1. TRAINING ON HOSPITAL MANAGEMENT FOR EBOLA VIRUS DISEASE
DEPARTMENT OF HEALTH
RESEARCH INSTITUTE FOR TROPICAL MEDICINE
TRAINING ON HOSPITAL MANAGEMENT FOR EBOLA VIRUS DISEASE
CELIA C. CARLOS, MD, FPPS, FPIDSP, FPSMID
Director III

2. General Training Objective
To be able to provide safer care for patients with EBOLA Virus Disease and to stop disease transmission in the healthcare and community setting.

3. Series of specific objectives for each activity

4. Scientific Program Day 1 Time Activity/Lecture Faculty/Speaker
Registration
Completion of Pre-training Assessment Form by participants during registration
Secretariat
8:00 – 8:45 AM
Opening prayer
National Anthem
Welcome Address
Messages
Introduction to the Course
Introduction of Participants
Group Picture
Emcee: Mr. Jun Orbina (RITM)
Dr. Socorro Lupisan (RITM)
Usec. Janette Garin (DOH)
Acting Secretary of Health
Dr. Julie Hall (WHO)
Dr. Celia C. Carlos
Mr. Jun Ryan Orbina (RITM)
8:45 – 9:15
EBOLA BASICS AND BACKGROUND
Dr. Manolito Chua (RITM)
Emeritus Prof. Rick Speare (WHO)
9:15 - 9:30 AM
EBOLA RESTON IN THE PHILIPPINES
Dr. Catalino Demetria (RITM)
9: :00 AM
Clinical Care Of EVD: Screening and Triage
Dr. Mari Rose De los Reyes (RITM)
10: :30 AM
BREAK
10:30 – 10:50 AM
Laboratory Diagnosis of EVD
10: :20 AM
Clinical Management and Discharge Criteria
Dr. Arthur Dessi Roman (RITM)
11: :45 AM
Laboratory Support And Biosafety In Specimen Handling In The Management Of EVD
Dr. Catherine Masangkay (RITM)
11: :45 PM
LUNCH

5. Time Activity/Lecture Faculty/Speaker
12:45 – 1:45 PM
SIMULTANEOUS SESSION
Lecture 1
Auditorium
Risk Assessment and Biosafety For Laboratory Personnel
Biosafety in the Laboratory –
Mr. Neil Yabut (RITM)
Referral System, Transport and Storing
of Specimens - Dr. Lea Apostol (RITM)
Laboratory Waste Management, Decontamination and Laboratory Emergencies - Mr. Edson Simon (RITM)
Patient Screening and Triage Exercise Lead Facilitator:
Dr. Arthur Dessi Roman
Emeritus Prof. Rick Speare
 Facilitators:
Ms. Chelsea Lynch (WHO)
Ms. Wendy Rhymer (WHO)
Ms. Meredith Black (WHO)
Dr. Manolito Chua (RITM)
Dr. Charissa Tabora (RITM)
Dr. Maria Tricia Subido (RITM)
Dr. Rose De los Reyes (RITM)
Dr. Joanne De Jesus (RITM)
Dr. Arthur Dessi Roman (RITM)
Dr. Mark Pasayan (RITM)
1:45 - 3:00 PM
My experience with SARS (testimonial)
Mr. Laredo Azores (RITM) 
Infection Prevention and Control
Dr. Charissa Tabora (RITM)
3:00 - 3:30 PM
PPE Lecture
Demonstration of proper donning and doffing of PPE
Ms. Babes Cabanting (RITM)
Ms. Loida Oliquino/Erlinda Guevara

6. Time Activity/Lecture Faculty/Speaker
SIMULTANEOUS SESSION
3:30 – 6:30 PM
Auditorium
Lecture Rm. 2 & 3
NTRL
PPE Practical Exercise
Respiratory Fit Test
3:30 - 5:00 PM Group A
5:00 - 6:30 PM Group B
Facilitator: Ms. Babes Cabanting
Florence Pegollo/Lorela Mendoza
Laboratory Exercise
Donning and doffing of PPE
Training in coverall and standard PPE Facilitators: Charissa Tabora (RITM) Wendy Rhymer (WHO) Prof. Rick Speare (WHO) Dr. Joanne de Jesus (RITM) Dr. Charmian Hufano Dr. Jemelyn Garcia Ms. Meredith Black Evelinda Guevarra Myrna Acero Eden Balanza Loida Oliquino Dr. Mark Pasayan Jo Pastorel Abella Rabadan
Group Discussions on Ethical Issues
3:30 - 5:00 PM Group B
5:00 - 6:30 PM Group A
Facilitators:
Dr. Rossanna Ditangco (RITM)
Dr. Marilla Lucero (RITM)
Dr. Ma. Cecilia Ama (RITM) Dr. Noel Macalalad (RITM)
Blood extraction practicum (with PPE)
Specimen handling practicum (with PPE)
Packaging/transport practicum (with PPE)
Ms. Chelsea Lynch
Mr. Edson Simon Mr. Neil Yabut Mr. Dominic Tomas
6:30 PM
One Minute Reflection Form (to be filled up by participants)
6:30-7:00 PM
Meeting of faculty and facilitators
Moderator: Dr. Charmian Hufano
Officer of the Day: Dr. Blanca Jarilla

