The COVID-19 Risk Communication Package For Healthcare .

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The COVID-19Risk CommunicationPackage ForHealthcare FacilitiesThis package prov ides healthcare facility management and healthcareworkers with an ov erview of the key actions required to keep safe andhealthy in the workplace.Updated March 10, 2020.This toolkit is designed to be easily edited, printed and shared. The layout is suitable for anyI SO-sized paper (A4, A3, A2).I mages and text hav e been separated so the layout can be adjusted depending on therequirements.To print, export the files as PDF or PNG and send to the printer. For borderless printing, theimage may be scaled to fit the printable area and trimmed along the edges.

The COVID-19Risk CommunicationPackage ForHealthcare FacilitiesIntroductionOn 30 January 2020, WHO declared the outbreak of a novel coronavirus (COVID-19)a Public Health Emergency of International Concern. Responding to COVID-19requires critical preparedness and response which includes equipping healthcareworkers (HCWs) and healthcare facility management with the information,procedures, and tools required to safely and effectively work.HCWs are playing a critical role in the COVID-19 outbreak response and are thebackbone of a country’s defenses to limit or contain the spread of disease. On thefront lines, HCWs provide the necessary care for patients with suspected andconfirmed COVID-19, often under challenging circumstances. They face higher risksof potential COVID-19 infection in their efforts to protect the greatercommunity. They may be exposed to hazards such as psychological distress, fatigue,occupat ional burnout or stigma. WHO recognizes this essential work and theresponsibility and importance of protecting the healthcare facility workforce.PurposeThe purpose of this package is to protect HCWs from infection and prevent potentialspread of COVID-19 within healthcare facilities. It contains a series of simplifiedmessages and reminders based on WHO’s more in-depth technical guidance oninfect ion prevention and control in healthcare facilities in the context of COVID-19:“Infection prevention and cont rol during health care when novel coronavirus (nCoV)infect ion is suspect ed” (25 January 2020). Refer t o WHO’s technical guidance forcomprehensive information.Audience – Who the package is forThis package is intended for HCWs and healthcare facility management and can beshared through networks of healthcare professionals and directly t o healthcarefacilities. The Ministry of Health in your country may like to send this package to allgovernment hospitals and healthcare facilities. Copies of the package should besent to networks of private practitioners, medical, nursing and midwives associationsfor peer to peer sharing and posting as appropriate. Materials can be adapted tolocal languages and placed in healthcare facilities where they are readily availableas reminders for HCWs.WPR/DSE/2020/013 World Health Organization 2020Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence.

Content - What the package containsThe COVID-19 Risk Communication Package For Healthcare Facilities contains eightproducts:No.FormatProduct TitlePrimaryAudienceUse in1PosterPreparing for COVID-19at your e at staff trainingsand meetings. Place inhealthcare facilityv isible to all staff.2PosterManaging patients w ithsuspected or confirmedCOVI D-19 at yourhealthcare facilityHealthcarefacilitymanagementShare at staff trainingsand meetings. Place inhealthcare facilityv isible to all staff.3PosterProtecting yourself atw ork from COVID-19Healthcarew orkersShare at staff trainingsand meetings. Place inhealthcare facilityv isible to all staff (e.g. atthe entrance/exit to theisolation w ard).4PosterPersonal ProtectiveEquipment (PPE)According to HealthcareActiv itiesHealthcarew orkersShare at staff trainingsand meetings. Place inhealthcare facilityv isible to all staff (e.g. atthe entrance/exit to theisolation w ard).5FlyerCommunicating withpatients w ith suspectedor confirmed COVI D-19Healthcarew orkersShare at staff trainingsand meetings. Place atthe triage station andreception.6FlyerI nformation sheet aboutCOVI D-19Healthcarefacility patientsand v isitorsPrint and hav e readilyav ailable at the triagestation and reception.7PosterCoping w ith stressAll healthcarefacility staffShare at staff trainingsand meetings. Place inhealthcare facilityv isible to all staff (e.g. inthe kitchen orlunchroom).8PosterMy 5 Moments of HandHygieneAll healthcarefacility staffShare at staff trainingsand meetings. Place inhealthcare facilityv isible to all staff (e.g. atthe entrance/exit to theisolation w ard).

