Family Hospitals COVID-19 update

Family Hospitals accepts walk-in patients (without agreement). However for your convenience we recommend to do appoinment to the registration number. You will still get a queue number according to your arrival time.

Moms or your little one is welcome to the Screening Area to take temperature measurements and fill out the screening form. If Moms and your little one or other companions pass the screening criteria, they will be invited to enter the main building to consult at the designated specialist polyclinic. The screening criteria that we apply are :

• No health symptoms / complaints
• Not currently in quarantine
• The results of the covid-19 test in the last 14 days were negative.

During the COVID-19 pandemic, standard class treatment rooms can be filled with a maximum capacity of 50% and a minimum distance of 1.5 meters the beds.

Family Hospitals have a "No Visitor Allowed" protocol during the pandemic where visiting hours are eliminated.

1. In RSIA GRAND FAMILY, inpatient waiting is only allowed for classes:
   • Deluxe: maximum 1 person (maximum 2 people allowed for child patients)
   • Executive VIP: maximum of 2 people
   • President Suite: maximum 3 people
2. For RSIA FAMILY, inpatient waiters are only allowed for classes:
   • Executive VIP, maximum 2 VIPs
   • Deluxe + and Deluxe with a maximum number of 1 person.
3. The companion is required to screen the Rapid Antigen Test. If the results are non-reactive, the companion will be given a Companion Card which must be used while in the hospital treatment area and show the maintenance floor security officer and the room nurse.

COVID-19 is mainly transmitted from person to person via respiratory droplets that can be inhaled directly or airborne (circulating air). These droplets come out when someone  COVID-19 sneezes, coughs, or talks. People who have COVID-19 are said to be most contagious when they have symptoms but the spread can also occur even if a person is asymptomatic. To help limit the spread of infection, you and your family should wear masks, maintain hand hygiene, avoid handshakes and large gatherings, and practice social distancing.

Just like patients and escorts, all staff at Family Hospitals must pass through screening before entering the hospital area. All hospital employees are also required to Rapid Test Antigen 2 times per month.

 Yes, pregnant women may be affected by COVID-19.

74% of pregnant women do not have any symptoms (asymptomatic). In some cases, pregnant women show mild to moderate flu symptoms. Fever and cough are the most common symptoms, with runny nose and sneezing being less frequent. Although most pregnant women have no symptoms, 13% of pregnant women with COVID-19 experience serious illness. Several comorbid diseases in pregnant women such as chronic hypertension, diabetes mellitus and pre-eclampsia cause the symptoms of COVID-19 to be heavier. Studies show that pregnant women have no more (or less) symptoms of COVID-19 than women who are not pregnant. Some theories even suggest that mother-to-baby transmission of COVID-19 occurs after birth. New research shows the amniotic fluid, umbilical cord blood, neonatal throat swabs and placenta from mothers infected with COVID-19 negative for the virus.

In connection with Family Hospital NOT RECEIVING / CARING FOR COVID-19 CONFIRMED PATIENTS, so if the mother has a COVID-19 confirmation status and the delivery is planned / elective, the Specialist Doctor will coordinate with the ER team to look for a referral hospital for further treatment. Patients will be transported by ambulance by a trained medical team.

Basically, all the recommendations given by doctors take into account the conditions and medical indications of the mother and baby. There is no evidence to suggest that a caesarean section is safer for women who have COVID-19. Pregnant women during the COVID-19 pandemic can undergo normal delivery or caesarean section, according to the results of the doctor's examination and the indications for both mother and baby. In normal and cesarean delivery, the Team of Doctors and Hospitals still prioritizes patient safety procedures and health protocols in an effort to prevent / minimize the chain of spread of the COVID-19 virus.

According to the Centers for Disease Control and Preventions (CDC), COVID-19 in pregnant women can increase the rate of preterm birth. Research shows the risk of preterm birth is 3.01 times higher in mothers who have COVID-19. In addition, the risk of babies being treated in special infant units is also 3.13 times higher if the mother has COVID-19. Affected newborns, either from transmission in the womb or from early infection, do not appear to develop serious illness. To date, the rate of confirmed COVID-19 cases among children has been much lower, compared to the general population.

For the location of the Grand Family Hospital, there are 2 alternative IGDs to separate healthy and sick patients. Patients or children who have symptoms and do not pass the screening at the entrance will be given a red sticker and can consult with a general practitioner or specialist in the emergency screening building according to the doctor's schedule available. Meanwhile, in RSIA Family, we separate the examination area for patients with complaints so that you can still consult a specialist in the ER or through teleconsultation.

Our hospital has strict health protocols to minimize the risk of transmitting COVID-19. Some of the things we do are:

• Perform routine screening of medical personnel and employees, including nursery nurses (can be seen in the next point)
• Implement a "hand on hand" protocol whereby all doctors and nurses perform hand hygiene and change gloves after contact with each baby.
• During the room in session, Moms and Dads or other companions are also required to keep wearing a mask.

Research shows that babies are at risk for infection with COVID-19. However, the American Academy of Pediatrics says that room-in sessions can be performed on mothers who have confirmed COVID-19 with the following recommendations:

Keep your distance whenever possible

• Use a mask every time

• Perform hand hygiene

Research shows that the COVID-19 virus cannot be found in breast milk. Therefore, breastfeeding is recommended by the American Academy of Pediatrics, which can be done in two ways:

• Direct Breastfeeding by performing hand hygiene and using masks

• By pumping breast milk and then given it to the baby by another person.

You can still visit by complying with the following Intensive Care Room entry rules:

• MANDATORY use a mask

• MANDATORY use cover shoes for foot protection, hair cap for head protection and clean clothes / gowns.

• It is MANDATORY to carry out hand hygiene using soap / handrub provided at the front (entrance) of the Intensive Room and Baby's Room

• If it is allowed to touch the patient by the doctor / officer, it is MANDATORY to use disposable gloves and throw them away immediately when you leave the room.

• The number of patient visitors who are allowed to be inside is a maximum of 2 (two) people with a maximum duration of 10 minutes (except in certain conditions with the approval of the doctor / nurse on duty)

• Not allowed to bring more than 1 (one) item (bag, bag, etc.) into the Intensive Space