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Early Recognition and Source Control

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9 views

Early Recognition and Source Control

Uploaded by

dannymenard83
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Early recognition and source control

Dr. Kisanga
Manage ill patients seeking care
Use clinical triage in
health care facilities for
early identification of
Timely
and Admit patients with acute
patients to
effective dedicated
respiratory infection
triage and area (ARI) to prevent the
infection
control transmission of
Specific pathogens to health
Safe
transport
case and care workers and other
clinical
and patients.
manageme
discharge
nt protocols
home
• Prevent overcrowding.
• Conduct rapid triage.
Triage • Place ARI patients in dedicated
waiting areas with adequate
ventilation.
Timely Admit • In addition to standard
and patients
effective to precautions, implement droplet
triage and dedicated
infection area precautions and contact
control
precautions (if close contact with
Safe
Specific
case and
the patient or contaminated
transport
and
clinical
managem
equipment or surfaces/materials).
discharge
home
ent
protocols
• Ask patients with respiratory
symptoms to perform hand
hygiene, wear a mask and perform
respiratory hygiene.
• Ensure at least 1 m distance
between patients
Triage cont…
The triage/screening area requires the
following equipment:​
• Screening questionnaire​
• Algorithm for triage​
• Documentation papers​
• PPE​
• Hand hygiene equipment
and posters​
• Infrared thermometer​
• Waste bins and access to
cleaning/disinfection​​.
Triage cont…
Set up of the area during triage:

1. Ensure adequate space for triage​(maintain


at least 1 m distance between staff
screening and patient/staff entering​)
2. Waiting room chairs for patients should be
1m apart​
3. Maintain a one way flow for patients and for
staff​
4. Family members should wait outside the
triage area-prevent triage area from
overcrowding​
• Place patients with ARI of
Hospital admission potential concern in single,
well ventilated room, when
possible

• Cohort patients with the


Timely
and
Admit
patients
same diagnosis in one area
effective to
triage and dedicated
infection area
control • Do not place suspect
Specific
patients in same area as
Safe
transport
case and
clinical
those who are confirmed.
and managem
discharge ent
home protocols
• Assign health care worker
with experience with IPC and
outbreaks.
Additional
Precautions
Patients suspected or confirmed COVID-19
• Contact and droplet precautions for all patients with
suspected or confirmed COVID-19

• Airborne precautions are recommended only for aerosol


generating procedures (i.e. open suctioning of respiratory
tract, intubation, bronchoscopy, cardiopulmonary
resuscitation).

• Cohort: All patients with respiratory illness should be in a


single room, or minimum 1m away from other patients
when waiting for a room
• Dedicated & trained HCW
• HCW to wear PPE: a medical mask, goggles or face
shield, gown, and gloves
• Hand hygiene should be done any time the WHO “4
Moments” apply, and before PPE and after removing
PPE
Patients suspected or confirmed COVID-
19.
• Equipment should be single use when possible.
• Avoid transporting suspected or confirmed cases
– if necessary, have patients wear masks. HCW
should wear appropriate PPE.
• Routine cleaning of the environment is crucial
• Limit the number of HCW, visitors, and family
members who are in contact with the patient. If
necessary, everyone must wear PPE.
• All persons entering the patients room (including
visitors) should be recorded (for contact tracing
purposes).
• Precautions should continue until the patient is
asymptomatic.
Additional Control
Measures
Administrative Controls

• Provision of adequate training to HCWs;


• Ensuring an adequate patient-to-staff ratio;
• Establishing a surveillance process for acute respiratory infections
potentially caused by COVID-19 among HCWs;
• Ensuring that HCWs and the public understand the importance of
promptly seeking medical care;
• Monitoring HCW compliance with standard precautions and
providing mechanisms for improvement as needed.
Conclusions
• IPC is key for containment
• Based on key principles- Hand Hygiene, Respiratory
etiquette, safe distance
• Hospital Infection Prevention & control- Standard &
Additional precautions
– Protect Yourself and the community
– Triage & Admissions
– PPE
• Judicious and Appropriate use
• Pay attention to donning and doffing
• Home care precautions
Resources
• WHO Coronavirus Homepage
• https://www.who.int/emergencie
s/diseases/novel-coronavirus-201
9
• All coronavirus (COVID-19)
technical guidance documents
• https://www.who.int/emergencie
s/diseases/novel-coronavirus-201
9/technical-guidance
• IPC documents
• https://www.who.int/emergencie
s/diseases/novel-coronavirus-201

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