NovelCoronavirusCOVID-19FOR: HEALTHCARE FACILITY MANAGEMENTPreparing for COVID-19 at yourhealthcare facilityHave a triage station at thehealthcare facility entrance,prior to any waiting area, toscreen patients for COVID-19.This limits potential infectionthroughout the health carecenter.Post information, like posters andflyers, that remind patients andvisitors to practice good respiratoryand hand hygiene.Prepare awell-definedand separatewaiting areafor suspectedcases.Have alcohol-based hand rub orsoap and water handwashingstations readily available for the useof healthcare workers, patientsand v isitors.Be alert for anyone that mayhave symptoms such as cough,fev er, shortness of breath, anddifficulty breathing.Protect your workforceBe ready! Ensure your healthcare and triage workers: Are trained on the importance, selection and proper use ofpersonal protective equipment Are trained to spot symptoms of a potential COVID-19 infectionand offer a medical mask to suspected cases Know the case definition and have a decision flow diagramavailable and accessible for reference at the triage station Isolate a suspected case promptly Perform hand hygiene frequentlyWHOWPROWHOWPROWHOWPRO

NovelCoronavirusCOVID-19FOR: HEALTHCARE FACILITY MANAGEMENTManaging patients with suspected orconfirmed COVID-19 at your healthcare facilityStaff should wear appropriate personal protective equipment whenscreening patients at the triage station. Provide medical masks to all patientspresenting with flu-like symptoms or reporting possible COVID-19 infection.Remind all patients to use good respiratory and hand hygiene.Managing Placement Immediately isolate suspected and confirmed cases To reduce stress and anxiety, explain to patients whatyou do and why you do it If possible, place patients in single rooms Suspected and confirmed cases should bekept separate Maintain at least 1-metre distance betweenall patients Do not put more than one patient in a single hospitalbedManaging the Environment Limit the movement of patients within the healthcenter to reduce potential infection throughoutthe healthcare facility If a patient needs to be moved, plan the moveahead: all staff and visitors who come into directcontact with the patient should wear personalprotective equipment Perform regular environmental cleaningand disinfection Maintain good ventilation – if possible opendoors and windowsManaging Visitors Limit the number of visitors per patient All visitors should wear the required personalprotective equipment and their visits should berecordedWHOWPROWHOWPROWHOWPRO

NovelCoronavirusCOVID-19FOR: HEALTHCARE WORKERSProtecting yourself at workfrom COVID-19Follow the guidance of your healthcare facilitymanagement and talk to your colleagues aboutagreed COVID-19 safety proceduresWhen entering a room with asuspected or confirmed COVID-19patient, put on: disposable gloves a clean, long-sleeve gown medical mask that coversyour mouth and nose eye protection such asgogglesRememberPersonal protective equipment shouldbe changed between use and for eachdifferent patient. If utilizing single-usepersonal protective equipment (e.g.single-use masks, gloves, face shields)dispose in a waste bin with a lid andwash your hands thoroughly. Anythingsingle-use cannot be reused orsterilized!If performing an aerosolgenerating procedure, suchas intubation, use aparticulate respirator such asan N95 – do a seal check!RememberBoots and coverall suitsare not requiredDon’t touch your eyes, nose or mouth with gloves or barehands until proper hand hygiene has been performedIf you start coughing, sneezing or develop fever afteryou have provided care, report your illness immediatelyto the concerned authority and follow their adviceMy 5 Moments for Hand HygieneUse alcohol-based hand rub or wash hands with soap and water:1. Before touching a patient2. Before engaging in clean/aseptic procedures3. After body fluid exposure risk4. After touching a patient5. After touching patient surroundingsWHOWPROWHOWPROWHOWPRO

NovelCoronavirusCOVID-19FOR HEALTHCARE WORKERSPersonal Protective Equipment (PPE)According to Healthcare ActivitiesRemember Hand hygiene is alw ays important. Clean hands before putting on, and after taking off, PPE.Collecting respiratory specimensTriage/points of entryscreening personnelgoggles OR face shieldmedical maskmedicalmaskgownglovesCaring for a suspected/confirmedcase of COVID-19 with NOaerosol-generating proceduregoggles OR face shieldgownglovesmedical maskCaring for a suspected/confirmedcase of COVID-19 WITHaerosol-generating procedureTransport of suspected/confirmed case of COVID-19,including direct caregoggles OR face shieldgoggles OR face shieldmedical maskRespirator (N95 or FFP2)gowngownglovesglovesWHOWPROWHOWPROWHOWPRO

