Patron & State Co-ordinator, Dr. Bhim S. Pandhi bhimpandhi@gmail.com
President Elect
Dr. . Arvind Sharma prakash.hospital444@gmail.com
Vice President, Zone-I Dr. Raj Kumar Viz drvij.raj@gmail.com
Vice President, Zone-II Dr. Hansa Singh drhansasingh@gmail.com
Hony. Treasurer
Dr. Sanjay Upreti drsanjayupreti@gmail.com
No. IMA /UA /2019-20/4135(B)/139(B)/100
Dear Colleague,
OPD
Date: 19/05/2020
INDIAN MEDICAL ASSOCIATION UTTARANCHAL STATE BRANCH (Registered under the Societies Act XXI of 1860)
Affiliated to IMA Hqrs., New Delhi
182/II, Arya Nagar, Dehradun- 248001
   
State President
Dr. A. K. Sirohi
Mob No.: 9897615744
Email: sirohiaks57@gmail.com
Imm. Past State President
Dr. B.S. Judge
Mob No.: 9897021920
Email: baldev.judge@gmail.com
Hony. State Secretary
Dr. D.D. Choudhury
Mob. 9897296200, 9870758748 E-mail: drdipakdhar@gmail.com
       
Corona Virus is here to stay for quite some time, and so we have to change our ways of Medical

Practice, to keep ourselves, our families and our staff safe. Here are some important tips for safe

practice, though every one can add or modify to some extent, depending upon his type of practice
 
and specialization.

Hony. Jt. Secretary
Dr. Ajay Khanna 1. drajaykhanna786@gmail.com
Hony.Jt. Secretary
Dr. R. K. Sharma drrksharmakashipur@gmail.com 2.
 
Editor, IMA UA State Bulletin
Dr. J. S. Hanspal hansjairaj69@gmail.com
Jt. Editor, IMA UA State Bulletin
Dr. Manish Kumar Sharma manishsharma098123@gmail.com
Hony. Editor, IMA UA Academic Journal
Dr. Ajay Pal ajayrameshpal@gmail.com
Hony. Jt. Editor, IMA UA Academic Journal
Dr. Rahul Singh drrahul_singh@yahoo.co.in
Director, IMA CGP
Dr. K. C. Sharma gvclinic.sharma@gmail.com
3. 4. 5. 6.
7. 8. 9.

Your Receptionist/ front desk person is most important. He should be properly trained. He
has to be there with N 95 mask, Face Shield, gloves, cap and a smart phone. This much is
also mandatory for yourself and staff alike.
Try to make your practice appointment based. Put a limit on the number of
patients.Receptionist should take a brief history of travel, symptoms, family history etc.
pertaining to Covid and then give appointment to those only who fit into your criteria, with
time limitations.
The chronic patients should transfer their records to you digitally through your Reception so
that you read them without touching.
Receptionist should ask patients to come with only one attendant and report their arrival
telephonically. He should ask them to step in when their term comes.
You can do history part and complaints by video calling and then call the Patient inside for
examination when necessary. This will reduce the interaction time and viral load.
Don’t keep cloth sheet on examination couch. Have a Plastic or rexene cover only. It can be
surface cleaned by 1% solution of sodium hypochlorite and is ready for next patient after 10
minutes.
   
Hony. Secretary, IMA CGP
Dr. D. C. Pant 10. drdcpant1@rediffmail.com
Instruct for face mask and hand sanitization for everyone entering your Hospital.
Keep the door open so that no one touches door handle.
Sanitise/ wash your hands after examining every patient with gloves on. Sanitise your tools
also with 1% hypochlorite solution every time.
Try finish all your OPD and rounds in single sitting. After that Sanitise your table chair etc
with 1% hypochlorite solution.
Allow only single attendant with patient at a safe distance. While examining patient, go from
back side.
Always use fresh paper for prescription.
For cash prepare three gullacks with key. Let the patient count money and put directly in
it.Open it after minimum 72 hours. The virus may stay on currency upto 72 hours.

Chairman, IMA AMS
Dr. J. S. Khurana Khuranajs1710@gmail.com
Vice Chairman, IMA AMS Dr. C. S. Joshi jmhjoshi@gmail.com
Secretary, IMA AMS
Dr. D. K. Agarwal daggarwal23@gmail.com
11.
12. 13.
INDOOR AND OPERATIVE PROCEDURE
1. 2.
in
 
Admit only if very necessary. Allow only single attendant with patient and not rotary
attendants. Explain the rules to follow strictly.
Have full investigations including Covid. If patient refuses for Covid investigation, documentit
and take his signature. If patient refuses for signature, document it and put your signature
and one staff as witness. Very important.
  
