Journal of Indira Gandhi Institute Of Medical Sciences

LETTER TO EDITOR
Year
: 2022  |  Volume : 8  |  Issue : 1  |  Page : 69--70

Our experience of working in a non-COVID hospital during the first wave of the COVID pandemic


Kumar Sanjeev1, Nidhi Arun1, Bharti Alok Kumar1, Kumar Sanjay2,  
1 Department of Anaesthesia, Indra Gandhi Institute of Medical Sciences, Patna, Bihar, India
2 Department of Community Medicine, Indra Gandhi Institute of Medical Sciences, Patna, Bihar, India

Correspondence Address:
Nidhi Arun
E/302, Jalalpur Heights, Mansarovar Colony, RPS More, Patna - 801 503, Bihar
India




How to cite this article:
Sanjeev K, Arun N, Kumar BA, Sanjay K. Our experience of working in a non-COVID hospital during the first wave of the COVID pandemic.J Indira Gandhi Inst Med Sci 2022;8:69-70


How to cite this URL:
Sanjeev K, Arun N, Kumar BA, Sanjay K. Our experience of working in a non-COVID hospital during the first wave of the COVID pandemic. J Indira Gandhi Inst Med Sci [serial online] 2022 [cited 2022 Oct 6 ];8:69-70
Available from: http://www.jigims.co.in/text.asp?2022/8/1/69/338361


Full Text



Not much was known about this novel coronavirus disease-19 (COVID-19), hence mortality and morbidity globally was on their peak.[1] Being a tertiary care center with multiple broad and super-specialty departments, with dedicated state cancer and regional ophthalmology institute, our hospital was declared as a non-COVID-19 hospital by the state government during the first wave of the pandemic. Our responsibility was to cater to patients with all other illnesses except COVID-19 so that the healthcare needs of other patients did not get compromised amidst this pandemic.

At this moment, when the third wave of the pandemic is knocking our doors, as we look back and review our journey, we have a story to tell, how we paved our path strongly from fear, insecurities, and dilemma to coordinated and smoothly functional health-care center. Initially, our healthcare system was not at all prepared for the war against this pandemic. We did not have personal protective equipment (PPE), COVID testing facilities, enough life-saving equipment, ventilators, dedicated intensive care unit (ICU), and operation theaters as well as guidelines and standard operating procedures (SOP) for such crisis.

A separate committee was formed to look after all the aspects and to make new guidelines to handle this situation. First, necessary changes were made in SOP by hospital administration for smooth functioning. We restricted the patient registration for a single day for the ease of managing the crowd of patients and their attendants. Regular and extensive sanitization of the hospital and premises was started. Several informative posters were displayed in the common area and Covid facts were announced on speakers for public awareness. We started screening patients before getting them admitted in respective wards, ICU or posting for any minor or major procedures. Only non-COVID-19 patients were admitted, COVID-positive patients were sent to state-assigned dedicated COVID-19 hospitals for further management by hospital ambulance. Even after screening before admission, on several occasions, patients were found to be COVID-19 positive after admission or after the operative procedure. Hence, the guideline was revised to repeat COVID-19 testing after 7 days and all due safety measures and PPE were made mandatory for all health-care workers. Our center became the nodal center for reverse transcription-polymerase chain reaction testing for COVID-19.

Only educated and trained minds can take adequate precautions. Hence, we also focused on educating our frontline warriors such as doctors, nursing staff, paramedics, hospital attendants, and sanitary workers to keep themselves as well as others safe by practicing safe measures. In the mean time hospital administration had procured enough PPE, masks, face shields, sanitizers, ventilators, and COVID-19 diagnostic kits and reagents with aid from the state Government. We conducted several lectures on ways of sanitization and cleaning of floor, curtains, bed, machines, used instruments and equipment, etc.

During the devastating second wave of the COVID-19 pandemic, our hospital was converted to one of the few dedicated COVID-19 hospitals of our state. We marvelously carried out the responsibility given to us. During this journey, we learnt, we improvised, we developed and we get prepared to beat the pandemic in all effective ways.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Kachroo V. Novel coronavirus (COVID-19) in India: Current scenario. Int J Res Rev 2020;7:435-47.