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Covid 19 training.pptx

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Covid 19 training.pptx

  1. 1. Tips on using my ppt. 1. You can freely download, edit, modify and put your name etc. 2. Don’t be concerned about number of slides. Half the slides are blanks except for the title. 3. First show the blank slides (eg. Aetiology ) > Ask students what they already know about ethology of today's topic. > Then show next slide which enumerates aetiologies. 4. At the end rerun the show – show blank> ask questions > show next slide. 5. This will be an ACTIVE LEARNING SESSION x three revisions. 6. Good for self study also. 7. See notes for bibliography.
  2. 2. Covid19
  3. 3. Covid19 For healthcare personnel • In Waiting areas and queue patients should maintain a distance of 2meters from each other. • The healthcare workers should cover their nose and mouth with regular surgical face mask.
  4. 4. Self Protection.
  5. 5. Self Protection. • May start Tab. Chloroquine Phosphate 500mg./ Hydroxychloroquine 400mg.every week. • Dont’t apply foundation, sunscreen, liipstick with N95. • Don’t wear any jewellery, Bangles Watch, money, Belt, wallet, purse etc. • Shave beard. • Don’t carry mobile while on PPE. • San itize mobile frequently. • Don PPE before 1. Entering the room of a covid19 +ve . 2. Going within 3feet of a suspect. 3. Ask a suspect to don surgical mask himself. 4. Ask Covid19 +ve to put on N95 before you enter his
  6. 6. Self Protection. • Avoid touching eyes, nose and mouth. • Keep social distancing . • Frequent hand hygiene.
  7. 7. Self Protection. • Avoid/ be extremely careful aerosol generating procedures- 1. CPR – consider DNR 2. Endotracheal intubation 3. Non invasive ventilation- 1. Bi Pap 2. C Pap 3. Bag mask ventilation 4. High flow Oxygen. 5. Suctioning.
  8. 8. Self Protection. • Avoid/ be extremely careful aerosol generating procedures- 1. CPR – consider DNR 2. Endotracheal intubation 3. Non invasive ventilation- 1. Bi Pap 2. C Pap 3. Bag mask ventilation 4. High flow Oxygen. 5. Suctioning.
  9. 9. Self Protection. • Doff PPE very carefully – Outer surface is contaminated don’t touch it with bare hands. – Roll gown and gloves inside out. – Perform hand hygiene after doffing. – Doff inside isolation ward. – Don’t doff in corridor. – Use checklist by buddy system • Discard in proper bin/ disinfection bin.
  10. 10. Self Protection. •
  11. 11. Doffing Checklist.
  12. 12. Doffing Checklist. 1. Waterproof apron. 2. Shoe covers. 3. Gown and gloves peeled off as one unit., roll inside out. 4. Gum boots 5. Hand hygeine. 6. Head cover from behind. 7. Face sheild/ goggles. 8. Mask from behind lower string first outside doffng area. 9. Hand hygeine.
  13. 13. Donning & Doffing
  14. 14. Self Protection. Cleaning Staff • Don’t use broom (झाड ू ) only mopping • Use PPE – Splash proof gown – Goggles – Mask – Gum boots – Nitril gloves
  15. 15. Staff Protection. Doctors • Don’t prescribe Injections / IV fluids without clear indications..
  16. 16. Ventilation and Air conditioning .
  17. 17. Ventilation and Air conditioning . • 1.ACs should be run at 240C. • 2. ACs should be run with windows open. • 3.Heat Recovery Wheel should be set to Off position • 3.Suction of Central AC should not be allowed to recirculate. It should be vented through an upward plume 3meters height above the tallest point of hospital.
  18. 18. Ventilation and Air conditioning . • 4. In rooms with high viral load eg. Isolation room,Operation Theatre, labour room, endoscopy room,exhaust fans should be fitted and run when occupied, even with AC running, and block off the return air vents of these rooms. • 5.There must be half an hour gap between cases in OT • 5.Scavenging port of Anethesia machine and ventilators should be vented with a tubing into a receptacle filled with 1% hypochloride solution, to be changed daily.
  19. 19. Self Protection CPR.
  20. 20. Self Protection CPR. • Don’t rush. • Consider DNR beforehand. • Put on PPE +N95mask. • Minimize number of healthcare workers involved. • Avoid Chest compressions. • Avoid Bag and mask ventillation. • Avoid Suction. • Intubate >connect to mechanical ventillator.
  21. 21. Self Protection CPR. • Don’t ever give mouth to mouth/ mouth to tube respiration. • Don’t auscultate. • Use Intubation + defibrillation.
  22. 22. Levels of precautions
  23. 23. Levels of precautions Transmission-Based Precautions 1. Standard Precautons. 2. Droplet Precautions 3. Contact Precautions. 4. Airborne Precautions
  24. 24. Standard precautions
  25. 25. Standard precautions • hand hygiene • Give up hand to face habit • infectious waste management • sharps safety devices • PPE • respiratory hygiene/cough etiquette
  26. 26. Standard precautions • considers all person potentially infectious • applies to all individuals, regardless of presence/type of symptoms • used against exposure to blood, all body fluids, secretions, excretions (except sweat), mucous membranes, non-intact skin • Needle stick inury. • Safe waste anageent • Cleaning and disinfection of equipent. • Cleaning of envvironment.
