General practitioners and pediatricians
As far as the studies of family doctors and pediatricians are concerned, it is important that the visits are made as far as possible only by appointment and after telephone triage; each doctor prefers remote mode (email and telephone) both for reservations and for sending the patient the reminder of the dematerialized recipe; the waiting room is organized in such a way as to guarantee a distance between people of more than one meter and specific measures are provided (such as not using automatic door openers) to control patient entry; doctors, patients and study staff wear the appropriate protective devices and sanitize their hands; at each visit, the doctor will sanitize the surfaces with which the patient has come into contact and dispose of new disposable material to protect the bed, if used during the visit; the patient respects the timetable and does not show up with a frontal temperature higher than 37.5 °; the premises are, when possible, naturally ventilated and ventilation and filtration systems are installed where necessary (there are effective and economically sustainable solutions in this regard); the proposed protocol for home visits of No Covid patients is fully respected; a massive flu vaccination campaign is being promoted for next autumn.
As for the RSAs, we recommend in particular: the complete sanitization of the structure; the provision of a single access point and the adoption of two separate routes, Covid and No Covid; the adoption of appropriate precautions for personnel, visitors, suppliers / external employees who enter the structure (dpi, hand sanitation, temperature measurement); the identification of a contact person for the prevention and control of infections and for Covid-19 and staff training; periodic carrying out of swabs and serological tests for health professionals; the reorganization of the spaces, dividing them into three categories: Covid positive, negative and negative patients, with the separation also of assigned staff; that relatives’ visits take place only by appointment, in a dedicated room and after telephone triage for visitors; that the insertion of new guests is carried out only with evidence of negative swab in the previous 72 hours, is followed by isolation of 14 days after insertion into the structure and until a new negative swab is obtained. Particular attention must be paid to returning guests to hospital after hospitalization: in the case of positive patients, admission to intermediate Covid structures is necessary; in the case of negative patients, isolation is recommended for 14 days, after which an additional swab is made. With negative results, the guest will be able to return to his room; in the case of already negative patients, isolation is recommended for the time necessary to carry out a second swab within 48 hours from the first. In the event of a negative outcome, the guest can return to his room.
As for territorial services: provide adequate spaces between the counters and in the waiting rooms, with differentiated entry and exit paths; organize visits to avoid gatherings: evaluate whether to make visits over 10-12 hours a day and evaluate the opportunity and feasibility of extending working hours also on Saturdays and Sundays; computerize all administrative procedures as much as possible. Each healthcare company should establish a dedicated call center service for requests for information; for withdrawals: provide the service mainly by reservation, staggering the arrival of patients appropriately; ensure the activity of consultants and vaccinations, in compliance with precautionary measures.