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

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Presentation on theme: "DEPARTMENT OF HEALTH RESEARCH INSTITUTE FOR TROPICAL MEDICINE TRAINING ON HOSPITAL MANAGEMENT FOR EBOLA VIRUS DISEASE CELIA C. CARLOS, MD, FPPS, FPIDSP,"— Presentation transcript:

1 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 2 RESEARCH INSTITUTE FOR TROPICAL MEDICINE 1. General Training Objective 2 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 3 RESEARCH INSTITUTE FOR TROPICAL MEDICINE Series of specific objectives for each activity 3

4 4 RESEARCH INSTITUTE FOR TROPICAL MEDICINE 2. Scientific Program TimeActivity/LectureFaculty/Speaker 7:00 – 8:00 AMRegistration Completion of Pre-training Assessment Form by participants during registration Secretariat 8:00 – 8:45 AMOpening 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 – 9:15EBOLA BASICS AND BACKGROUND Dr. Manolito Chua (RITM) Emeritus Prof. Rick Speare (WHO) 9:15 - 9:30 AMEBOLA RESTON IN THE PHILIPPINESDr. Catalino Demetria (RITM) 9: :00 AMClinical Care Of EVD: Screening and TriageDr. Mari Rose De los Reyes (RITM) 10: :30 AMBREAK 10:30 – 10:50 AMLaboratory Diagnosis of EVDDr. Catalino Demetria (RITM) 10: :20 AMClinical Management and Discharge CriteriaDr. 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 PMLUNCH 4 Day 1

5 5 RESEARCH INSTITUTE FOR TROPICAL MEDICINE 5 TimeActivity/LectureFaculty/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: 1. Dr. Arthur Dessi Roman 2. Emeritus Prof. Rick Speare Facilitators: 1. Ms. Chelsea Lynch (WHO) 2. Ms. Wendy Rhymer (WHO) 3. Ms. Meredith Black (WHO) 4. Dr. Manolito Chua (RITM) 5. Dr. Charissa Tabora (RITM) 6. Dr. Maria Tricia Subido (RITM) 7. Dr. Rose De los Reyes (RITM) 8. Dr. Joanne De Jesus (RITM) 9. Dr. Arthur Dessi Roman (RITM) 10. Dr. Mark Pasayan (RITM) 1:45 - 3:00 PMMy 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 Dr. Charissa Tabora (RITM) Ms. Babes Cabanting (RITM) Ms. Loida Oliquino/Erlinda Guevara

6 6 RESEARCH INSTITUTE FOR TROPICAL MEDICINE TimeActivity/LectureFaculty/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: 1. Charissa Tabora (RITM) 2. Wendy Rhymer (WHO) 3. Prof. Rick Speare (WHO) 4. Dr. Joanne de Jesus (RITM) 5. Dr. Charmian Hufano 6. Dr. Jemelyn Garcia 7. Ms. Meredith Black 8. Evelinda Guevarra 9. Myrna Acero 10. Eden Balanza 11. Loida Oliquino 12. Dr. Mark Pasayan 13. Jo Pastorel 14. Abella Rabadan Group Discussions on Ethical Issues 3:30 - 5:00 PM Group B 5:00 - 6:30 PM Group A Facilitators: 1. Dr. Rossanna Ditangco (RITM) 2. Dr. Marilla Lucero (RITM) 3. Dr. Ma. Cecilia Ama (RITM) 4. Dr. Noel Macalalad (RITM)  Blood extraction practicum (with PPE)  Specimen handling practicum (with PPE)  Packaging/transport practicum (with PPE) Facilitators: 1. Ms. Chelsea Lynch 2. Mr. Edson Simon 3. Mr. Neil Yabut 4. Mr. Dominic Tomas 6:30 PMOne Minute Reflection Form (to be filled up by participants) 6:30-7:00 PMMeeting of faculty and facilitators Moderator: Dr. Charmian Hufano Officer of the Day: Dr. Blanca Jarilla

7 7 RESEARCH INSTITUTE FOR TROPICAL MEDICINE TimeLectureFaculty 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: 1. Ms. Meredith Black (WHO) 2. Dr. Charissa Tabora (RITM) 3. Ms. Chelsea Lynch (WHO) 4. Ms. Wendy Rhymer (WHO) 5. Mr. Julian Donald (WHO) 6. Prof. Rick Speare (WHO) Co-facilitators: 1. Dr. Manolito Chua (RITM) 2. Dr. Mari Rose de los Reyes (RITM) 3. Dr. Arthur Dessi Roman 4. Dr. Jemelyn Garcia (RITM) 5. Dr. Mark Kristoffer Pasayan (RITM) 6. Dr. Maria Tricia Subido (RITM) 7. Dr. Joanne De Jesus (RITM) 10: :00 AMBREAK 11: :15 AMManagement of SharpsDr. Maria Tricia Subido (RITM) 11:15 -11:30 PMPost Exposure ManagementDr. Joanne De Jesus/Ms. Chelsea Lynch 11:30 – 12:30 PM Transport, Environmental Cleaning Waste Management Ms. Erlinda Cabanting (RITM) Dr. Charissa Tabora (RITM) 7 Day 2

