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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