The document discusses contact precautions for healthcare workers during the COVID-19 pandemic. It notes that healthcare workers are at high risk of exposure due to caring for infected patients. It provides guidance on proper use of personal protective equipment like gloves, gowns, and masks. It emphasizes the importance of hand hygiene, avoiding touching the face, and cleaning and disinfecting surfaces. Healthcare workers are advised to limit exposure time with patients and properly collect and handle diagnostic samples and tissues.

1. CONTACT
PRECAUTIONS IN
CORONA VIRUS 2019
( CoVid 2019 )
Dr.T.V.Rao MD
3/24/2020 Dr.T.V.Rao MD @ COVID 19 1

2. Threat of COVID 2019
• The rapid spread of the virus
that causes COVID-19 has
sparked alarm worldwide.
The World Health
Organization (WHO) has
declared this rapidly
spreading coronavirus
outbreak a pandemic, and
many countries are grappling
with a rise in confirmed cases.
3/24/2020 Dr.T.V.Rao MD @ COVID 19 2

3. Critical care is fraught with challenges
COVID 2019
• Critical care is fraught with challenges, litigation's, success and
failure however the infections matters most and the soon many
people admitted in Intensive care units can be infected with Drug
resistance bacteria, or Viral Infections as happening with current
pandemic of COVID 2019 and threat continues and health care
workers can be at risk and their families too now it is mandatory for
the health care workers in the developing nations to be trained in to
control the health care related infections with proper practices in
contact precautions,
3/24/2020 Dr.T.V.Rao MD @ COVID 19 3

4. UNVERSAL
PRECAUTIONS
A A TOP
PRIORITY TO
SAVE LIVES
• in many of developing countries much
emphasis was done on universal / standard
precautions to save oneself from the spread
of infections from patients to the health care
workers, and now it is a great priority to
train the health care workers on Contact
precautions Contact Precautions -let us be
familiar with Illnesses requiring contact
precautions,3/24/2020 Dr.T.V.Rao MD @ COVID 19 4

5. IMPACT OF COVID 2019
• Healthcare personnel (HCP)
are on the front lines of
caring for patients with
confirmed or possible
infection with coronavirus
disease 2019 (COVID-19)
and therefore have an
increased risk of exposure
to this virus. HCPs can
minimize their risk of
exposure when caring for
confirmed or possible
COVID-19 patients
3/24/2020 Dr.T.V.Rao MD @ COVID 19 5

6. THE IDEAL APPROACHES TO STOP SPREAD OF COVID
19 AND SELF PROTECTION OF HEALTH CARE WORKERS
•Use Standard
Precautions,
Contact
Precautions, and
Airborne
3/24/2020 Dr.T.V.Rao MD @ COVID 19 6

7. 3/24/2020 Dr.T.V.Rao MD @ COVID 19 7

8. Protection of Eye
in COVID 2019
•Precautions and
eye protection
when caring for
patients with
confirmed or
possible COVID-
19.
3/24/2020 Dr.T.V.Rao MD @ COVID 19 8

9. SIMPLE
PRECAUTIONS
MATTER
MOST
3/24/2020 Dr.T.V.Rao MD @ COVID 19 9

10. Hand hygiene a Gold standard
Perform hand hygiene with
alcohol-based hand rub
before andafter all patient
contact, contact with
potentially
infectiousmaterial, and
before putting on and upon
removal of PPE,including
gloves. Use soap and water if
hands are visibly soiled.
3/24/2020 Dr.T.V.Rao MD @ COVID 19 10

11. Physical Methods Use
of Gloves
• Gloves - Wear gloves when
touching the patient and the
patient’s immediate environment
or belongings Remove gloves
promptly after use and discard
before touching non-
contaminated items or
environmental surfaces, and
before providing care to another
patient Wash hands immediately
after removing gloves
3/24/2020 Dr.T.V.Rao MD @ COVID 19 11

