Audio Transcript Auto-generated
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Good morning, everyone.
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Today's presentations We're going to discuss the infections
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Prevention and control or IBC for covid 19.
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As we aware, a few weeks ago,
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we had our very first positive case for Covid 19 here in Tonga.
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And this presentation is to preparing you
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and all healthcare workers,
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and Frontline is to control or to prevent a further transmissions of covid 19.
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But before we continue on therefore learning, um,
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objectives, uh, in these sessions,
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which I expect everyone to achieve after these sessions.
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First, you must understand what is I PC or infection prevention and control.
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Second, you must understand how the government 19th are transmitted.
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Third,
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you must take into consideration is
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the importance of infections prevention procedures
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in this time of pandemic.
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And lastly,
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you must have the ability to play a role in preventing the transmissions
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of infections by demonstrating the preventative measures required by the W H O.
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Before we continue on for I p. C. We need to know what is covid 19
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covid, 19 stands for coronavirus disease 2000 and 19,
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or when the disease was first identified or outbreak began,
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and later early in 2000 and 20 the W H O.
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Declared uh Covid. 19 is a pandemic disease.
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So how covid 19 transmitted The primary transmission missions of covid,
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19 is from person to person through respiratory droplets,
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the droplets released when someone's talks needs or coughs.
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And these infections that droplets can lend in the mouth or nose
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of people who are nearby or possibly be inhaled into the lungs.
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Covid 19 may also be spread if you touch a
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contaminated objects and surfaces and then touching your eyes,
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nose or mouth.
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Mm.
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Not only that,
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but the transmissions of a covid 19 can still okay from those
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with mild symptoms or those who do not feel ill or asymptomatic.
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So how can we prevent the transmissions of COVID. 19
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In everyday life?
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We need to implement a new lifestyle,
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happy to prevent the spread the spread of coronavirus,
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such as avoid touching your eyes, nose and mouth.
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Why,
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because these areas are the routes of entry of a
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virus into human bodies and causa infections that cause disease.
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Uh, you need to avoid close contact with people who are sick.
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Uh, this is the time we enforce the physical distancing,
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and physical distancing should be at least one metre or three ft apart.
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Remember that, um,
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Mr have mentioned before the people without symptoms can still spread the virus.
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Not only that, you have to stay at home when you are sick.
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Once you feel any respiratory symptoms, like coughing, a runny nose, sneezing,
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you better stay home.
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Otherwise, you might, uh, spread infections to others.
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Uh, not only that, you need to cover your mouth or sniff with a tissue, then dispose.
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Dispose it properly.
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Uh,
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continue on use a face covering when physical distancing
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is difficult or when going into a close basis.
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This is the time we, um this is the reason why we avoid mass gathering.
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MM mass gathering easier and faster. The
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the spread of the infections green and
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disinfect frequently touched objects and surfaces.
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As I have mentioned before, um,
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other people can Then, uh,
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some people catch covid 19 from touching contaminated
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objects and surfaces and touch their eyes,
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nose and mouth, and they might become infected.
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So that's the reason why we need to clean and disinfect, uh, frequently.
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Not only that we need to perform a hand
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hygiene with soap and water or using an alcohol based
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a hand rub.
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Remember, handwashing should be done for at least 40 to 60 seconds,
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based on wh recommendations with alcohol based hand rub.
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You must make sure that alcohol based hand ruptured contain at least 60% of, um,
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alcohol.
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What is the treatment for Covid 19?
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The answer is no specific treatment other than treating
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the signs and symptoms of providing a supportive care.
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Not only that, but the vaccinations that is currently available here in town.
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And there are two types of vaccines available,
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which is AstraZeneca for 18 years old and above,
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and also Pfizer vaccine for 12 to 17 years old.
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Uh,
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now we move on to the infections prevention and control for covid 19.
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Wow,
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what is my PC?
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IBC is the practise of preventing or stopping the spread of infection.
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Steering a healthcare delivery in the context of covid 19 infection control is
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important because if healthcare personal do
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not follow the infections control rules,
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they might put themselves into high risk for infections.
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So strict infection control is the only way to help
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stop the spread of Covid 19 in healthcare facilities.
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The IBC call for Covid, 19,
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is to support the maintenance of essential
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healthcare services by containing and preventing covid
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19 transmissions within healthcare facilities to keep
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patients and healthcare workers healthy and safe.
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Yeah,
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what are the IBC priorities? First is the rapid identify.
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Um, rapid identification of suspect cases.
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So how we identify a suspect case by doing a screening or
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triage and initial healthcare facility encounter
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and rapid implementations of source control.
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Once we identify a suspect case,
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we probably isolate the gates and referred for testing.
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We were not only testing the suspect or the conference case, but we all, uh,
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we're also testing the context, um, or the people that gays uh,
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were exposed to in the past few days.
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Uh, not only that, perceived clinical management is one of the priority of I p. C.
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And this applies to health care workers are frontline.
