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Manage Guest Access and Movement inside the Facility

Establish guest tracking, control and training procedures;

Restricts visitors to access known or suspected Covid-19 patients (i.e., PUI) rooms. Alternate strategies should be considered for patient and guest experiences, such as video-call apps on mobile phones or tablets.

Facilities may take exceptions based on end-of-life conditions or when a visitor is necessary for the emotional well-being and treatment of the patient. Visitors to patients with known or suspected Covid-19 (i.e., PUI) should be scheduled and monitored to allow:

Visitors to be checked for signs of acute respiratory disease before accessing the health care facility;

Facilities should determine the visitor's health risk (e.g., visitors may have an underlying disease that puts them at a higher risk for Covid-19) and their ability to comply with precautions. Installations should provide guidance on hand hygiene, restriction of touched surfaces and use of PPE in compliance with current facilities policy while in the patient's room before visitors enter the rooms.

Facilities should keep a record (for example, log book) of all patients accessing patient rooms. Visitors should not be present during procedures for the processing of aerosols.

Visitors should be advised to limit their movement within the building.

Exposed visitors (e.g., contact with Covid-19 patient prior to admission) should be recommended to disclose to their health care provider any signs and symptoms of acute illness for a period of at least 14 days after the last reported exposure to the patient.

Respiratory hygiene and cough etiquette care should be taken by all patients while in common areas of the facility.

4.

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Scientific source Sidney Osler. Coronavirus outbreak. All the secrets revealed about the Covid-19 pandemic. A complete rational guide of its Evolution, Expansion, Symptoms and First Defense. 2019

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