name of Nodal Person with Mob. No. …………………………………………………….…………………………...

S.N. Check Item Yes / No Remarks

1 Availability of separate room for TrueNat COVID -19 test

2 Availability of Bio Safety Cabinet type 2

3 Availability of flat, dry & vibration free stable platform

4 Name of link laboratory that will be doing confirmatory tests for TrueNat positive cases

5 Is sample transport mechanism in place

6 Availability of sink with proper drainage in facility laboratory

7 Availability of GMT Plus protective clothing with biohazard symbol

8 Is spill management protocol in place

9 No. of Lab Technicians available for TrueNat COVID -19 test

10 Is TrueNat SOP/Operational guidelines available & followed

11 Availability of autoclave for sterilization

12 Availability of separate receiving area for COVID- 19 samples

13 Is Biomedical waste disposal policy in place

14 Availability of adequate number of PPE

15 Is Bio-medical waste management in place?

If yes what is the technique used? (deep burial pit/segregation)

16 Availability of foot operated bin with lid [containing hypochlorite (bleach) /5% phenol]

17 Availability of refrigerator/cold storage for lab consumables

Additional comments:

……………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………..…..……………………………

……………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………..

Signature of Nodal Person

Signature of Core Team Experts:

Note: Please revert after signature by Nodal Person

CHECKLIST FOR DCHC& DCHFACILITY

Name of hospital:

Category:

Address:

District:

Type of Facility-Public/Private:

Type of Hospital-Medical Collage/Nursing home/multi specialty/super specialty (Please specify):

Valid (nursing home ) Registration Number -

Name of Director/Superintendent -

Designation-

Contact number

email

Facility Nodal officer- Name -

Designation-

Contact number –

S No Particulars Yes/No Numbers Remarks to be

filled by the assessor

1. GENERAL

1.1 Is the facility an existing functional hospital?

1.2 If yes, have the existing patients been shifted

to alternate hospital?

2 INFRASTRUCTURE

2.1 Total number of beds

2.2 Adequate space between beds

2.3 Whether round the clock electric supply is

available

2.4.1 Whether round the clock water supply is

available

2.4.2 Total water storage capacity in liters

2.5 Whether there is provision for proper

drainage with functional effluent treatment

plant?

S No Particulars Yes/No Numbers Remarks to be filled by the

assessor 2.6 Total number of toilet

2.7 Provision for cross ventilation /Exhaust fan

2.8 Provision of Stay facility for staff

2.9 Dedicated wheel chair & Stretcher for

Shifting of COVID-19 patient

3 Clinical Services

Availability of

3.1 Designated Emergency

3.2 OPD (With adequate space for physical

distancing ) with provision for

3.2.1 Triage area

3.2.2 Holding area

3.2.3 Examination area

3.3.1 Intensive care unit

3.3.2 Number of beds

3.4.1 High dependency unit


3.5 Availability of extra-corporeal membrane

Oxygenator

3.6.1 Dialysis machine

3.6.2 Number of Dialysis machine

3.7 Isolation ward

3.7.1 Separate isolation ward for suspected cases

3.7.1.1 Number of beds

3.7.3 Ante-room attached to isolation facility for

PPE donning and doffing

3.8 Isolation room


3.9 Critical equipments

3.9.1 Functional ICU ventilator

3.92 Defibrillators

3.9.3 Suction

3.9.4 Infusion pump

3.9.5 Resuscitation tray/crash trolley

3.9.6 Pulse Oxymeter

3.10 Personal protective Equipment (PPE ) kits


assessor 3.11 N-95 mask

3.12 3 layer mask

3.12.1 Examination Gloves

3.12.1 Sterile

3.12.2 Non sterile

3.13 Alcohol based hand rub

3.13.1 100 ml

3.13.2 500ml

4 SUPPORT SERVICES (Availability of/linkages with)

4.1 Laboratory and diagnostic services

4.1.1 Arrangement for sample collection and

transportation for COVID-19

4.1.1.1 Availability of sample collection kits

4.1.1.2 Linkage with VRDL network lab

4.1.2 Other in house routine testing facility

incl.ABG

4.2 Availability of radio-imaging services

4.2.1 X-ray

4.2.2 CT -Scan

4.2.3 USG

4.3 Medical Gas Pipeline system/Oxygen cylinder

4.3.1 No of beds converted with MPGS (Medical

pipeline gas system)