  27. 27. Hand hygiene
  28. 28. Hand hygiene Wash hands: – before and after client contact – after removing gloves and other PPE – after contact with contaminated surfaces and items, specimens, even when gloves are worn – before eating or drinking – after using restroom – after coughing, sneezing, blowing nose
  29. 29. WHO 5mmoments of Hand hygiene
  30. 30. Standard precautions
  31. 31. Standard precautions 1) Work practices • hand hygiene • no eating, drinking in areas with risk of transmission • no re-capping of used needles 2) Engineering controls • safety devices on sharp medical devices • sharps containers • hand washing facilities
  32. 32. Droplet Precautions
  33. 33. Droplet Precautions For patients of respiratory infections 1. Source control: put a mask on the patient. 2. appropriate patient placement in a single room 3. PPE Don mask upon entry into the patient room or patient space. 4. patient to wear a mask and follow Respiratory Hygiene/Cough Etiquette.
  34. 34. Contact Precautions.
  35. 35. Contact Precautions. 1. Appropriate patient placement in a single patient space or room. 2. PPE gloves and gown. 3. Limit transport and movement of patients outside of the room . 4. Use disposable or dedicated patient-care equipment (e.g., blood pressure cuffs). If common use of equipment for multiple patients is unavoidable, clean and disinfect such equipment before use on another patient. 5. cleaning and disinfection of the rooms.
  36. 36. Airborne Precautions
  37. 37. Airborne Precautions • For HCWs performing Aerosol-generating procedures- • Open suctioning of respiratory tract. • Intubation • CPR
  38. 38. Airborne Precautions • Use PPE 1. Gloves 2. Full sleeved gown 3. Eye protection 4. Fit tested N95 respirators 5. User seal ceck before each use.
  39. 39. Infectious waste management
  40. 40. Infectious waste management sharps containers – puncture resistant – leak-proof, closable – labeled with biohazard symbol or white – do not overfill
  41. 41. Sharps safety devices
  42. 42. Sharps safety devices  Needle stick Safety and Prevention Act – Avoid the use of needles where safe alternatives are available – Never shear, break, bend, or
  43. 43. Sharps safety devices
  44. 44. Sharps safety devices  Needle stick Safety and Prevention Act – Dispose needle and sharps in proper container – Never reach into or overfill a sharp container
  45. 45. Personal protective equipment
  46. 46. Personal protective equipment • Specialized clothing or equipment worn by employees for protection against health and safety hazards. • Personal protective equipment is designed to protect many parts of the body, i.e., eyes, head, face, hands, feet, and ears
  47. 47. Personal protective equipment types gloves gowns aprons goggles, face shields surgical/procedure masks respirators
  48. 48. Standard precautions Respiratory hygiene/cough etiquette – cover mouth and nose with tissue when coughing, sneezing / into own elbow. – immediately toss tissue into yellow bin. – wash hands with soap and water or use alcohol gel – have client wear mask if possible – barriers for front line staff
  49. 49. IN OT • Handlesharp with instruments. • -Pass sharps to each other via kidney tray. • -Pass needle to and for needle holder & thumb forceps. • -Use thumb forcepsin left hand duringsurgery. • -Use instrument for retraction. • -Wear goggles during surgery. • -Throw sharps into sharp collector. • -Use skin stapler.
  50. 50. • -Wear gumboots in O.T. • -Report needle pricks to ART center. • -Soak used instruments in bleach beforew ashing.
  51. 51. IN OT • Do not Catch needle with hands. • -Do not Pass sharps hand to hand. • -Do not Recap used needle. • -Do not Use of straight needle. • -Do not Use hand for retraction. •
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  57. 57. Waste management for COVID-19 • Keep colour coded bins . • Double bags. • Label Bins, Bags, containers, trolleys “COVID19 waste”. • Transport “COVID19 waste” seperately from other waste. • BMW staff to wear PPEs Splash proof gowns, Goggles, Masks, Nitrile gloves, Gum boots. • Disinfect Bins, Bags, containers, trolleys 1% hypochlorite solution. • Make seperate Pit for burial.
  58. 58. Colour coding of Hospital Waste Transfer out if COVID-19 negative Discharge: afebrile for 48 hours; normal vital signs (pulse, respiration and BP
  59. 59. Sanitization • No brooms. • No Vaccume Cleaners • No Spraying No fumigation, No foggiing • Only mopping with 1% hypochlorite 3 times a day. • Unidirectio nal Mopping away from you. • The door knobs, handles, railings, lift switches, nursing platforms etc. should be frequently disinfected with 1% hypochlorite.
  60. 60. Get this ppt in mobile 1. Download Microsoft PowerPoint from play store. 2. Open Google assistant 3. Open Google lens. 4. Scan qr code from next slide.
  61. 61. Get this ppt in mobile
  62. 62. Get my ppt collection • https://www.slideshare.net/drpradeeppande/ edit_my_uploads • https://www.dropbox.com/sh/x600md3cvj8 5woy/AACVMHuQtvHvl_K8ehc3ltkEa?dl =0 • https://www.facebook.com/doctorpradeeppa nde/?ref=pages_you_manage