CLINICAL AND INFECTION
CONTROL PROCEDURAL GUIDELINES
ON
SEVERE ACUTE RESPIRATORY
SYNDROME (SARS)
Adapted From:
Department of Health Interim
Clinical Guidelines On SARS for Health Facilities in the Philippines
Prepared by:
Manila Doctors Hospital
SARS Task Force
TABLE OF CONTENTS
1. Introduction
2. Memorandum From the Office of the
Hospital Director
2.1. Manila Doctors Hospital Protocol for the
Containment of SARS
2.2.
Hospital
Policies and Procedures on MHD Employees Who
2.3.
Policies
and Procedures on Declaration of SARS Patients Being
3.
Screening
of SARS Cases or Suspect
3.1. Pre-Screening Guidelines for Screening of
SARS Suspects
3.2. Screening
4. Assessment
5. Disposition
6. Flow
Chart
6.1.
DOH Summary Flow Chart on Classification of SARS
Cases
7. Reporting Referral And Transfer of SARS Suspects
to RITM or San Lazaro Hospital
7.1.
Reporting Procedure
7.2. Referral Procedure
7.3.
Transport Procedure of Patient
8.
General Cleaning Procedure for Triage and
Holding Areas
9. Personnel
Protective Equipments (PPE)
9.1. Guidelines on
Putting On and Taking off PPE
9.2. Guidelines on Putting on N95 Mask
11. Infection
Control in Triage
11.1. Infection
Control in the holding Areas Which are Used
for Screening and Initial Holding of
SARS
11.2. Physical Requirements
11.3. Personal Protective
Equipments
11.4. Containment Procedures
11.5. Routine Cleaning in SARS Holding Areas
12. Infection
Control Emergency Transport of SARS Suspects
12.1. Transport
and PPE Requirements
12.2.
Containment Procedures
12.3.
Follow-Up of EMT Personnel
13. Management
of Health Care Workers Exposed to SARS
14. Infection
Control Precautions for Close Contact in Household for Discharge Patients
15. Infection
Control in In-Patient Setting
15.1.
Personnel and PPE Requirements
15.2. Containment Procedures
16. Infection
Control in Use of Ventilator
17. Infection
Control in Collection Of Specimen
18. Infection
Control in Handling of Human Remains
19. Reference
20. Annexes
A.
MDH Task Force SARS Members
B.
MDH Emergency Room Procedures on SARS
C.
MDH Admitting Department Procedure on SARS
E.
MDH Radiology Department Procedure on SARS
F.
MDH Laboratory Procedure on SARS
G.
MDH Pulmonary Laboratory Procedure on SARS
H.
MDH Housekeeping Procedures on SARS
I.
MDH Linen Department Procedure on SARS
J.
MDH Maintenance Department on SARS
K.
Typical SARS Isolation Facility
L.
List of Medical Centers and Regional SARS
Referral Hospital