E mer genc y Pr epar edness Pr epar ation And COVID-19 Ka - PowerPoint PPT Presentation

2020 E mer genc y Pr epar edness Pr epar ation And COVID-19 Ka te Hill, RN

FIRST A BIG THANK YOU

COVID-19

Soc ial Distanc ing

COVID-19 If you feel sick, stay home • If your children are sick, keep them • home If someone in your household has • tested positive, keep the entire household at home. If you are an older person, stay home • and away from other people IF you are a person with a serious • underlying health condition that can put you at increased risk, stay home and away form other people. cdc.gov/COVID-19

COVID-19 cdc.gov/COVID-19

Pr otec tive Gear cdc.gov/COVID-19

Re moving PPE Doffing (taking off the gear): More than one doffing method may be acceptable. Training and practice using your healthcare facility’s procedure is critical. Below is one example of doffing. 1. Remove gloves. Ensure glove removal does not cause additional contamination of hands. Gloves can be removed using more than one technique (e.g., glove-in- glove or bird beak). 2. Remove gown. Untie all ties (or unsnap all buttons). Some gown ties can be broken rather than untied. Do so in gentle manner, avoiding a forceful movement. Reach up to the shoulders and carefully pull gown down and away from the body. Rolling the gown down is an acceptable approach. Dispose in trash receptacle.* 3. HCP may now exit patient room. 4. Perform hand hygiene. cdc.gov/COVID-19

Re moving PPE 5. Remove face shield or goggles. Carefully remove face shield or goggles by grabbing the strap and pulling upwards and away from head. Do not touch the front of face shield or goggles. 6. Remove and discard respirator (or facemask if used instead of respirator).* Do not touch the front of the respirator or facemask. » Respirator: Remove the bottom strap by touching only the strap and bring it carefully over the head. Grasp the top strap and bring it carefully over the head, and then pull the respirator away from the face without touching the front of the respirator. » Facemask: Carefully untie (or unhook from the ears) and pull away from face without touching the front. 7. Perform hand hygiene after removing the respirator/facemask and before putting it on again if your workplace is practicing reuse cdc.gov/COVID-19

COVID-19 1. Avoid close contact with people who are sick. 2. Cover your cough or sneeze with a tissue, then throw the tissue in the trash. 3. Avoid touching your eyes, nose and mouth 4. Clean and disinfect frequently touched objects and surfaces. 5. Stay home when you are sick, except to get medical care. 6. Wash your hands for 20 seconds with soap and water. cdc.gov/COVID-19

OR E GON OF F ICE OF E ME R GE NCY MANAGE ME NT

OR E GON OF F ICE OF E ME R GE NCY MANAGE ME NT OREGON PEAK MAY 5, 2020

OR E GON OF F ICE OF E ME R GE NCY MANAGE ME NT DO YOUR PART : • Ore g o n COVI D-19 da ily upda te • so c ia l dista nc ing • g o o d hyg ie ne • re spo nsib le sho pping • pre pa ring yo ur ho me • pro te c ting yo ur me nta l he a lth • c o ping with stre ss a nd c risis line s • 2 we e ks re a dy

Door Sign PROTECTION PATIENT ZONE ™ STOP FOR SAFETY TEAM, INC. THE COMPLIANCE If you are experiencing any of these symptoms: Cough Fever Shortness of breath Please go back to your car and call us. Clinic Phone Number We will come OUTSIDE to you.

A T T HE C L INIC Go to the c a r, g ive the m a ma sk a nd tria g e the pa tie nt in the c a r. Ask sc re e ning que stio ns: Ha ve yo u tra ve le d o utside the US, whe n a nd whe re o r e ve n in the US to NY o r L A. Ha ve yo u b e e n in c o nta c t with so me o ne who ha s the virus Che c k fo r fe ve r, so re thro a t, a nd sho rtne ss o f b re a th. De c ide : I f suspic io us fo r COVI D-19, thre e c ho ic e s Se nd the m ho me if minima l sympto ms to se lf q ua ra ntine Se nd the m fo r te sting Se nd the m to a ho spita l if a c ute sympto ms ne e ding furthe r c a re . I nfo rm infe c tio n pre ve ntio n a nd c o ntro l se rvic e s, lo c a l a nd sta te pub lic he a lth a utho ritie s, a nd o the r he a lthc a re fa c ility sta ff a s a ppro pria te a b o ut the pre se nc e o f a pe rso n unde r inve stig a tio n fo r COVI D-19. L imit the numb e r o f pa tie nts in the wa iting ro o m.

YOUR F ACE T ry no t to to uc h yo ur fa c e . T he muc us me mb ra ne s o n yo ur fa c e a re e a sy e ntry-wa ys fo r the c o ro na virus. So unds simple b ut mo st pe o ple to uc h the ir fa c e 92 time s a da y a nd we to uc h it mo re whe n we a re stre sse d. Ye s so me o ne did a study o n tha t. Ma yb e tha t will he lp yo u re me mb e r!

