Universal testing and intensive screening and management of high-risk facilities in vulnerable groups (eg nursing home residents, patients with complex neurology) Isolation of any suspected COVID-19 case, until two negative samples (preferably deep respiratory samples) with complete resolution of symptoms Cohorting of exposed contacts and monitoring for symptoms for 14 days Social distancing (2-metre rule in non-clinical areas) during handover meetings and in staff areas Self-quarantine of all staff with close contact with a COVID-19 patient with any breach of PPE or with positive staff member in non-clinical area where social distancing not adhered to Prioritise infection control over capacity issues Fast-turnaround, high sensitivity COVID-19 testing available 24/7 Awareness of false negative rates Universal mask coverage Meticulous tracheostomy care (whatever COVID-19 status) in a separate area Full PPE for any AGP (including if a patient is on humidified oxygen) Visors for nasogastric tube insertion Enhanced cleaning on a COVID ward with frequent cleaning of touch points (every 2 hours)
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