CANKIDS Emergency Response to Corona virus -COVID2019 … · 2020. 4. 24. · 1. Section 1 : CK...

CANKIDS Emergency Response to

Corona virus -COVID2019

March 2020

ByNeha Sharma, DGM TSP

On behalf of CANKIDS Standing Committee on Emergency Response

Treatment Support Program 5 March 2020

1. Section 1 : CK response to COVID 19 (Slides 3-11)

2. Section 2: Important Govt Info on COVID 19 (slide 12 – 16) – update

3. Section 3: Learning more on COVID 19 (Slide 17-44)

A. Important Information on Corona Virus (slide 19-25)

B. Symptoms and treatment (Slide 26-29)

C. Preventive Measures (Slide 30-44)

4. Section 4: Update – chapter 2 for CCC (slide 45- 59)

SITE MAP


SECTION 1CANKIDS RESPONSE TO COVID 19


CANKIDS EMERGENCY RESPONSE COMMITTEE

Permanent Committee Members Ø Ms. Poonam Bagai, Founder & Chairperson Cankids KidscanØ Mr Mukul Marwah – Vice Chairperson, (Chairperson for the Emergency Committee)Ø Dr. Amita Mahajan, Board Member & Chair of Board Medical AdvisoryØ Ms Sonal Sharma, Co Founder, Director NOPØ Mr Harsh Kumar, COOØ Dr Haresh Gupta, Head MedicalØ Dr Dhanshri Pradhan Head NOPØ Mr Ashok Mehta, Head HRØ Col. I S Chowdhary, GM AdminAdditional Members for COVID 19Ms. Meeta Khurana, Head, TSPDr. Nandan Chowdhary, Physician, PPCCMs. Neha Sharma, DGM TSP


In case of an emergency/query/update: contact us [email protected] or contact core committee for COVID 191. Mr Mukul Marwah - # +91 99876405502. Mr Harsh Kumar - # 91 99999 044223. Dr Dhanshri Pradhan - # 9181088623454. Ms. Neha Sharma – # 9899199387

mailto:[email protected]

NEED FOR THIS SESSION

Ø Work environment for SST and Stakeholders is hospitals, which are a potential health hazard – we

are committed to our staff and teams

Ø We work for families of kids with cancer and need to look after them and support them at this

time

Ø We run Care Centers – HAH, Canshala, Palliative Center, RCCOs – we are liable for all staff and

families there.

Ø We want to -

a. Provide credible and accurate information for speedy response for the suspected populations

b. Provide the measures and immediate guidelines to be taken at the onset of any virus related

symptom and Preventive measures for managing the situation.

c. Bursting the myths to avoid a panic situation

d. Provide Cankids HR and other guidelines as the Policy and Instructions for next steps Treatment Support Program 5 March 2020

I. CK STAFF DEPLOYED IN CHSUS

Ø Own Staff and social workers deployed in CHSUs are susceptible.

Ø In case of symptoms - Cough, mild fever, cold, consult a health care provider and followtheir instructions. Get tested as per advice. Practice self isolation until fully recovered.

Ø If tested positive – Inform the Emergency Committee immediately –[email protected] headed by Mr Mukul Marwah, along with details of travelhistory and who you have met, to help with appropriate containment measures requiredby the Government. We will inform the concerned Government Dept. and actaccordingly

Ø On rejoining, submit medical certificate to support absence and fitness to resume duty,from the treating doctor.

Ø HR to consider the days of absence as per policy.Ø If you come in contact with anyone tested positive please show responsible behaviour

and inform the Emergency Committee immediately – so we can help you in thesituation.

Ø If the place of work /hospital is compromised, the Committee will address this andimmediately issue a special advisory for your team



II. For PATIENT PARENTS Ø Patients Parents in hospitals are equally susceptible as Social support team (SST)

Ø In case of symptoms such as – Cough, mild fever and cold, SST must advise the

family to bring it to notice of treating doctor and follow the provided instructions.

Ø If any parent you know is tested positive – Inform Cankids Emergency Committee at

[email protected] immediately to help us respond correctly for our staff

and families at that hospital/ care centre or office

Ø The patient tested positive must share their travel and social information with the

Committee through the SST

Ø Keep in touch with the family for update status and inform Committee

Ø Constantly practice the preventive measures, as advised by the CK SST regarding

general health promotion and constantly EDUCATE using these presentations.Treatment Support Program

5 March 2020


III. For CANKIDS CARE CENTRESØ Care centres houses children undergoing treatment along with their parents. Regular monitoring and

screening must be done to assess the health status of the stakeholders.

