Rules of conduct during the COVID-19 epidemic emergency

DEAR SIR / MADAM!

The epidemiological situation of SARS-CoV-2 is still not stable. Therefore, in the Medical Centre "Zelazna" the following has been introduced: "Rules of conduct during the COVID-19 epidemic emergency". The recommendations introduced are intended to ensure an epidemiologically safe environment for all patients and personnel. The planned duration of the guidelines is from 16th May 2022 until further notice. Information for patients following the above principles:

1. VISITING ADULT PATIENTS

Visiting arrangements:

    1. Visits take place daily, between 12.00 – 18.00

    2. Visits last up to 2 hours at a time, by prior arrangement of visiting hours in the unit (12.00 - 14.00; 14.00 - 16.00; 16.00 - 18.00)

    3. The person must be healthy (e.g. infectious diseases, respiratory infections), with no respiratory infections, infectious diseases in the home environment.

    4. A visitor enters the Hospital through the entrance from Żelazna Street and is obliged to present a document confirming identity and inform about good health condition.

The visitor is obliged to:

  • disinfect their hands before entering the ward and after leaving the room,
  • wear a disposable medical surgical mask throughout the CMŻ,
  • sit only on chairs available in the rooms of stay (it is unacceptable to sit on patients' beds),
  • restrict movement around the Hospital/CMŻ (to places other than the designated purpose of the visit).

When visiting a 2-person residence room, it is recommended that the person being visited and another patient wear masks. Visiting arrangements in EXCEPTIONAL situations are made on an individual basis.

The Hospital Personnel have the right to refuse entry to people who do not comply with the rules of the hospital and to order them to leave the hospital area.

2. VISITING CHILDREN BORN PREMATURELY

Visiting arrangements:

    1. Visits take place daily, between 10.00 – 19.00

    2. Visits last up to 3 hours at a time, by the prior arrangement of visiting hours in the unit (10,00-13.00; 13.00-16.00; 16.00-19.00)

    3. The parent visiting a child in the Neonatology and Neonatal Intensive Care Unit must be in good health (e.g. infectious diseases, respiratory infections), the home environment must be free of respiratory infections, infectious diseases

    4. A person visiting a newborn baby enters the hospital through the entrance from Żelazna Street, where he or she fills in an epidemiological questionnaire in the main hall, and is obliged to show a document confirming identity

    5. Parents with symptoms of infection are not allowed to visit their children.

    6. The decision about the possibility of entering the Neonatology and Neonatal Intensive Care Unit is made by the midwife/nurse of that Unit after analysing the epidemiological questionnaire.

The visitor is obliged to:

  • disinfect hands before entering and after leaving the Neonatology and Neonatal Intensive Care Unit,
  • wear a protective mask (in the case of a surgical mask, change it every 2 hours, in the case of FFP2/FFP3 masks, follow the manufacturer's recommendations - 6-12 hours) on the entire hospital area,
  • to behave on the Unit following the instructions of a medical person,
  • not to move around the Hospital to places other than the designated purpose of the visit.

The mother has the possibility to pump breast milk for the baby.

The Hospital Personnel have the right to refuse entry to people who do not comply with the rules of the hospital and to order them to leave the hospital area.

3. PARTICIPATION OF A RELATIVE IN AN ELECTIVE CAESAREAN SECTION’

    1. A person who accompanies a patient in elective caesarean section fills in an epidemiological questionnaire after entering the Hospital.

    2. People with symptoms of infection are not allowed to accompany the birth, should not be in contact with a sick or suspected COVID-19 in the 7 days prior to the birth date, and there should be no respiratory infections in the home environment either, etc.

Organisation of family caesarean section:

    1. On admission to the hospital, the patient pays a fee for the participation of a relative in the planned caesarean section.

    2. Accompanying persons wait in front of the entrance to the hospital or in the main hall at the call of the staff and then, after completing and verifying the questionnaire and checking the identity document and qualifying to accompany the caesarean section, they go to the Operating Block.

    Questionnaire for accompanying person

    3. The Operating Block nurse/midwife provides the attendant with personal protective equipment and information on correct behaviour in the Operating Block.

A person attending a planned caesarean section is obliged to:

  • disinfect their hands before entering the Operating Block and after leaving the OR,
  • wear a disposable medical mask in the entire Hospital,
  • to behave in the Operating Block according to the instructions of the medical staff member,
  • after completion of the Caesarean section procedure - to leave the Operating Block, move by lift A to the main hall and then immediately leave the Hospital, vnot to move around the Hospital to places other than the designated purpose of the visit.