NovelCoronavirusCOVID-19FOR: HEALTHCARE WORKERSCommunicating with patients withsuspected or confirmed COVID-19 Be respectful, polite and empathetic Be aware that suspected and confirmedcases, and any visitors accompanying them,may be stressed or afraid The most important thing you can do is tolisten carefully to questions and concerns Use local language and speak slowly Answer any questions and provide correctinformation about COVID-19 You may not have an answer for everyquestion: a lot is still unknown about COVID19 and it is okay to admit that If available, share information pamphlets orhandouts with your patients It is okay to touch, or comfort suspected andconfirmed patients when wearing PPE Gather accurate information from thepatient: their name, date of birth, travelhistory, list of symptoms Explain the healthcare facility’s procedure forCOVID-19, such as isolation and limitedvisitors, and the next steps If the patient is a child, admit a familymember or guardian to accompany them –the guardian should be provided and useappropriate personal protective equipment Provide updates to visitors and family whenpossibleWHOWPROWHOWPROWHOWPRO

NovelCoronavirusCOVID-19FOR HEALTHCARE FACILITY PATIENTS AND VISITORSInformation sheet about COVID-195 Things to Know5 Things to DoWhat is COVID-19?Wash your hands frequently.COVID-19 is a disease caused by a newcoronavirus, which has not been previouslyidentified in humans. Coronaviruses are alarge family of viruses found in both animalsand humans.Wash your hands with soap and water or, ifyour hands are not visibly dirty, use analcohol-based hand rub. This will removethe virus if it is on your hands.What are the symptoms of COVID-19?In most cases, COVID-19 causes mildsymptoms including a runny nose, sorethroat, cough and fever. It can be moresevere for some people and can lead topneumonia or breathing difficulties. Insome cases, infection can lead to death.How does COVID-19 spread?COVID-19 appears to spread most easilythrough close contact with an infectedperson. When someone who has COVID-19coughs or sneezes, small droplets arereleased and, if you are too close, you canbreathe in the virus.Who is most at risk?We still need to learn more abouthow COVID-19 affects people. Olderpeople, and people with other medicalconditions, such as diabetes and heartdisease, appear to be more at risk ofdeveloping severe disease.What is the treatment for COVID-19?There is no currently available treatment orvaccine for COVID-19. However, many ofthe symptoms can be treated.WHOWPROCover your mouth and nose with a flexedelbow or tissue when coughing andsneezing.Throw away the used tissue immediatelyand wash your hands with soap and wateror use an alcohol-based hand rub. Thisway you protect others from any virusreleased through coughs and sneezes.If possible, keep a distance of 1-metrebetween yourself and someone whois coughing, sneezing or has a fever.COVID-19 appears to spread most easilythrough close contact with an infectedperson.Avoid touching your eyes, nose and mouthHands touch many surfaces which canbe contaminated with the virus. If youtouch your eyes, nose or mouth withyour unclean hands, you can transfer thevirus from the surface to yourself.If you have fever, cough AND difficultybreathing, seek medical care. Phoneahead and inform the health center whenyou will visit.Always follow the guidance of your healt hcare professional or national healthadvisories.WHOWPROWHOWPRO

NovelCoronavirusCOVID-19FOR HEALTHCARE FACILITY STAFFCoping with stressIt is normal to feel sad, stressed,or overwhelmed during a crisisTalk to people youtrust or a counsellorMaintain a healthy lifestyle: proper diet,sleep, exercise and social contactswith friends and familyDon’t use alcohol, smoking or otherdrugs to deal with your emotionsIf you have concerns, talk with yoursupervisor, and if you start feelingunwell tell your doctor immediatelyWHOWPROWHOWPROWHOWPRO

NovelCoronavirusCOVID-19FOR: HEALTHCARE FACILITY STAFFMy 5 Moments for Hand HygieneMy 5 Moments forHand HygieneUse alcohol-based hand rub or washhands with soap and water:21Before engagingin clean/asepticprocedures354After body fluidexposure riskWHOWPROAfter touchinga patientWHOWPROBeforetouching apatientWHOWPROAfter touchingpatientsurroundings

The COVID-19 Risk Communication Package For Healthcare Facilities This package provides healthcare facility management and healthcare

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