Ø All project Managers and Supervisors will be specially trained to handle emergencies for COVID 19 as we are

committed, responsible and liable for families and staff at these Centers

Ø No leave will be sanctioned for project managers and Supervisors at the current time – till advised by CK

Emergency Standing Committee

Ø A monitoring guideline would be issued separately to all care centre program managers and supervisors to

regularly evaluate the essential parameters at the centre regarding COVID 19. (Training and PPT for the same shall

go separately )

Ø If any parent or staff or visitor is showing virus related symptoms ensure to bring it to notice of treating doctor

and follow the provided instructions. If symptoms persist they must be tested. Also please flag with

[email protected]

Ø If anyone is tested positive – we will need to ensure containment with the help of the Government. The patient

tested positive must share their travel and social information with the Committee through the SST

Ø Hence letting the Committee know immediately so we can take necessary steps for all staff and familiesTreatment Support Program

5 March 2020


CK EDUCATION ADVISORY on COVID 19 • Information & Education: (SOURCE: WORLD HEALTH ORGANISATION)

• Share latest information about the COVID-19 • Symptoms• Preventive measures to be undertaken • Clarifying myths to avoid panic situation

• Provision of services at CCCs (remove from here &put in section 1) • Direct provision for essential preventive articles

• Monitoring & Evaluation on part of CHSU/ CARE CENTER STAFF• Overall Monitoring and guidance by CK Emergency Standing

Committee (Guide map for testing centres by MoHFW



CANKIDS COVID RESPONSE PROTOCOL

SECTION 2 IMPORTANT GOVERNMENT INFORMATION ON COVID 19


IMPORTANT INFORMATION BY MINISTRY OF HEALTH & FAMILY WELFARE ON TESTING CENTRES PAN INDIA

The Ministry of Health & family Welfare is actively taking part in rigorous screenings and testing centres.

-Helplines numbers National Helpline number: 011-23978046 and 1075

-Screening & Testing Centres (Slide 12-15)*

*The above information by Ministry is as of date and is liable to changes as per developments .



By Indian Council of Medical Research as on 7 April 2020


65 testing sites for COVID 19



SECTION 3 LEARNING MORE ON COVID 19


WHAT IS CORONA VIRUS ?


- Corona viruses are a large group of Viruses that range from the common cold to Severe Acute

Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS).

-They are circulated in animals and some of these have the capability of transmitting between

animals and humans. Although rare, but in certain cases they can be transmitted from animals to

humans and can be life threatening.

-The Virus can make people sick, usually with mild to moderate upper respiratory tract illness, similar

to the common cold.Treatment Support Program

5 March 2020

2019 - NCOV

- The confirmed origin is from animals but how did it get transmitted to humans is yet to be known. - Experts worldwide are working to identify the same.


HOW DOES IT SPREAD ?


Like most contagious infections, the Virus spreads through an infected person to another in form of droplets by:

1. The air transmission through coughing and sneezing (when in close proximity with the person infected with virus)

2. Close personal contact or in crowded places3. Touching an object or surface area that might be contaminated and

contacting then with eyes, mouth or noseTreatment Support Program 5 March 2020

WHO IS AT RISK ?


- The case classification becomes suspected if along with the discussed symptoms there is an association of a history of travel to or residence in the Virus affected places in the 14 days prior to symptom onset

or - If the patient is a health care worker who has been working in an environment where

severe acute respiratory infections of unknown etiology are being cared for

- But also in general since there is an asymptomatic period, its best to practice everyday measures of respiratory hygiene along with hand hygiene when in highly dense surroundings Treatment Support Program

5 March 2020

WHAT ARE THE SYMPTOMS?


The virus typically cause respiratory symptoms which can range from mild to severe. These symptoms are:

- Common Cold Like symptoms (cold, sore throat, headache, cough)- Fever

- Breathlessness - the virus can cause more serious illness like pneumonia or bronchitis.

- Which can further lead to kidney failure and even death in certain cases as a result of the underlying health conditions


WHAT IS THE DIAGNOSTIC & TREATMENT ?


Treatment and vaccines are in development.

UNDER DIAGNOSIS : The Indian Ministry of Health and family Welfare have various travel advisories in view of evolving global situation COVID-19. Universal screening is being done along with cancellation of any non essential travel plans to the affected regions.

TREATMENT: The medical fraternity has not yet found any vaccine or Antiviral treatment but supportive care which means treating the symptoms that arises are given. Treatment Support Program

5 March 2020

HOW CAN THE VIRUS BE PREVENTED?