4.3.2 No of oxygen cylinders

4.4 Central Sterile Supplies Department (CSSD)

4.5 Mechanized laundry with facility for

decontamination and washing

4.6 Dietary Services

4.7 Blood bank /Storage unit

4.8 Ambulance

5 HUMAN RESOURCES Numbers

5.1 Specialists

5.1.1 General Medicine

5.1.2 Anesthesiologist/LSAS


assessor 5.1.3 Pulmonologist/Respiratory

5.1.4 Nephrologists

5.1.5 Pediatrician

5.1.6 Pathologist /microbiologist/Biochemist

5.1.7 Radiologist Can be through tele -radiology

5.2 General Duty Medical Officer

5.3 Associate Public Health Personnel

5.3.1 Psychiatric Social Worker

5.3.2 Clinical Psychologist

5.3.3 Physiotherapist

5.3.4 Counselor

5.3.5 Dietician

5.4 Nurse & Para medical Staff

5.4.1 Senior nursing officer earmarked for hospital

IPC practices

5.4.2 Staff nurse for isolation ward

5.4.3 Staff nurse for intensive ward

5.4.4 Technician

5.4..4.1 Lab Technician

5.4.4.2 Pulmonary function Test (PFT) Technician

5.4.4.3 Radiology Technician

5.4.4.4 CSSD Technician

5.4.4.5 Dialysis Technician

5.5.1 Pharmacist

5.5.2 Store manager /incharge

5.6 House Keeping Staff

5.7 Cleaning Staff

5.8 Kitchen and diet Staff

5.8.1 Cook and support staff

5.8.2 Food trolley Bearer

5.9 Administration

5.9.1 Administrative incharge

5.9.2 Hospital manager

5.9.3 Hospital IPC committee

5.9.4 Nursing Supervisor/manager-senor nurse

can be designated


assessor 5.9.5 Bio-medical Engineer

5.9.6 DEOs

5.9.7 Security guard

5.9.8 Availability of Protocol

5.9.8.1 Treatment

5.9.8.2 Ventilator management

5.9.8.3 IPC(Yes/No)

5.9.8.4 Rational use of PPE

5.9.8.5 Sample collection ,

Collection/Lab. Testing

5.9.10 Capacity building

5.9.10.1 Trained on COVID-19 management

5.9.10.2 Clinicians trained on ventilator management

5.9.10.3 Doctor and nurse trained on IPC

5.11 Access control and crowd management

(Yes/no)

6 Infection Prevention and Control

6.1 Segregation and transportation of waste as

per BMWM rule

6.2 Hand washing facility at :

6.2.1 OPD

6.2.2 Isolation ward

6.2.3 ICU/HDU

6.2.4 Laboratory

6.2.5 General area

6.3 Availability of Sodium hypochlorite solution

7 Medicine & Consumables

7.1 Availability of Essential & emergency

medicine

7.2 Availability of adequate linen

8 Mortuary

Details of the Assessor:

Name, Designation, Contact Number (with email Id)

Date of assessment.

