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Table 2 Reorganisation of GP surgeries

From: Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries

 

WHO

France

Germany

Italy

Netherlands

New Zealand

Norway

Poland

Portugal

Romania

Spain

Sweden

Switzerland

Turkey

United Kingdom

US

Triage area

- Limit points of entry

   

x

x

x

x

x

 

x

x

x

x

x

 

x

- Place the triage station outside the facility

  

x

   

x

  

x

 

x

   

x

- Physical barriers in the reception area (e.g. glass, plastic window)

 

x

x

x

x

  

x

 

x

x

    

x

- Prioritize triage of patients with respiratory symptoms

x

 

x

x

 

x

x

x

x

x

   

x

 

x

- Provide screening questionnaires for all patients (including the recent onset of respiratory symptoms)

x

     

x

x

 

x

x

x

x

x

 

x

- Maintain a record of all patients, visitors and staff

x

 

x

   

x

   

x

 

x

   

- Supply tissues, waste receptacles, alcohol-based hand sanitiser

  

x

x

   

x

 

x

x

x

x

x

 

x

- Cover nose and mouth of patients with facemasks or alternatives

x

 

x

x

   

x

x

x

x

 

x

x

 

x

- Ask patients to wash hands

 

x

 

x

x

  

x

x

x

  

x

   

- Ask patients not to touch handles or open doors

            

x

   

- Limit the number of people accompanying the patient

x

x

x

x

   

x

 

x

x

 

x

  

x

- Provide individuals accompanying the patient with face masks

          

x

     

- Visual alerts to remind symptomatic patients to alert health professionals

x

x

 

x

 

x

 

x

x

x

x

    

x

- Visual alerts to remind patients about hand hygiene, respiratory hygiene, and cough etiquette

 

x

x

x

x

x

 

x

x

x

x

 

x

  

x

- Visual signs informing patients of the path to be followed within the surgery (e.g. COVID-19 and non-COVID-19 area)

  

x

  

x

 

x

x

x

x

    

x

Waiting room

- Supply tissues, waste receptacles, alcohol-based hand sanitiser

 

x

 

x

x

 

x

x

 

x

x

x

x

x

 

x

- Use chairs that can be disinfected

       

x

    

x

   

- Remove unnecessary objects (newspapers, unnecessary furniture, etc.)

 

x

x

x

  

x

x

 

x

x

 

x

 

x

 

- Remember to empty the bin regularly

  

x

    

x

 

x

x

 

x

   

- Organize a separate area for suspected COVID-19 patients

x

x

x

 

x

 

x

x

x

x

x

 

x

 

x

x

- Partition areas with waiting lines

       

x

       

x

- Promote distancing between patients (> 1 metre or > 6 feet apart)

x

x

x

x

x

 

x

x

 

x

x

 

x

x

 

x

- Ensure that the space is well-ventilated

x

x

x

x

x

  

x

 

x

x

 

x

  

x

- Disinfect surfaces

x

x

x

x

x

 

x

x

x

x

x

 

x

x

 

x

- Disinfect at least twice daily

 

x

x

x

x

  

x

 

x

   

x

  

- Disinfect regularly

      

x

x

    

x

   

- Waiting room organised outside the healthcare facility (e.g. patients wait in their own vehicle and are contacted by mobile phone)

 

x

x

  

x

x

  

x

 

x

   

x

Examination room

- Organise a dedicated room

  

x

x

x

x

x

x

x

x

x

x

x

x

x

 

- Organise a telephone consultation phone

          

x

     

- Organise a dedicated room for children

  

x

             

- Remember to close the door

  

x

x

  

x

x

 

x

x

   

x

 

- Ask patients to wash their hands

       

x

  

x

     

- Limit the number of personal items

   

x

            

- Limit the numbers of staff providing care

  

x

x

x

x

x

x

x

x

x

x

x

x

x

x

- Maintain a record of all staff entering the examination room (name, time, activity, etc.)

          

x

     

- Disinfect surfaces with which the patient comes into contact

x

x

x

x

x

x

x

x

x

x

x

 

x

x

x

x

- Disinfect office, computer, printer, phone, door and door handles, pens

 

x

x

x

 

x

x

x

 

x

x

 

x

x

  

- Use a new paper protection sheet on the examination table for each patient

x

 

x

x

x

x

x

x

 

x

x

   

x

 

- Manage waste safely

x

 

x

x

x

x

x

x

 

x

x

 

x

x

x

 

- Use dedicated medical equipment

x

 

x

x

x

x

x

x

x

x

x

x

x

x

x

x

- Sterilise/clean equipment for patient care between patients

x

x

x

x

x

x

x

x

 

x

x

   

x

x

- Use single-use materials

x

 

x

 

x

x

x

x

 

x

x

  

x

x