WORKING DRAFT Last Modified 26/05/2014 23:43 Arab Standard Time Printed 26/05/2014 23:43 Arab Standard Time
INTERIM VERSION , MAY 26, 2014 PICTURES UNDER CLEARANCE
MERS-CoV infection control Hospital staff training
Training presentation May 26, 2014
Infection control is the only way to stop the spread of MERS-CoV
▪ Highly contagious ▪
in a hospital setting Hospital staff at high risk if not following infection control rules
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As of the 25th of May:
Strict infection control is the only way to stop MERS-CoV from spreading – everyone of us is responsible and can help to stop the disease
SOURCE: KSA MoH
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▪ No vaccine ▪ No treatment ▪ High death rate
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Your 10 steps to fight MERS-CoV in your hospital Last Modified 26/05/2014 23:43 Arab Standard Time
1. Maintain strict personal hygiene 2. Ensure proper use of PPE by staff and patient 3. Identify and isolate potential MERS-CoV patients early 4. Allocate adequate facilities for MERS-CoV patients 5. Follow appropriate housekeeping practices
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6. Monitor staff health – don’t allow sick people at work 7. Implement stricter visitor policy 8. Send for home isolation under supervision, when possible 9. Ensure safe collection and handling of lab samples 10. Take precautions in the mortuary
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1. MAINTAIN STRICT PERSONAL HYGIENE
You already know this, you just need to DO IT EVERY DAY Short nails, no watches, no jewelry
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Hand hygiene
Other basics
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Cough etiquette
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Avoid touching your face Avoid touching patient’s items Do not share personal items Shower after work Change uniform daily Keep home clean and ventilated If you feel sick, do not come to work – tell your senior over phone Avoid contact with sick colleagues
SOURCE: KSA MoH MERS-CoV Infection Prevention and Control Guidelines, May 2014; the Infection Control powerpoint
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2. ENSURE PROPER USE OF PPE BY STAFF AND PATIENTS
Droplet and contact precautions required when dealing with potential MERS-CoV patients; N95 to be worn during aerosol generating procedures Last Modified 26/05/2014 23:43 Arab Standard Time
Potential/confirmed MERS-CoV: in patient’s room/close contact – contact and droplet precautions (for healthcare workers and visitors) Surgical mask (N95 for aerosol generating procedures)
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Eye protection (goggles/face shield)
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Gown (clean, non-sterile, long-sleeved)
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Gloves (some procedure may require sterile gloves)
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Impermeable apron (for procedures with expected splashes)
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May be considered if resources permit:
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Airborne precautions with all potential/confirmed MERS-CoV patients (N95) Surgical mask for all fever/respiratory patients at the ER entrance Safely remove PPE and perform hand hygiene when leaving the MERS-CoV precautions area (e.g., isolation or procedure room)
SOURCE: KSA MoH MERS-CoV Infection Prevention and Control Guidelines, May 2014
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3. IDENTIFY POTENTIAL MERS-CoV PATIENTS EARLY AND TAKE PRECAUTIONS
Promptly identify symptomatic patients at the hospital entry and take MERS-CoV precautions until recovery, regardless of test results
Patients with fever,
diarrhea and other
Take precautions for MERS-CoV ▪ PPE for staff and source control for patient ▪ Isolation2
Identify symptomatic patients at the hospital entrance
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Allocate a separate room/area in ER for symptomatic patients
Test for other pathogens. If patient meets MERS-CoV case definition, also test for MERS-CoV
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Allocate separate procedure rooms for symptomatic patients
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Restrict visitors and do not rotate personnel in high risk MERS-CoV area
MERS-CoV positive
MERS-CoV negative3
Take precautions for MERS-CoV until symptoms resolve ▪ PPE for staff and source control for patient ▪ Isolation2
1 Acute respiratory infections – symptoms including runny nose, sneezing, coughing, shortness of breath 2 In hospital or home 3 And no alternative confirmed diagnosis / still suspicion for MERS – for multiple reasons, negative tests do not fully rule out possibility of MERS-CoV SOURCE: KSA MoH MERS-CoV Infection Prevention and Control Guidelines, May 2014
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Last Modified 26/05/2014 23:43 Arab Standard Time
When possible ARI1,
3. IDENTIFY POTENTIAL MERS-CoV PATIENTS EARLY AND TAKE PRECAUTIONS
MERS-CoV case definition has to be followed when testing for MERS-CoV
I.
A person with fever and community-acquired pneumonia or acute respiratory distress syndrome based on clinical or radiological evidence
OR II.
A hospitalized patient with healthcare associated pneumonia based on clinical and radiological evidence
OR III.
A person with
1) Acute febrile (≥38°C) illness 2) Body aches, headache, diarrhea, or nausea/ vomiting, with or without respiratory symptoms AND 3) Unexplained leucopenia (WBC