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Is that provided direct for a covid 19 case?
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Uh,
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the other priority is the adherence to IBC practises or
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the appropriate use of personal protective equipment or the PP
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standard and transmission based precautions.
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Uh,
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standard precautions are set of practises that apply to
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care of all patients in all healthcare settings,
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while transmission based precautions are also known as additional precautions
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a set of practises specific for patients we've known or suspected
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infectious agents that require additional
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control measures to prevent transmissions.
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Mhm.
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What other standard precautions
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Standard precautions is performing hand hygiene.
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Um, appropriate use of PPE using, um,
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doing a respiratory hygiene and uncalled adequate
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cleaning and disinfection of devices and environmental surfaces,
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the safe injections of practises and also handling and storage of, uh,
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medications.
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Remember, the standard precautions remain the cornerstone for infections.
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Preventions in all healthcare facilities or health care settings.
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Standard precautions recommended for the care of all patients,
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regardless of suspected or confirmed infections.
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So the applications of standard precautions depends on the nature of health worker
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personal patients in directions and the
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anticipated exposure to known infections are engines
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hand high jeans.
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Hand hygiene is the act of cleansing hands for the purpose of removing soil,
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dirt and microorganisms.
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There are two ways on how to perform hand hygiene.
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First is using water and soap and secondly, is using alcohol based hand rub.
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You must, uh, sanitised or perform a broad upper hand wash.
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Follow the seven steps of handwashing
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as shown on this light, the durations for the entire procedure.
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The hand wrapped, Uh, you must, uh, perform hand wrapped in 20 to 30 seconds.
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But, uh, hand washing with soap and water is 40 to 60 seconds.
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So after these sessions, I'm going to demonstrate to you
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the seven steps of hand hygiene using alcohol based hand rub.
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But when I when are we going to perform a hand? High jeans.
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These are the five moments for hand hygiene.
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You must perform a hand hygiene before touching a patient's before you perform an
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ascetic procedure after you exposed to a
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body fluid after touching a patient's and also
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after touching a patient's background surroundings,
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uh,
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personal protective equipment or the B B.
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These are the type of BB that available here in Viola Hospital,
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and the health care workers should use a medical
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mask at least a searchable or medical masks.
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But, uh,
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but for those who provide direct care for Covid
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19 case or dealing with an aerosol generating,
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a procedure in 95 respirator is recommended to use
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also, um, health care workers should wear in high protections,
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or cocoles or a facial protection or officials, uh,
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they are also required to wear a clean non sterile
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long sleeve gown and also required to use clubs.
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Remember, health care workers should train on correct use of PPE,
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including putting on and taking off PPE.
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After these sessions, I'm going to demonstrate the sequence of, UH,
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dawning or putting on P B E and coughing or taking off PPE.
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Remember, when doffing PPE, you have to be aware and dispose.
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Remove your counter properly.
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Otherwise you must, um,
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you might contaminate yourself and you might spread infections to others.
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Here's a sequence for donning and doffing PB for donning or putting on,
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you must perform uh, hand wash before putting on your count.
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After putting your gown, you have to put on a respirator or your mask.
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Follow with your co goals and then, lastly, your gloves.
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But when it comes to doffing of PB,
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your clubs must remove first and after removing your clubs,
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you have to perform a hand wash.
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Using an alcohol based hand rub.
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After the hand wash, you have to remove your count and remember, you have to.
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You have to be careful when removing your count.
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Otherwise you contaminate yourself.
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And after removing your counts, uh, you remove your co goals.
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After removing your core goals,
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you have to step away or step out from the
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patient's room and remove your respirator or your mask.
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Then follow with a hand wash. And that's the the end of the P B E. Doffing
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transmission based precautions. Where.
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BB for continent public precautions unless
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an aerosol generating procedures perform,
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in which case airborne precautions are needed.
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Uh, second, use disposable or dedicated patients care equipment, for example,
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a stethoscope.
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Blood pressure cuffs.
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If equipment needs to be shared among patients,
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you have to clean and disinfect between use for each
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patients by using an evil alcohol of at least 70%
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use adequately ventilated single room or dedicated covid 19 wardroom.
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We've dedicated bathrooms.
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As for now, more Health Centre is the only facility available for covid 19 cases,
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and it's already well equipped and with a
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negative pressure rooms available in the facility.
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Avoid transporting covid 19 patients out of room unless medically necessary.
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Also detonate healthcare workers to care for patients with covid. 19.
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Um, we already had a front liners team that
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allocated to provide these uh
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uh direct careful, uh Covid 19 case and lastly, used to drink a number of visitors,
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but as far as I know,
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mm.
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We will not allow any. Yes, it is for covid 19 9 cases,
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and that responds to the end of my presentation.
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So now I'm going to present to demonstrate the governing and doffing
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of PB According to the sequence provided by the W H O.
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And now I'm a demonstrations.
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I'm going to ask you one, but I want to take turns to come to the front.