8 8 RESEARCH INSTITUTE FOR TROPICAL MEDICINE TimeActivity/LectureFaculty/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: 1. Dr. Charissa Tabora (RITM) 2. Ms. Wendy Rhymer (WHO) 3 Prof. Rick Speare (WHO) 4. Dr. Joanne De Jesus (RITM) 5. Dr. Charmian Hufano 6. Dr. Jemelyn Garcia (RITM) 7. Ms. Chelsea Lynch (WHO) 8. Evelinda Guevarra 9. Myrna Acero 10. Edem Balanza 11. Loida Oliquino Group Discussions on Ethical Issues 3:30 - 5:00 PM Group B 5:00 - 6:30 PM Group A Facilitators: 1. Dr. Rossanna Ditangco RITM) 2. Dr. Marilla Lucero (RITM) 3. Dr. Cecilia Ama (RITM) 4. 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: 1. Ms. Janet Ubaldo 2. Mr. Edson Simon 3. Mr. Neil Yabut 4. Dominic Tomas 4:30 PMOne Minute Reflection Form (to be filled up by participants) 4:30-5:30 PMMeeting of faculty and facilitators Moderator: Dr. Aileen Gianan / Officer of the Day: Ms. Agnetha Olorosa

9 9 RESEARCH INSTITUTE FOR TROPICAL MEDICINE TimeLectureFaculty 8:00 – 8:30 AM RECAP of 1 minute reflectionDr. Aileen Gianan (RITM) 8:30 – 8:50 AM Open ForumFacilitators 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) Ms. Wendy Rhymer (WHO) 9: :00 AMSafe and dignified burials Ms. Rowena Capistrano (RITM) 10: :20 AMBREAK 10:20 -11:20 AMFLOOR 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 PMLUNCH 9 Day 3

10 10 RESEARCH INSTITUTE FOR TROPICAL MEDICINE 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 PMOverview of DOH EID ProgramDr. Lyndon Lee Suy 2:00 - 3:00 PMPRESENTATION OF ACTION PLANSParticipants 3:00 - 3:45 PMPOST TESTModerator 3:45 - 4:00 PMBREAK 4:00 - 5:00 PM PPE Practice Dr. Charissa Tabora (RITM) Ms. Erlinda Cabanting (RITM) 5:00 - 5:15 PM MESSAGE FROM WHODr. Julie Hall (WHO) 5:15 - 5:30 PM CLOSING REMARKSDr. Celia C. Carlos (RITM) MODERATOR : DR. CRISTINA AMBAS OFFICER OF THE DAY : MR. BENJAMIN DE VERA 10

11 11 RESEARCH INSTITUTE FOR TROPICAL MEDICINE 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 12 RESEARCH INSTITUTE FOR TROPICAL MEDICINE 5. 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 12

13 13 RESEARCH INSTITUTE FOR TROPICAL MEDICINE Subheading Here OBJECTIVESSTRATEGYACTIONSRESPONSIBLE 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 Ebola Lab Preparedness Matrix

14 14 RESEARCH INSTITUTE FOR TROPICAL MEDICINE Subheading Here OBJECTIVESSTRATEGYACTIONSRESPONSIBLE 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 Ebola Lab Preparedness Matrix

15 15 RESEARCH INSTITUTE FOR TROPICAL MEDICINE Subheading Here OBJECTIVESSTRATEGYACTIONSRESPONSIBLE STAKEHOLDER SUPPORT NEEDED Review the guidelines for environmental infection control in Health-Care Facilities. "Evaluation" of current guidelines vis-a-vis current recommendat ions for EBOLA environmenta l 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 ICC1. provision of updated guidelines/refe rences 2. funds for revision of guidelines/info rmation dissemination Ebola Lab Preparedness Matrix

16 16 RESEARCH INSTITUTE FOR TROPICAL MEDICINE 6. Participants to be slowly filling up the matrix as the training goes on. 16

17 17 RESEARCH INSTITUTE FOR TROPICAL MEDICINE 7. 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 17

18 18 RESEARCH INSTITUTE FOR TROPICAL MEDICINE 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. 18

19 19 RESEARCH INSTITUTE FOR TROPICAL MEDICINE Acknowledgments Department of Health World Health Organization/WHO consultants Faculty/support staff of RITM 19


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