All communications intended for State Headquarters office should be addressed to the Hony. State Secretary.

Patron & State Co-ordinator, Dr. Bhim S. Pandhi bhimpandhi@gmail.com
President Elect
Dr. . Arvind Sharma prakash.hospital444@gmail.com
Vice President, Zone-I Dr. Raj Kumar Viz drvij.raj@gmail.com
Vice President, Zone-II Dr. Hansa Singh drhansasingh@gmail.com
3.
4.
INDIAN MEDICAL ASSOCIATION UTTARANCHAL STATE BRANCH (Registered under the Societies Act XXI of 1860)
Affiliated to IMA Hqrs., New Delhi
182/II, Arya Nagar, Dehradun- 248001
   
State President
Dr. A. K. Sirohi
Mob No.: 9897615744
Email: sirohiaks57@gmail.com
Imm. Past State President
Dr. B.S. Judge
Mob No.: 9897021920
Email: baldev.judge@gmail.com
 
If any operative procedure is necessary, besides taking full informed consent, take consent
 
that if patient turns out to be Covid positive later, he has to be shifted to Covid designated

Hospital.
 
Try to do minimal invasive procedure e.g. POP, Kwires External fixation, mippo etc. Avoid

power tools which generate maximum aerosols. Use HAND REAMERS and HAND DRILL.

Low speed drilling to be done.
Hony. State Secretary
Dr. D.D. Choudhury
Mob. 9897296200, 9870758748 E-mail: drdipakdhar@gmail.com
    
Hony. Treasurer 5. Dr. Sanjay Upreti
If operation has to be done essentially, treat patient as Covid positive, do whatever minimum

drsanjayupreti@gmail.com
Hony. Jt. Secretary
Dr. Ajay Khanna drajaykhanna786@gmail.com
Hony.Jt. Secretary
Dr. R. K. Sharma drrksharmakashipur@gmail.com
Editor, IMA UA State Bulletin
Dr. J. S. Hanspal hansjairaj69@gmail.com
Jt. Editor, IMA UA State Bulletin
Dr. Manish Kumar Sharma manishsharma098123@gmail.com
6. 7.
8.
9.
necessary is possible with full precautions as you do for Hepatitis B, C or HIV positive patient.

Avoid GA.Prefer Regional anaesthesia. Even if GA necessary, avoid intubation. Use deep
 
sedation, local and ketamine etc.

If intubation is very necessary, only Anaesthetist with one assistant should be in OT. Surgeon
 
and others should enter OT after 15 minutes of intubation. Same way after completing

operation, surgical team should move out and join only 15 minutes after intubation.

The patient should be kept in OT a little longer, till he is fully conscious and then transferred
 
to his room directly, which should be a single room. Only after Covid report comes negative,

the patient should be shifted to General Ward.

Full surface cleaning of OT should be done by 1% solution of sodium hypochlorite .leave it for
 
half hour. Repeat again and then carbolic acid. Next case should be taken into OT atleast 2

10. Dr. Ajay Pal 11.
hours after first case leaves. If possible more.

Surface sanitization of wards with 1% sodium hypochlorite solution should be done every 2
 
Hony. Editor, IMA UA Academic Journal
ajayrameshpal@gmail.com
Hony. Jt. Editor, IMA UA Academic Journal
Dr. Rahul Singh drrahul_singh@yahoo.co.in
Director, IMA CGP
Dr. K. C. Sharma gvclinic.sharma@gmail.com
Hony. Secretary, IMA CGP Dr. D. C. Pant drdcpant1@rediffmail.com
Chairman, IMA AMS
Dr. J. S. Khurana Khuranajs1710@gmail.com
Vice Chairman, IMA AMS Dr. C. S. Joshi jmhjoshi@gmail.com
Secretary, IMA AMS
Dr. D. K. Agarwal daggarwal23@gmail.com
12.
HOSPITAL ECONOMY IN COVID TIMES
Thanks & Regards
hours, depending upon the patient footfall.

Negative pressure and laminar flow OT,s are not safe. Have a positive pressure OT if

possible. Window AC is good. Exhaust with hepa filter at outlet is desirable.
 
Put the Instruments in bleaching powder/ sodium hypochlorite solution for half an hour,

then wash with detergent before autoclaving.
 
Your expenses will increase in the upkeep of your Hospital. I suggest to increase your charges by
 
15% to 20% depending upon the patient footfall in your Hospital. That will take care of your

increased expenses.
   
(Dr. A.K. Sirohi) (Dr. D.D. Choudhury)
State President Hony. State Secretary
IMA UA State Branch IMA UA State Branch
 
in
All communications intended for State Headquarters office should be addressed to the Hony. State Secretary.