The Hospital Personnel have the right to refuse entry to people who do not comply with the rules of the hospital and to order them to leave the hospital area.

4. PARTICIPATION OF A RELATIVE IN A NATURAL CHILDBIRTH

    1. Only one accompanying person (the baby's father or another close person indicated by the patient) may attend a family birth.

    2. The person accompanying the patient to the natural childbirth on the day of delivery should be healthy, should not have been in contact with a sick or suspected COVID-19 infected person within 7 days prior to the date of delivery, also there should be no respiratory infections, etc., in the home environment.

Organisation of a family natural childbirth:

    1. Accompanying persons wait in front of the entrance to the hospital or in the main hall when summoned by the staff, and after filling in and verifying the questionnaire, checking identity documents and qualifying to attend a natural childbirth, go to the Delivery Ward.

    Questionnaire for accompanying person

    2. The decision about the possibility of a family birth is made by the doctor/midwife of the Emergency Room after an initial examination of the patient and an analysis of epidemiological questionnaires.

The person attending a natural family birth is obliged to:

  • disinfect their hands before entering the Delivery Ward,
  • follow the instructions of the person conducting the birth throughout their stay in the delivery room,
  • not leave the delivery room without the clear instructions of the medical staff, which may happen for example in the event of an obstetric emergency, in which case the accompanying person shall wait for permission to return (if possible) outside the Delivery Ward,
  • wear a protective mask (in the case of a surgical mask, change it every 2 hours, in the case of FFP2/FFP3 masks, follow the manufacturer's recommendations - 6-12 hours) during the entire time spent in the delivery room,
  • cover the mouth and nose with a medical protective mask while moving around the Hospital's area ("passageways"),
  • leave the Hospital immediately 2 hours after the end of the delivery.

    In the case of a surgical delivery (except for elective caesarean sections), the attendance of an accompanying person is not allowed.

    The Hospital Personnel have the right to refuse entry to people who do not comply with the rules of the hospital and to order them to leave the hospital area.

    5. ADMISSION OF PATIENTS TO THE MEDICAL CENTER “ŻELAZNA”

    • on admission to the Hospital, an epidemiological interview is conducted in the Emergency Room,
    • symptomatic patients admitted to the Hospital are examined free of charge with SARS CoV 2 antigen tests or for influenza; if the result is positive, isolation is applied,
    • the test result does not affect in any way the decision to hospitalise a pregnant patient, but only the appropriate protection of the staff (personal protective equipment) and other patients (stay in the isolation zone),
    • in the case of planned gynaecological surgery and a positive test is received, the operation is postponed for the patient's safety.

    Dear Patient!

    1. Wash your hands frequently with soap and water or disinfect them with an alcohol-based liquid.

    2. Avoid touching eyes, nose and mouth.

    3. When coughing or sneezing cover your mouth and nose with a bent arm or disposable tissue.

    4. Cover your mouth and nose with a disposable mask when:

    • hospital staff enter the room,
    • you move around the hospital (shop, examination outside the ward, etc.)

    ADDITIONALLY IN THE ISOLATION ZONE:

    • Do not leave the residence room without the staff's instructions!
    • Let’s all take care of our common safety!

    7. TREATMENTS AND SURGERIES

    Dear Patient!

    To minimise the risk of acquiring an infection in the perioperative period, we have introduced additional procedures in our institution. You should be aware that if an infection occurs, it worsens the prognosis and is a situation which endangers other patients and the Hospital staff. We kindly inform you that an employee of the Medical Records Department (DSM) will call you about 3-4 weeks before the planned surgery to confirm its date and ask about your health condition.

    A staff member may recommend contacting the Department of Medical Records and Statistics to postpone a planned procedure, operation when, in the 7 days prior to the planned hospitalization, symptoms of respiratory or gastrointestinal infection have occurred: cough, shortness of breath, muscle pain, headache, weakness, diarrhoea, vomiting, fever, sudden loss of smell and taste, conjunctivitis. Postponement of treatment, surgery may also occur due to the current illness of the COVID -19 resident (husband, child, parents, etc.). At the same time, we inform that on admission to the Hospital, each patient has an epidemiological interview, and a symptomatic patient has an antigen test for SARS-CoV-2 taken. The final decision on the possibility of hospitalisation is made by the doctor of the Emergency Room.

    Important!

    If it is necessary to postpone a planned operation, procedure (occurrence of infection symptoms within 7 days before admission or the decision of the doctor in the Emergency Room), the patient is obliged to contact the Department of Medical Records and Statistics (tel. 22 25 59 861) to set a new date of operation.