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BRIHANMUMBAI MUNICIPAL CORPORATION

PATIENTS & CAREGIVERS


BMC HOME
ISOLATION PROGRAM
IMPORTANT NUMBERS

1 COVID WARD WAR-ROOM NUMBERS


In case patient develops fresh symptoms or there is worsening of symptoms, please contact your
WARD CONTROL ROOM during emergency for booking an ambulance or a hospital bed.

8879713135

9321296335

7208543717

8592388243

Updated as of 5th April 2021

HOME ISOLATION REMOTE MONITORING PROGRAM IS A BMC


INITIATIVE IN PARTNERSHIP WITH PROJECT STEPONE.

DESIGNED BY HETA BHUTA ( slateco.in | www.slateco.in)


INSTRUCTIONS
FOR THE PATIENT

1 DOWNLOAD AAROGYA SETU APP


AND SHOULD BE ACTIVE AT ALL TIMES

2 ENSURE HOME ISOLATION RULES FOR YOURSELF

Separate well Don’t share personal Strictly follow the


ventilated room with items (utensils, physician’s instructions
attached / dedicated towels,linen, clothes, and take your routine
toilets. Do not share etc) with other medications as
space with other people. prescribed by your
family members. doctor.

3 EARLY WARNING SIGNS

Difficulty in Oxygen saturation less Persistent fever Persistent pain / Mental confusion or
breathing. than 95% (measured on more than 100ºF pressure in the chest inability to arouse or
fingertip pulse oxymeter) or cough. drowsiness

Any other symptom as advised by treating medical officer / physician.

4 SELF-MONITORING
Self-monitor your health and inform your physician / BMC ward war
room if you develop any deterioration of symptoms.
Update your health status on the daily automated IVR call received from BMC

HOW TO SELF-MONITOR?
Do health checks thrice a day or every 8 hourly:
Temperature Measure your oxygen 6 minute walk test: Measure
checks (a normal saturation by placing your your oxygen after mild exertion
range is 97ºF-99ºF middle finger in the pulse activity like a 6 minute walk in
or 36.1ºC-37.2ºC) oxymeter (Normal range is your room and meausre if there
more than 95%). is any drop in the oxygen level.

Continue monitoring Keep a record of your temperature, oxygen saturation level


blood pressure / blood and other symptoms in a register.
sugar if required.

5 OTHER SYMPTOMS CHECK


Sore throat, Fatigue, Body aches, Running nose/cold, Loss of smell and taste, Headache,
Vomiting, Loose motions, Any other new symptoms or worsening of symptoms

Please consult your family physician / treating medical officer regulary for treatment.

DESIGNED BY HETA BHUTA (heta.jpg@gmail.com)


INSTRUCTIONS
FOR THE PATIENT

6 MAINTAIN HAND HYGIENE AND OTHER HYGIENE ETIQUETTES

Clean surfaces in the room that are touched often


(tabletops, doorknobs, handles, etc.) once or twice
a day with 1% hypochlorite solution.

7 USE MASK
Wear a triple layer medical 8 hrs Discard mask after use or
mask appropriately when they become wet or
(covering both mouth and visibly soiled, only after
nose and well fitted to the disinfecting it with 1% Sodium
face) all the time. Hypo-chlorite for 15 mins.

8 REGULAR HAND WASHING / SANITIZATION

Wash your hands with soap and water at least Alcohol-based hand
for 40 seconds using seven steps of hand rub (having >60%
washing. Ideally, wash hands every 2 hours / alcohol) can be used,
before and after eating / after using the toilet / if hands are not
and whenever hands look dirty. Use dedicated visibly soiled.
clean hand towels for drying your hands.

9 REST, DIET, NUTRITION, AND EXERCISE

Take adequate rest 7-8 hrs Diet – Eat a healthy high protein
a day. diet, with three meals per day,
containing adequate vegetables
and fruits.
Drink lots of fluids to Protein rich food: Pulses if
maintain adequate hydration. vegetarian / Egg if non-vegetarian.
Water intake: 8-10 cups.

STRICTLY
AVOID
Steam inhalation and warm Alcohol intake / smoking if the
water gargles. patient has any such habits.

Do meditation or yoga to
de-stress yourself.

DESIGNED BY HETA BHUTA ( slateco.in | www.slateco.in)


INSTRUCTIONS
FOR THE PATIENT

10 TREATMENT PROTOCOL FOR HOME ISOLATION

Those patients who do not have family physicians are advised the following medications.
Tab. Vitamin C 500 twice a day (daily)
For asymptomatic
Tab. Zinc 50 mg once per day (daily)
patients
Tab. Vit. D 60000 IU stat (only once during the treatment)

For mild Tab. Vitamin C 500 twice a day (daily)


symptomatic Tab. Zinc 50 mg once per day (daily)
patients Tab. Vit. D 60000 IU stat (only once during the treatment)
Tab. Paracetamol SOS if fever
Tab. Levocetrizine if cold
Steam inhalation, salt warm water gargles [3 times a day]

Senior citizens and patients having co-morbities like Diabetes, High Blood Pressure,
Asthama, Cancer, Kidney / Lung / Heart diseases have to take special care and
consult their doctor regularly.

