Disinfection procedures in the COVID-19 isolation area

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Health protection procedures

Medical personnel who directly interact with infected people in isolation wards, employees of medical technical services, and supply service workers must live in separate living quarters and leave these premises without permission.
To improve the immunity of medical personnel, adequate nutrition must be provided.
It is necessary to monitor the health of all personnel in the workplace, monitor the health of immediate working personnel, including monitoring body temperature and symptoms of respiratory diseases; provide psychological support, help cope with physiological problems that arise in such specialists.
If workers show relevant symptoms, such as inflammation, they should be immediately isolated, examined and undergo a NAT test.
If direct workers, health workers, medical technical service employees, and supply service employees finish work in isolation wards and return to the normal non-working environment, they must first undergo NAT testing for SARS-CoV-2. If the results are negative, they must be placed as a team in a special isolation ward for 14 days before they are discharged from observation.
III. Measures to protect personnel in direct contact with COVID-19 infected individuals



Notes:

1. All personnel should wear medical protective masks in the premises of healthcare facilities;
2. All personnel in emergency departments, outpatient infectious diseases departments, outpatient respiratory diseases departments, dental departments, endoscopy rooms (e.g. gastrointestinal endoscopy, bronchofibroscopy, laryngoscopy, etc.) should change their existing medical protective masks to N95 masks, in accordance with the requirements of protection level 1;
3. Personnel should wear protective face shields, as required by protection level 2, when collecting respiratory specimens from patients with suspected or confirmed infection.

IV. Hospital practice protocols during the COVID-19 epidemic

1 Procedure for putting on and taking off personal protective clothing and equipment before working with patients with COVID19


Procedure for putting on protective equipment

Put on special work clothes and shoes - Wash hands - Put on a disposable medical cap - Put on a disposable medical mask (N95) - Put on disposable nitrile/latex lower gloves - Put on safety glasses and protective clothing (note: if protective clothing is issued without shoe covers, waterproof shoe covers must be worn), put on a disposable protective cape (if required in special work areas), and a face shield / self-contained respirator for the supply of purified air (if required in special work areas) - put on disposable latex upper gloves.


Procedure for removing personal protective equipment

Wash hands and remove visible body fluids/blood stains from outer surfaces of both hands - Wash hands, replace outer gloves with new ones - Remove self-contained air-purifying respirator or self-priming full-face filtering mask/mask (if used) - Wash hands - Remove disposable cape and outer gloves (if used) - Wash hands and put on outer gloves - Enter undressing room #1 - Wash hands and remove protective clothing and outer gloves (turn gloves and protective clothing inside out and roll them up) (Note: shoe covers should also be removed with protective clothing) - Wash hands - Enter undressing room #2 - Wash hands and remove protective goggles - Wash hands and remove protective mask - Wash hands and remove protective cap - Wash hands and remove lower disposable latex gloves - Wash hands and exit the room for undressing #3 - Wash your hands, take a shower, put on clean clothes and go to a non-contaminated, clean room.



2.1 Disinfection of floors and walls

Visible contamination must be completely removed before israel number data disinfection, and the premises must be treated in accordance with the procedures for the removal of blood and bodily fluids;
Disinfect the floor and walls with a chlorine-containing disinfectant in an amount of 1000 mg/l by washing the floor, spraying or wiping;
It should be ensured that disinfection is carried out for at least 30 minutes;
Disinfection should be carried out three times a day and repeated at any time when contamination is present.
2.2 Disinfection of surfaces of objects

Visible contamination must be completely removed before disinfection and processed in accordance with the technological regulations for the disposal of spilled blood and biological fluids;
Wipe the surfaces of objects with a disinfectant containing chlorine at a concentration of 1000 mg/ml or wipes with effective chlorine; wait 30 minutes and rinse with clean water. Perform the disinfection procedure three times a day (repeat if any contamination is suspected);
Wipe the cleaner areas first, then the dirtier ones: first wipe the surfaces of objects that are touched less often, then objects that are touched often (after wiping the surface of an object, replace the used napkin with a new one).