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Sharing of measures observed at my institution in #HongKong currently in place for #COVID19 and some personal practice I have adopted, not exhaustive:

#endoscopy #medtwitter #gitwitter #bettersafethansorry #weareinthistogether #fighting
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Departmental
1. Cut all elective cases (only GI bleeds, cholangitis, OJ left; cancer cases reviewed case-by-case)
2. FTOCC +ve should be deferred if possible
3. Full PPE (hair net, face shield/goggles, N95, gowns, gloves etc) as appropriate per local guidance
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4. Extended use of N95, but not reuse (changing is protecting patients more than healthcare staff; if you take it off you shouldn't put the same one back on)
5. Scopes done by senior/independent endoscopists; no more training to reduce staff risk exposure and preserve PPE
4/
6. No visiting policy except on compassionate grounds
7. Staff forums, departmental meetings and communication kits
8. Daily emails from management to frontline on situation in Hong Kong
9. Cancelling of most/all physical meetings and adopt teleconferencing if needed
5/
Personal
10. Wear masks, wash hands, social distancing
11. Keep a bottle of alcohol based hand rub at all times
12. Keep packs of tissue paper and use as barrier when touching handles etc.
13. Open doors with pens, elbows
14. Press lift buttons with pens (again), keys
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15. "dirty" shoes and "clean" shoes and attire
16. I wear glasses, I have a pair that's "dirty" and a pair that's "clean"
17. Spray shoes with diluted bleach when get home
18. Shower before leaving hospital and/or shower first thing when home
7/
19. Avoid handshakes (easier for us as not social norm), touching face/chin
20. Clean-shaven and cut hair short
21. Exercise, plenty of fruits and vit C, adequate rest and sleep
22. Skip conferences
23. Some friends are renting a flat or hotel to avoid contact with family
And forgot to mention to get takeaways if possible for meals, if not then sit side-by-side rather than face to face

If you think this is too serious see what are Korean friends are required to do

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