7. RECAP of 1 minute reflection
Day 2
Time
Lecture
Faculty
8:00 – 8:45 AM
RECAP of 1 minute reflection
CABBAGE GAME
Dr. Charmian Hufano (RITM)
Ms. Rowena Capistrano (RITM)
8:45 – 9:30 AM
Isolation and Patient Flow
Mr. Julian Donald (WHO)
Dr. Charissa Tabora (RITM)
9:30 – 10:30
Isolation and Patient Flow Exercise
Facilitators:
Ms. Meredith Black (WHO)
Ms. Chelsea Lynch (WHO)
Ms. Wendy Rhymer (WHO)
Prof. Rick Speare (WHO)
Co-facilitators:
Dr. Manolito Chua (RITM)
Dr. Mari Rose de los Reyes (RITM) Dr. Arthur Dessi Roman
Dr. Jemelyn Garcia (RITM)
Dr. Mark Kristoffer Pasayan (RITM) Dr. Maria Tricia Subido (RITM) Dr. Joanne De Jesus (RITM)
10: :00 AM
BREAK
11: :15 AM
Management of Sharps
Dr. Maria Tricia Subido (RITM)
11:15 -11:30 PM
Post Exposure Management
Dr. Joanne De Jesus/Ms. Chelsea Lynch
11:30 – 12:30 PM
Transport, Environmental Cleaning
Waste Management
Ms. Erlinda Cabanting (RITM)
Dr. Charissa Tabora (RITM)

8. Time Activity/Lecture Faculty/Speaker
12:30-1:30 PM
LUNCH
SIMULTANEOUS SESSION
1:30 – 4:30 PM
Auditorium
Lecture Rm. 2 & 3
NTRL
PPE
Practical Exercise
Respiratory Fit Test
3:30 - 5:00 PM Group A
5:00 - 6:30 PM Group B
Facilitator: Ms. Babes Cabanting
Florence Pegollo
Lorela Mendoza
Laboratory Exercise
Dr. Effie Espino
Lecture Room 1
Donning and doffing of PPE
Training in coverall and standard PPE
Facilitators: Dr. Charissa Tabora (RITM) Ms. Wendy Rhymer (WHO) Prof. Rick Speare (WHO) Dr. Joanne De Jesus (RITM) Dr. Charmian Hufano Dr. Jemelyn Garcia (RITM) Ms. Chelsea Lynch (WHO) Evelinda Guevarra Myrna Acero Edem Balanza Loida Oliquino
Group Discussions on Ethical Issues
3:30 - 5:00 PM Group B :00 - 6:30 PM Group A
Facilitators:
Dr. Rossanna Ditangco RITM)
Dr. Marilla Lucero (RITM)
Dr. Cecilia Ama (RITM) Dr. Noel Macalalad (RITM)
Demo on Step by Step procedure
1. Blood extraction practicum (with PPE)
2. Specimen handling practicum (with PPE)
3. Packaging/transport practicum (with PPE)
Facilitators: Ms. Janet Ubaldo Mr. Edson Simon Mr. Neil Yabut Dominic Tomas
4:30 PM
One Minute Reflection Form (to be filled up by participants)
4:30-5:30 PM
Meeting of faculty and facilitators
Moderator: Dr. Aileen Gianan / Officer of the Day: Ms. Agnetha Olorosa

9. RECAP of 1 minute reflection
Day 3
Time
Lecture
Faculty
8:00 – 8:30 AM
RECAP of 1 minute reflection
Dr. Aileen Gianan (RITM)
8:30 – 8:50 AM
Open Forum
Facilitators
8:50 – 9:10 AM
Community Health and Support
Returning home and how to handle the 21 day waiting period and how to recognize Ebola/post-traumatic distress syndrome.
Videos Presentation
Dr. Leo Capeding (UP Manila)
Ms. Wendy Rhymer (WHO)
9:10 – 9:40 AM
Staff health and support (Psychosocial First Aid)
Causes of workplace stress associated with treating Ebola, individual commitment required to work in an Ebola outbreak setting, when to access healthcare and other support for responders
 Dr. Leo Capeding (UP Manila)
9: :00 AM
Safe and dignified burials
Ms. Rowena Capistrano (RITM)
10: :20 AM
BREAK
10:20 -11:20 AM
FLOOR PLAN CRITIQUING
Julian Donald
11:20 – 12:10 PM
Introduction to the Philippine Surveillance System Contact Tracing
Completion of PIDSR Form
Dr. Aurora Corpuz (WHO) Ms. Rowena Capistrano (RITM)
12:10 - 1:10 PM
LUNCH

