Destination Women`s Clinic Clinical Protocols to Prevent COVID-19 To safeguard visiting patients and the staff of the Destination Women`s Clinic. we have taken the following actions to prevent the spread of COVID-19. Plan for handling Obstetrics emergencies and high risk patients. Patient Examination Protocol 1. OPD Restricted for Emergency and High Risk Clinical Scenarios Only In order to prevent COVID-19 dissemination, the Clinic has suspended all routine clinic visits, emergency services are offered. 2. Temperature Check Body temperature is checked using a Thermal Scanner for both patients and staff entering the Clinic. If one is febrile (> 38 degrees Celsius), Figure 2: Temperature being checked for staff and patients using a forehead thermal scanner 3. Hand Sanitization In order to ensure clean hygiene of patients and staff, a temporary hand wash area was built in front of the Clinic entrance. All patients and staff are required to wash their hands before entering the Clinic. 4. Reception and Preliminary Screening Every patient has to undergoes preliminary health screening and is dispensed hand sanitizer. A patient registration form is given along with a COVID-19 enquiry form which requires the following: upper respiratory symptoms, exposure risks, and contact information. Patients must enter alone and without accompaniment except for those that require supervision (e.g. vulnerable adults and/or children). 5. Patient Flow Process Map A Triage Process Map was developed for an efficient and expedited patient pathway. This process map is strictly followed in order to ensure appropriate care is delivered to all patients while still maintaining a safe environment. Flow chart for Safety Precautions during COVID-19(For Pathology Patient also) 1) Patient Entry 2) Patient screened for fever by thermal scanner ( Entry restricted for fever patient) 3) Patient does Hand sanitization. 4) Enquiry for Patient Travel History and COVID-19 symptoms. 5) Signature on COVID-19 risk consent form. 6) Entry for Consultation/Blood collection with Instruction ( Physical distancing ) 1. Staff Safety Staff safety is taken as the highest priority and all possible avenues for disease transmission were identified and addressed through incremental innovations. A. Face Shield: Our staff has expeditiously developed an effective face shield. These shields have subsequently been distributed to all staff in the high risk triage area. B. Face Mask : To overcome the shortage of essential mask supplies, Aravind is testing a 3D-printed mask. Efficacy and safety are currently being tested. C. Staff Awareness: A staff awareness training program was conducted for all staff to ensure personal hygiene and to minimize as much contact as possible. 1. Social Distancing Chairs in all waiting areas were placed to adhere to social distancing guidelines. The excess chairs in each unit where removed and the middle chair in the triplet chairs were blocked with red tape. All plastic single chairs are placed on pre-marked floor spacing. Dr. Meenakshi Yelvantge Consultant Obstetrics and Gynaecologist MBBS, MD (OB/GYN), MRCOG (London) Destination women’s clinic. Appointment on 9404395976 / 020-67523071