Patients who are under home isolation are advised to carry out the following
investigations at their own expense from pathology testing labs: CBC, Fasting
Sugar, LFT, RFT, HbA1C.
(Investigations specially advised for co-morbid patients).
Please consult your physician / medical officer / doctor for any other medications
or any other investigations.

The patients under home isolation or discharged from a hospital (post COVID)
must keep a close check on their symptoms. In case of worsening of any
symptoms, immediately contact the nearby post COVID OPD at a BMC or
private hospital or contact your physician for a check-up.

11 UNDERSTAND THAT THE PROCESS IS ‘PHYSICAL’ ISOLATION AND


NOT ‘EMOTIONAL’ ISOLATION.

Keep contact with family Watch Television Read


members or relatives & Play games on books.
and friends over a Laptops.
phone and video call.

EMOTIONAL WELLNESS HELPLINE NUMBER

Due to Covid-19 are you feeling: STRESSED / DEPRESSED / LONELY / ANXIOUS / WORRIED?
For your emotional wellness speak to our trained counsellors 1800-102-4040.

Samvaad
FOR YOUR EMOTIONAL WELL-BEING

DESIGNED BY HETA BHUTA (heta.jpg@gmail.com)


INSTRUCTIONS
FOR THE CAREGIVER

1 DOWNLOAD AAROGYA SETU APP


AND SHOULD BE ACTIVE AT ALL TIMES

2 ENSURE HOME ISOLATION RULES FOR COVID POSITIVE PATIENTS


Assign one person - Limit movement
who is in good health of patient to the No visitors in the
and no co-morbities assigned room house until complete
as a caregiver. - No shared space patient recovery.
with the patient

3 USE MASK

Wear a triple layer medical mask – Do not touch the front, but
/ N95 mask appropriately instead, untie it from behind.
(covering both mouth, nose and - Don’t touch the mask
well fitted to the face). during use.
- Change masks daily
Ideally all the time but especially when - Do not reuse masks
in the same room as the patient.

Change immediately if the Discard mask after 8 hr use or when


mask gets wet or dirty with they become wet or visibly soiled,
secretion. only after disinfecting it with 1%
Sodium Hypo-chlorite for 15 mins.

4 REGULAR HAND WASHING / SANITIZATION


Wash your hands with soap and water at least for Alcohol-based hand rub
40 seconds using seven steps of hand washing. (having >60% alcohol) can
Ideally, wash hands thoroughly before and after be used, if hands are not
interacting with the patient. Use dedicated clean visibly soiled.
hand towels for drying your hands.

Follow respiratory etiquettes Avoid touching your face, nose,


like coughing and sneezing in or mouth as far as possible
mask/tissues. without washing hands.

WHEN TO WASH HANDS? Ideally, every 2 hours


ESSENTIAL:
- Immediately after contact with patient or - Before & after eating
patient’s immediate environment - After using the toilet
- Before & after preparing food - And whenever hands look dirty.

DESIGNED BY HETA BHUTA ( slateco.in | www.slateco.in)


INSTRUCTIONS
FOR THE CAREGIVER

5 FOLLOW THESE RULES WHILE BEING WITH THE PATIENT

Use of PPEs (triple-layered medical Clean hands before & after Provide food to patient in
mask, gloves, plastic apron) while taking off gloves or handling their room
handling the patient any items used by patient

Avoid direct contact with the Disinfect the


body fluids of the patient and patient’s room and
contaminated items in patient’s surfaces that are
immediate environment (e.g. frequently touched
masks, utensils, dishes, gloves, (e.g. bedside
drinks, used towels, bed linen). table, bathroom,
and toilet surfaces)
at least once daily
with regular
Wash patient’s utensils & household soap or
dishes with soap/detergent & detergent
water while wearing gloves followed by 1%
(Note: Utensils and dishes may hypochlorite
be re-used) solution.

Use PPEs (triple-layered medical mask, gloves, plastic apron) while cleaning
or handling surfaces, clothing, or linen used by the patient

Patient’s laundry to be washed separately using regular laundry soap and


water or machine wash at 60–90 °C (140–194 °F) with common household
detergent and dry thoroughly (preferably sun dry).

BIOMEDICAL WASTE MANAGEMENT


Segregate all masks, tissues, or other disposable items used by the patient
in a closed dustbin and pack separately in a bag for disposal only after
disinfecting it with 1% Sodium Hypo-chlorite for 15 mins.

DESIGNED BY HETA BHUTA (heta.jpg@gmail.com)


INSTRUCTIONS
FOR THE CAREGIVER

6 MONITORING HEALTH STATUS OF OTHER FAMILY MEMBERS


Do health checks thrice a day or every 8 hourly:

- In case of onset of any COVID symptoms, please get the Covid test
done immediately.

- Special care to be taken for family members with Diabetes,


Hypertension, COPD, Asthma, Heart / Kidney / Lung diseases / Liver
disease and elderly / pregnant women since they are at high risk of
contracting the disease.

- Ensure that all close contacts shall remain in home quarantine and not
leave the house.

7 IF TRAVELING TO SEEK EMERGENCY CARE FOR PATIENT

Wear a Maintain social Avoid public transport / autos / cabs


medical mask. distancing. (call an ambulance from the ward
war-room or use a private vehicle).

Carry an Inform medical centre


alcohol-based beforehand about your visit
hand sanitizer. and share the COVID report.

DESIGNED BY HETA BHUTA ( slateco.in | www.slateco.in)

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