10. Dr. Amado Tandoc III (RITM)
1:10 – 1:30 PM
Subnational Labs, regional hospitals and referral centers: Roles in EVD
RITM Laboratory Forms
Dr. Amado Tandoc III (RITM)
1:30 - 2:00 PM
Overview of DOH EID Program
Dr. Lyndon Lee Suy
2:00 - 3:00 PM
PRESENTATION OF ACTION PLANS
Participants
3:00 - 3:45 PM
POST TEST
Moderator
3:45 - 4:00 PM
BREAK
4:00 - 5:00 PM
PPE Practice
Dr. Charissa Tabora (RITM)
Ms. Erlinda Cabanting (RITM)
5:00 - 5:15 PM
MESSAGE FROM WHO
Dr. Julie Hall (WHO)
5:15 - 5:30 PM
CLOSING REMARKS
Dr. Celia C. Carlos (RITM)
MODERATOR : DR. CRISTINA AMBAS
OFFICER OF THE DAY : MR. BENJAMIN DE VERA

11. Questions:
will be answered at end of lecture if with time or submitted in writing to be addressed first thing the following morning
References have been provided but several of them are “Interim” 11

12. Outputs of workshop
Improve competencies in providing safer care for patients with EBOLA Virus Disease and to stop disease transmission in the healthcare and community setting (i.e. case management, infection control)
Draft own hospital EVD preparedness plan to include training plans

13. Ebola Lab Preparedness Matrix
OBJECTIVES
STRATEGY
ACTIONS
RESPONSIBLE STAKEHOLDER
SUPPORT NEEDED
Review risks and signs and symptoms of Ebola, and train all front-line clinical staff on how to identify signs and symptoms of Ebola.
Capacity building
1. Conduct training in the different levels of care 1.1 HCW in hospitals - especially those designated to care for EVD patients 1.2 Community
DOH, RITM, PMA, PSMID, PIDSP, PHICS
1. Funds 2, Training syllabus/ module/ materials 3. Supplies
Subheading Here

14. Ebola Lab Preparedness Matrix
OBJECTIVES
STRATEGY
ACTIONS
RESPONSIBLE STAKEHOLDER
SUPPORT NEEDED
Conduct spot checks and inspections of triage staff to determine if they are incorporating screening procedures and are able to initiate notification, isolation, and PPE procedures for your hospital.
Monitoring and evaluation
1. Create hospital EBOLA preparedness team with monitoring and evaluation as 1 of key functions 2. Hospital EBOLA preparedness team to create preparedness plan to include monitoring and evaluation 3. Designate staff to undertake monitoring and evaluation 4. Implement monitoring and evaluation 5. Provide feedback on results of M & E to concerned staff/areas of the hospital 6. Repeat M & E of areas with identified problems
1. Hospital director 2. Hospital EBOLA preparedness team
1. Hospital administrative order 2. Funds for training on M & E, meetings, training & re-training, if needed
Subheading Here

15. Ebola Lab Preparedness Matrix
OBJECTIVES
STRATEGY
ACTIONS
RESPONSIBLE STAKEHOLDER
SUPPORT NEEDED
Review the guidelines for environmental infection control in Health-Care Facilities.
"Evaluation" of current guidelines vis-a-vis current recommendations for EBOLA environmental infection control
1. Search for updated guidelines 2. Modify existing hospital guidelines to align with current guidelines 3. Disseminate and implement revised guidelines
1. Hospital ICC
1. provision of updated guidelines/references 2. funds for revision of guidelines/information dissemination
Subheading Here

16. Participants to be slowly filling up the matrix as the training goes on.

17. Training target: 4 batches of trainees with the ultimate goal of improving competencies of both government and private sector health workers at national and local levels to be able to confidently diagnose, treat, and safely care for EVD cases without further disease transmission

18. HOUSE RULES Please come on time.
Pay attention to the lecturers. Audience participation is highly encouraged.
Kindly put your phones on SILENT MODE.
Answer calls OUTSIDE THE AUDITORIUM.
Eating is NOT allowed inside the auditorium
Questions may be submitted in writing (sheets of paper inside your kit). Submit these questions to the moderator of the day.
Certificates of attendance will only be issued to participants who will complete the 3 days’ training and the posttest.
Hard copies of lecture slides will only be provided on day 1 in support of the advocacies on environmentalism but USBs of all lectures and handouts have been prepared.

19. Acknowledgments Department of Health
World Health Organization/WHO consultants
Faculty/support staff of RITM