Suspec ted Positive Patients Use o ne ro o m o nly a nd ha ve a sig n o n tha t do o r. I f pa tie nt is a b le , the y sho uld c o me in a lo ne Ale rt Pub lic he a lth a utho ritie s K e e p a lo g o n e ve ryo ne who e nte rs tha t ro o m, sta ff inc lude d K e e p the numb e r o f pe o ple in tha t ro o m to a minimum, o nly e sse ntia l sta ff PPE fo r Sta ff. I f yo u use no n-dispo sa b le line n, ho w a re yo u ha ndling it? T ry no t to use it a t this time .

Get Your Clinic R eady T ra in yo ur Sta ff, ta ke da ily sta ff te mpe ra ture s sinc e so ma ny a re a sympto ma tic E nsure tha t c linic a l sta ff kno w the rig ht wa ys to put o n, use , a nd ta ke o ff PPE sa fe ly. Re c o g nize the sympto ms o f COVI D-19— fe ve r, c o ug h, sho rtne ss o f b re a th. I mple me nt pro c e dure s to q uic kly tria g e a nd se pa ra te E mpha size ha nd hyg ie ne a nd c o ug h e tiq ue tte fo r e ve ryo ne . Ask sta ff to sta y ho me if the y a re sic k. Se nd sta ff ho me if the y de ve lo p sympto ms while a t wo rk.

Disc ontinuing Home Isolation People with COVID-19 who have stayed home (home isolated) can stop home isolation under the following conditions: If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened: You have had no fever for at least 72 hours (that is three full days of no fever without the use medicine that reduces fevers) AND other symptoms have improved (for example, when your cough or shortness of breath have improved) AND at least 7 days have passed since your symptoms first appeared If you will be tested to determine if you are still contagious, you can leave home after these three things have happened: You no longer have a fever (without the use medicine that reduces fevers) AND other symptoms have improved (for example, when your cough or shortness of breath have improved) AND you received two negative tests in a row, 24 hours apart. Your doctor will follow CDC guidelines.

Emergency Preparedness 42 CFR 491.12 Goa ls • Be a b le to sta te the re q uire me nts • Be able to state the ratio nale fo r c re ating an Afte r-Ac tio n Re po rt R § 491.12 (E o f CF me rg e nc y Pre pa re dne ss (E P) fo r the RHC) • Be a b le to ide ntify re so urc e s to c o mple te a c usto mize d E P Pla n

E mer genc y Pr epar edness Plan • Pla nning fo r thing s we ho pe will ne ve r ha ppe n. • On-site e ve nts a nd e me rg e nc ie s whic h ma y put sta ff a nd pa tie nts a t risk. • Off-site e ve nts a nd e me rg e nc ie s whic h ma y impa c t the de live ry o f se rvic e to RHC pa tie nts. • Co nting e nc y pla nning fo r inte rruptio n o f he a lthc a re se rvic e s.

L e ssons L e a rne d 2005 E ntire life time s o f he a lthc a re A le sso n le a rne d fro m Hurric a ne K a trina : I n 2005, o nly 25% o f o ffic e - do c ume nta tio n we re lo st fo re ve r fo r b a se d pro vide rs we re using ma ny c ritic a lly a nd c hro nic a lly ill e le c tro nic me dic a l re c o rds. pa tie nts. E MR is no w the sta nda rd.

Hurric a ne Ka trina • Do ro thy Jo ne s, RHI T , he a lth info rma tio n supe rviso r a t Me dic a l Ce nte r o f L o uisia na in Ne w Orle a ns, tho ug ht re mo ving the b o tto m ro ws o f re c o rds in he r ho spita l’ s b a se me nt sto ra g e fa c ility wo uld b e e no ug h to g ua rd a g a inst Hurric a ne K a trina ’ s punc h Aug ust 29, 2005. • I n a ma tte r o f ho urs, 400,000 me dic a l re c o rds we re re duc e d to pulp.

Hurric a ne Sa ndy 2012

Hurric a ne Sa ndy • While wa te r wa s impo ssib le to ho ld b a c k, the a va ila b ility o f he a lth info rma tio n b e fo re , during , a nd a fte r the sto rm re ma ine d re ma rka b ly sta b le . • Amo ng the use rs o f E HRs in the g re a te r Ne w Yo rk City a re a the re wa s o nly o ne re po rt o f re c o rds b e ing lo st, in a sma ll c linic tha t wa s a c tua lly in the pro c e ss o f c o nve rting the ir pa pe r re c o rds into a n E HR syste m. Ho we ve r, the re we re wide spre a d re po rts o f pa pe r re c o rds b e ing lo st. • I n Ne w Je rse y, with fe we r ho spita ls in the dire c t impa c t zo ne , the Sta te Re g io na l E xte nsio n Ce nte r Pro g ra m pla nne d in a dva nc e b y c o nta c ting pro vide rs prio r to the sto rm’ s la ndfa ll with instruc tio ns o n ho w to b a c k up da ta sto re d in the the ir E HRs. T his pla nning a ssure d tha t pa tie nt info rma tio n wo uld b e sa fe a nd a c c e ssib le during a nd a fte r the sto rm.