Yes No1

1.11.21.31.4

22.12.22.3

3

3.1

3.23.3

44.14.24.34.44.5

55.15.25.35.45.55.65.7

66.16.26.36.46.56.6

77.17.27.37.47.57.67.7

88.1

8.2

8.39

9.19.29.39.49.5

Fever Clinic- Checklist

Contact NumberDistrict

1% Sodium Hypochlorite Solution

Patient Management

Availability

Site Layout

Characteristic RemarksNumber

Name of InstituteFacility Incharge

S. No.

Screen Placed Between the Receptionist and the Patient

Separate Triage Area IdentifiedMandatory EquipmentNon-Touch Infrared Thermometer

Availability of Reception/Help Desk Waiting Number/Token Number SystemAvailability of Public Announcement SystemSocial Distancing

External AccessSeparate RoomSeparate Entry and ExitIf 1.3 is No, Barricading done

Waiting area with physical distancing of 1 meter apart

Hydroxy ChloroquineCough SyrupAntihistaminics

Antibiotics

Pulse OxymeterStethescopeBP Monitoring Instrument/SphygmomanometerGlucometerDrugsAnalgesics

MultivitaminInhaler/BronchodilatorsConsumables3 Ply MaskN-95 Mask

Face Shield

70% Alcohol Based Hand SanitizerRunning WaterSoapPaper TowelsClosed Dustbin

PPE KitGlovesGoggles

PharmacistLab TechnicianCleaning Staff

BMW Rules according to 2016 followed

Laboratory ItemsVTM KitsAvailability of Logistic required for packing and transporatation of Sample Rapid Test Kit for Malaria and DengueHuman Resource

Measures Specific to COVID-19

Treatin g Physician/ Medical OfficerStaff Nurse/Ward Boy

CHECKLIST FOR DCCCFACILITY

Name of hospital:

Category: Dedicated COVID Care Center (DCCC)

Address:

District:

State:

Type of Facility-Public/Private:

Type of Hospital-Medical Collage/Nursing home/multi specialty/super specialty (Please specify):

Valid (nursing home ) Registration Number -

Name of Director/Superintendent -

Designation-

Contact number

email

Facility Nodal officer- Name -

Designation-

Contact number –

Whether entire hospital/ Block(s) within hospital is dedicated? (Tick as Applicable)

Whether the facility is functional/being made functional (for COVID)? (Tick as Applicable)

Total number of Inpatient bed

Number of :

Isolation Beds (excluding ICUs):

o Isolation Beds for Confirmed Cases - _______ Separate Area – Yes/No

o Isolation Beds for Suspect Cases - _______ Separate Area – Yes/No

O2 supported Beds :

o No. of Beds Supported with Central Supply : __________

o No. of Beds Supported with Bed-side Cylinder/ O2 concentrator :_______

PPEs

N95 masks

O2 Manifold (Yes/No):

S No

Particulars Indicator Assessment Remarks

1. GENERAL

A In case of dedicated block, does it have a separate

entry/exit?

Y / N

B Dedicated entry for ambulance Y / N

C Dedicated Examination cum screening room at the

entrance

Y / N

2 INFRASTRUCTURE

A Designated Emergency Area with provision for:

Holding and Screening

Triage and treatment

With adequate

space for physical

distancing

Y / N

C Whether wards for confirmed cases

a.1meter space

between beds

Y / N

D Whether wards for Suspect cases with mild

symptom :

a.1meter space

between beds

Y / N

E Availability of 24/7 Electricity & Water supply,

with back up

Y / N

F Handwashing area Y / N

G Number of separate toilets for patients of all

genders

12 per 100 beds

H separate toilets for patients of Confirmed case

I separate toilets for patients of Suspect case

J Whether there is a dedicated space for parking and

disinfecting ambulances?

Y / N

K Availability signage to directing triage area

3 DRUGS

A Availability of Essential Drugs for treatment of

COVID patients as per protocols.

