COVID-19: FMC Yola reopens GOPD, services, follows protocol

The Periscope reporter

Below is the explanation of how the services are being rendered in FMC Yola

FEDERAL MEDICAL CENTRE, YOLA: PROTOCOL FOR HOSPITAL OUT-PATIENT SERVICES DURING THE COVID-19 PANDEMIC.

* Patient load at the clinics

* Timing of services

* Patient screening for COVID-19

* Arrangement at service points

* Protection for hospital staff and patients

PATIENT LOAD AT THE CLINICS

In line with the NCDC guidelines stipulating that no gathering should consist of more than 50 people at a time, while also maintaining physical distancing of at least 2 metres between individuals, it is imperative to reduce the number of outpatients per clinic. The revised patient load for the various clinics is presented as follows:

1. General Medicine Clinic attends to 20 follow-up patients and 10 new patients in the afternoon on Mondays and Wednesdays at MOPD

2. ART Clinicattends to 40 follow-up patients and 20 new patients in the morning and afternoon on Fridays at MOPD.

3. GENERAL SURGERY TEAM A Clinic attends to 20 follow-up patients and 5 new patients in the morning on Tuesdays at SOPD.

4. GENERAL SURGERY TEAM B Clinic attends to 20 follow-up patients and 5 new patients in the afternoon on Wednesdays at SOPD.

5. ORTHOPAEDICS Clinic attends to 20 follow-up patients and 5 new patients in the morning on Mondays at SOPD.

6. OPTHALMOLOGY Clinic attends to 20 follow-up patients and 10 new patients in the morning on Mondays and Thursdays at Opthalmology.

7. ENT Clinic attends to 10 follow-up patients and 5 new patients in the morning on Mondays and Tuesdays at ENT Clinic.

8. DENTAL Clinic attends to 10 follow-up patients and 5 new patients in the morning on Mondays and Tuesdays at DENTAL Clinic.

9. PAEDIATRIC SURGERY Clinic attends to 10 follow-up patients and 5 new patients in the morning on Wednesdays at SOPD.

10. UROLOGY Clinic attends to  20 follow-up patients and 5 new patients in the afternoon on Mondays at SOPD.

11. ANTENATAL Clinic attends to 30 follow-up patients in the morning on Tuesdays and Wednesdays at ABF.

12. ANTENATAL BOOKING attends to 20 new patients in the morning on Fridays at ABF.

13. GYNAE Clinic attends to 20 follow-up patients and 5 new patients in the morning on Mondays and Thursdays at ABF.

14. PAEDIATRIC OUTPATIENT Clinic attends to 10 new patients in the morning from Monday to Friday at MOPD/SOPD (Fridays).

15. PAEDIATRIC SPECIALTY Clinic attends to 10 follow-up patients in the morning from Monday to Friday at MOPD/SOPD (Fridays).

16. PAEDIATRIC INFECTIOUS/NUTRITION (ART) Clinic attends to  20 patients in the morning on Fridays at SOPD.

17. PHYSIOTHERAPY Clinic attends to 10 follow-up patients and 10 new patients in the morning from Monday  to Friday at Physiotherapy.

18. GOPD Clinic attends to 50 patients in the morning and afternoon from Monday to Friday at GOPD.

19. NHIS Clinic attends to 50 patients in the morning and afternoon from Monday to Friday at NHIS.

20. RETAINERSHIP Clinic attends to 10 follow-up patients and 5 new patients in the morning from Monday to Friday at SOPD.

21. HAEMATOLOGY/METABOLIC/ STI Clinic attends to 20 patients in the afternoon on Fridays at SOPD.

The patient limit is strictly applied at the medical records department.

Only medical records staff designated to specific clinics are allowed to carry patients’ folders to those clinics.

Direct consultations/admissions through the Amenity ward is suspended.

TIMING OF SERVICES

Morning clinics is between 8:00 am and 11.45am while Afternoon clinics commences at 12.00 pm.

Departmental morning review meetings remain suspended.

The central pay point at the specialty clinic handles only payments for patients’ folders from 8:00 am to 10:00 am daily to enhance promptness of payments.

Brief health talks is be delivered at patient waiting areas on COVID-19.

Longer appointment dates is given for stable patients.

Copies of monthly clinic rosters are submitted by departmental/unit heads to the HCS, ADNS, Medical Records and Servicom unit.

ARRANGEMENT AT SERVICE POINTS

Careful attention is be given to physical distancing in all sitting arraignments and during queues at service points.

Tallies are issued to maintain orderliness. Shunting of queues by anyone (including hospital staff) shall not be tolerated.

PATIENT SCREENING AND TRIAGE FOR COVID-19

Temperature check using the infra-red thermometer and Pulse Oximetry  is employed as the primary, objective screening tools for patients coming to clinics. This is be carried out by designated nurses at the entry points to medical records and all clinics.

A patient with a temperature ≥ 37.80C OR SPO2 < 94% shall be referred for further screening by the hospital COVID-19 team. This will be done at designated containment rooms in all clinics. (This may not apply to paediatric outpatients).

Cases from medical records are evaluated at the GOPD containment room.

A patient with suspected COVID-19 infection is immediately transferred to the hospital holding area for sample collection and to await confirmation of result.

Where the features do not suggest COVID-19 infection, the patient is transferred back to his or her clinic but must be seen as an emergency.

PROTECTION FOR HOSPITAL STAFF AND PATIENTS

To ensure adequate protection for hospital staff and the patients, especially in view of asymptomatic transmission of the infection, the following measures have been taken:

* All patients must wear face masks at the clinics.

* All hospital staff in contact with patients must wear face masks.

* Doctors should wear ward coats during consultations.

* All clinics should have hand washing stations at their entry points and should be utilised appropriately.

* All physical examinations must be carried out using disposable gloves for each patient.

* All consulting rooms must have functional wash hand basins and provided with hand wash and hand sanitizers, which must be appropriately utilised.

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