Standard Hygiene Measures

Take rest if feeling unwell


PREVENTIVE MEASURES

- ENSURING PERSONAL HYGIENE SPECIALLY HAND HYGIENE

- MANTAINING SOCIAL DISTANCE- AVOID TOUCHING EYES, NOSE AND MOUTH - PRACTICE RESPIRATORY HYGIENE & MASK USAGE - IF YOU HAVE FEVER, COUGH & DIFFICULTY IN

BREATHING, SEEK MEDICAL ADVICE- PRACTICE FOOD SAFETY - STAY ACCURATELY INFORMED


HAND HYGIENE - Regularly and thoroughly wash your hands with Soap and

water or with an alcohol based sanitizer in case there is no provision of water. This will kill the virus that may be on your hands.

- SPECIALLY MAKE SURE YOUR HANDS ARE CLEAN WHEN THEY COME IN CONTACT WITH YOUR EYES, NOSE & MOUTH.


MAINTAIN SOCIAL DISTANCE

- Maintain at least 1 meter (3 feet) distance between yourself and anyone who is coughing and/or sneezing.

- Seek medical advice if you are facing any similar symptom


AVOID UNNECESSARY TOUCHING EYES, NOSE & MOUTH

- Hands touch many surface and can pick up viruses. Once contaminated, hands can transfer the virus to your eyes, nose and mouth. From there the virus can enter your body and can make it sick


PRACTICE RESPIRATORY HYGIENE • Make sure you and the people around you follow good

respiratory hygiene. This means covering your mouth and nose with your bent elbow (flex elbow) or tissue when you sneeze. Then dispose of the tissue immediately. • Droplets spread virus. By following a good respiratory hygiene

you can protect the people around you from viruses such as cold, flu and COVID-19


MASK USAGE WHEN TO USE A MASK - If you are healthy you only need to wear a mask if you are taking care of a

person with suspected COVID-19 infection - Wear a mask if you are coughing or sneezing

- Masks are effective only when used in combination with frequent hand cleaning or hand rubbing

- If you wear a mask then you must know how to dispose it properly


HOW TO USE AND DISPOSE MASK- Make sure to clean hands before putting mask.- The mask must cover mouth and nose completely and there

shouldn’t be any gap between your face and the mask- Avoid touching the mask while using it. If you do make sure

you do that with clean hands - Replace the mask with new one as soon as it is damp and do

not use single use masks


DISPOSING THE MASK- To remove the mask, remove it from behind not touching the

front of the mask and discard it immediately and clean hands thereafter.


IF YOU HAVE FEVER, COUGH & DIFFICULTY IN BREATHING, SEEK MEDICAL CARE EARLY

• Stay home if you feel unwell. If you have a fever, cough and difficulty breathing seek medical attention and call in advance. Follow the directions of your local health authority.

• National and local authorities will have the most up to date information on the situation in your area. Calling in advance will allow your health care provider to quickly direct you to the right health facility. This will also protect you and help prevent spread of viruses and other infections.


PRACTICE FOOD SAFETY

- Always make sure to have food post thorough cooking following all kitchen management hygiene practices

- Eat healthy and hygienic and follow everyday healthy food habits


STAY ACCURATELY INFORMED

• An ocean of information and misinformation can also misguide the masses creating a situation of panic amongst all• Always make sure to get information from creditable

sources• Avoid circulating misleading data and/or information• Also help others know the right information and protect

them too from getting panic and getting unreasonably stressed• Whenever travelling to affected areas, follow the local

authority travel advisory




SECTION 4 GUIDELINES TO CANKIDS CARE

CENTRES ON COVID 19


CHAPTER 2 Managing Cankids Home Away from Homes

During COVID 19


Ø Care centres houses children undergoing treatment along with their parents. Regular monitoring and screening

must be done to assess the health status of the stakeholders.

Ø All project Managers and Supervisors will be specially trained to handle emergencies for COVID 19 as we are

committed, responsible and liable for families and staff at these Centers

Ø No leave will be sanctioned for project managers and Supervisors at the current time – till advised by CK

Emergency Standing Committee

Ø A monitoring guideline would be issued separately to all care centre program managers and supervisors to

regularly evaluate the essential parameters at the centre regarding COVID 19.

Ø If any parent or staff or visitor is showing virus related symptoms ensure to bring it to notice of treating doctor

and follow the provided instructions. If symptoms persist they must be tested. Also please flag with the

committee by either writing at [email protected] or calling someone from the following contacts

( Mr. Mukul Marwah, Mr Harsh Kumar, Dr Dhanashree Pradhan or Ms. Neha Sharma)

Ø If anyone is tested positive – we will need to ensure containment with the help of the Government. The patient

tested positive must share their travel and social information with the Committee through the SST

Ø Hence letting the Committee know immediately so we can take necessary steps for all staff and families

NEED FOR THE SESSION


The CCC are home to patients and their families and hence the responsibility for the team at these CCC are doubly important as any mistake can lead to a catastrophic situation.