HCQ Y / N

Antivirals Y / N

Azithromycin Y / N

Others Y / N

4 SUPPORT SERVICES (Availability of/linkages with)

A Laboratory and diagnostics services Routine

laboratory tests

for co-morbidities

Y / N

B Availability of VTM / Swabs for sample collection Y / N

C

Facility for disinfection & sterilization of patient

linen & equipment

CSSD Y / N

Mechanized Y / N

S No


Laundry

D Dietary Services - Y / N

E Blood bank / Storage Unit - Y / N

F

Radiology X-Ray - Static Y / N

X- Ray - Mobile Y / N

Ultrasound Y / N

CT Scan Y / N

G Ambulance services Available or

linked

Y / N

H

Availability of Medical Gas Pipelines for: Medical Air Y / N

Suction Y / N

Oxygen Y / N

I Oxygen Source Capacity (mention numbers with buffer stock)

a) Availability of O2 Cylinder (excluding Manifold Cylinders)

5 INFECTION PREVENTION AND CONTROL

A Waste Management Trolleys, demarcated storage

area and consumables for management of

biomedical waste.

Y / N

B alcohol based hand sanitizer available at isolation

area

Y / N

C hospital have Hospital Infection control Committee Y / N

D infection control protocols/guidelines available Y / N

E staff following/aware about five movements of

hand washing

Y / N

G housekeeping policy available at ward Y / N

H Availability of three bucket system Y / N

I they following correct contact time for disinfection

with hypochlorite solution? (10 minutes for non-

porous surfaces)

Y / N

J Availability of separate mops for each area Y / N

K staff trained in housekeeping and infection control

practices

Y / N

L Is there any policy for linen management for

isolation facility

Y / N

M Type of linen used Disposable /

Reusable

S No


6 HUMAN RESOURCES Numbers

A Doctors including specialists available Physician

GDMO

B Nurses available

C Technicians (Lab, Radiology, Dialysis) available Laboratory

Radiology

Pharmacist

D Dedicated Staff accommodation and transport

available

Y / N

E Are service providers using PPE as per protocols? Y / N

F Cleaning Staff

7 CAPACITY BUILDING

i. All personnel trained on COVID-19 management. Y / N

ii. Staff trained on sample collection, packaging,

storage and transportation

Y / N

iii. Doctors, nurses and support staff trained on IPC. Y / N

iv. Disinfection of O2 cylinders Y / N

8 Availability of protocols

i. Treatment Protocol Y / N

ii. IPC Y / N

iii. Rational use of PPE Y / N

iv. Sample collection, collection/lab testing Y / N

9 HCF Preparedness to manage Covid-19 patient

A Core Emergency response team identified Y / N

B Availability of designated Covid-19 Triage Y / N

C Triage staff trained on revised COVID-19 case

definition and identify suspect

Y / N

D Infrared thermometer available with triage staff Y / N

E Physical barriers (e.g., glass or plastic screens) at

reception areas available to limit close contact

between triage staff and potentially infectious

patients

Y / N

F Availability of Broadband Internet connectivity +

Computers + DEOs

Y / N

10 Ward Facility

A Is there separate entry to the ward Y / N

B Dedicated space for staff to put on PPE while Y / N

S No


entering the Patient area

C there is separate exit Y / N

D Dedicated space for staff to take off PPE near exit Y / N

E distance between two beds in wards/rooms more

than 1 meter

Y / N

F

G

Do the hospital have policy to segregate clinical

staff (e.g. nurses) for care of COVID19 cases

Y / N

H Availability of separate Thermometers BP

apparatus with adult & Pediatric cuffs?

Y / N

I Availability of discharge policy for COVID19 Y / N

11 OTHER ESSENTIAL SERVICES

A there strategy available for optimizing the PPE

supply

Y / N

B Designated ambulance facility for transporting

patients from isolation area

Y / N

C Ambulance staff trained in wearing PPE & and other

Infection control practices

Y / N

D SOP for disinfecting ambulance after transporting

confirmed case/dead body

Y / N

H Availability of agreement with CWTF Y / N

I Availability of dedicated BMW collection area for

Covid-19

Y / N

Details of the Assessor:

Name, Designation, Contact Number (with email Id)

Date of assessment.

al=-====:i:=- --:=# 5irm 15 ferd ffii=3ff qt qfife qi];ift ...htan:- qerm grttof giv 3ma¥qtf...

Documents