Practice guide lines

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.

 

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