Thus the board has decided to focus on the same in three frameworks

A) EDUCATION ( PPT SHARED ) B) PROVISION OF SERVICES C) SCREENING & MONITORING

SITE MAP

A)EDUCATION

- Educating on the COVID emergence via the Chapter 1 PPT by Emergency committee along with the following :

1. Hand hygiene is critical - In form of a DRILL where in children participate in the activity at a regular interval

(Annexure A1 as checklist) - ensure any families, children, Staff at the Centre and visitors wash hands with soap and

water regularly. - Any fresh entry by the person requires handwash- We will provide sanitizers as possible but there is nothing better than soap and water

2. Environmental Hygiene -Cleaning all surfaces with alcohol based disinfectants – morning and evening must be ensured -Families must ensure to regularly follow hygiene for their belongings and their cubicles well

3. Personal Hygiene to be followed by parents and patients

B. PROVISION OF SERVICES

-The CCC to be provided with Alcohol Based Hand Sanitizers but shouldn't be used as replacement for hand washing with water and soap

-Provision of Surgical masks for patients and parents specially on their visit to the hospitals (N95 masks is to be needed when the person is directly in contact with the suspected/affected with COVID person or is a health care giver for him)

-Provision of specified disinfectant and cleaner (Read more in annexure B1)

C. SCREENING & MONITORING

- At the time of any new admission the screening Performa must be followed (Annexure C1)

- Checklist for the supervisor/ program manger to monitor environment hygiene and cleanliness of surfaces (Annexure C2)

-Checklist for hand hygiene – monitoring the drill (annexure A1)

-The program manager must regularly make sure the PSG member at the HAH must regularly conduct hygiene sessions to monitor most effective hygiene adherence. Also the PSG must follow the checklist for hygiene maintenance at the cubicles by daily checks (Annexure C3)

-Keeping regular check of the symptoms (Coughing, fever and breathelessness) and monitoring the body temperature (at least twice a day) – Annexure C4

ANNEXURE A1- HAND WASH DRILL

Dates Morning Noon(before lunch)

Noon/Early Evening (specially from coming backfrom CHSU)

Late evening (before dinner) Night

ANNEXURE B1 – DISINFECTANT & CLEANER

CLEANING & DISINFECTIONEvery CCC must follow routine general cleaning and ensure that all areas of the environment are regularly cleaned to a satisfactory standard.Staff undertaking cleaning should follow the instructions and must useappropriate personal protective equipments as per required standards of cleaning

CleaningCleaning with warm water and detergent is a process that removes visual dirt and contamination and in most cases is effective for decontaminating both equipment andthe environment. However in certain situations e.g. during an outbreak or during increasedincidence of infection both cleaning and disinfection is needed.

DisinfectionDisinfection is a process that reduces the number of microorganisms to a level at which they do not present a risk to patients or clients. The Sodium hypochlorite or chlorine dioxide solution will kills both bacteria and viruses provided it is used as per manufactures’ instructions. - Hypochlorite solutions are acidic and it is recommended that they are used as per instructions displayed on the product (For all Surfaces other than kitchen platforms) - IN CASE NOT AVAILABLE, USE DETTOL AS DISINFECTANT while cleaning Floors and surfaces (including kitchen platform)

ANNEXURE C1 – SCREENING PERFORMA

(Both local & international)

(INFORM EMERGENCY COMMITTEE IMMEDIATELY )

ANNEXURE C2- DEEP CLEANING CHECKLIST FOR HOUSELEEPING AT CCC

DATES WALLS FLOOR BATHROOMS KITCHEN

SUPERVISOR'S REMARKS POST INPECTION/ brand material being used (DETTOL/PHENOYL)

MORNING EVENING MORNING EVENING MORNING EVENING MORNING EVENING

ANNEX C3- CHECKLIST FOR HYGIENE - PSG Personal hygiene check Cubicle hygiene mantained

Date Patient Name

CK ID Bath/Sponge

Nails Hair Eyes /Ear

Teeth Mask Feet Clothes Bedsheet

Cubicle cleanliness

Almirah Cleanliness

Checking Food storage

Remarks

ANNEXURE C4 - Monitoring Body TempuratureDay Patient's name Morning Evening Remarks

STAY HEALTHY !

In case of any query or concern you may contact the 24x7 Cankids Helpline numbersCankids Kidscan Committee Helpline:Mr. Mukul Marwah: 9987640550Mr. Harsh Kumar: 9999904422Dr Dhanshri Pradhan - # 918108862345Ms. Neha Sharma – # 9899199387

Government Helpline on COVID19: +91-11-23978046 (by Ministry of Health & family Welfare, Govt. of India)


Thank You !

There is no reason to panic , every reason to take precautions.


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