12. Do not Reuse Gloves
• Do not wear the same gown
for the care of more than
one patient Room Private
room or cohort, (room)
patients infected or
colonized with the same
organism Prioritize
placement of patients in an
exam room if they have stool
incontinence, draining
wounds and/or skin lesions
that cannot be covered, or
uncontrolled secretions
3/24/2020 Dr.T.V.Rao MD @ COVID 19 12

13. Cautious approach by Health care workers
Clean your hands often
• Wash your hands often with
soap and water for at least 20
seconds especially after you
have been in a public place, or
after blowing your nose,
coughing, or sneezing.
• If soap and water are not
readily available, use a hand
sanitizer that contains at least
60% alcohol. Cover all surfaces
of your hands and rub them
together until they feel dry.
3/24/2020 Dr.T.V.Rao MD @ COVID 19 13

14. Avoid the following instructions
•Avoid touching
your eyes, nose,
and mouth with
unwashed
hands.
3/24/2020 Dr.T.V.Rao MD @ COVID 19 14

15. Standard precautions save us and
many Around
•Use Standard
Precautions,
Contact
Precautions,
and Airborne
3/24/2020 Dr.T.V.Rao MD @ COVID 19 15

16. Avoid close contact
Maintain a Distance
• Avoid close contact with
people who are sick
• Put distance between
yourself and other people if
COVID-19 is spreading in
your community. This is
especially important for
people who are at higher
risk of getting very sick
3/24/2020 Dr.T.V.Rao MD @ COVID 19 16

17. Cover coughs and sneezes
•Cover your mouth
and nose with a
tissue when you
cough or sneeze or
use the inside of
your elbow.
3/24/2020 Dr.T.V.Rao MD @ COVID 19 17

18. Disposing the used Tissues Thrashes
• Throw used tissues in the
trash
immediately wash your
hands with soap and water
for at least 20 seconds. If
soap and water are not
readily available, clean
your hands with a hand
sanitizers that contains at
least 60% alcohol.
3/24/2020 Dr.T.V.Rao MD @ COVID 19 18

19. Collection of Diagnostic Respiratory
Specimens
• Collection of Diagnostic
Respiratory Specimens When
collecting diagnostic respiratory
specimens (e.g.,
nasopharyngeal swab) from a
possible COVID-19 patient, the
following should occur:HCP in
the room should wear an N-95
or higher-level respirator (or
face mask if a respirator is not
available), eye protection,
gloves, and a gown.
3/24/2020 Dr.T.V.Rao MD @ COVID 19 19

20. Collection of Diagnostic Respiratory
Specimens
• When collecting diagnostic
respiratory specimens (e.g.,
nasopharyngeal swab) from a
possible COVID-19 patient, the
following should occur:
HCP in the room should wear an
N-95 or higher-level respirator
(or face mask if a respirator is
not available), eye protection,
gloves, and a gown.
3/24/2020 Dr.T.V.Rao MD @ COVID 19 20

21. 3/24/2020 Dr.T.V.Rao MD @ COVID 19 21

22. Safety when collecting the specimens in COVID 19
•The number of HCP
present during the
procedure should be
limited to only those
essential for patient care
and procedure support.
Visitors should not be
present for specimen
collection
3/24/2020 Dr.T.V.Rao MD @ COVID 19 22

23. Specimen collection
• .
•Specimen collection
should be
performed in a
normal examination
room with the door
closed.
3/24/2020 Dr.T.V.Rao MD @ COVID 19 23

24. Clean and disinfect Patient
care
•Clean AND disinfect
frequently touched
surfaces daily. This
includes tables,
doorknobs, light
switches, counter tops,
handles, desks, phones,
keyboards, toilets,
faucets, and sinks.
3/24/2020 Dr.T.V.Rao MD @ COVID 19 24

25. Cleaning the Dirty surfaces
•If surfaces are
dirty, clean them:
Use detergent or
soap and water
prior to
disinfection.
3/24/2020 Dr.T.V.Rao MD @ COVID 19 25

26. THINGS WHICH CAN SAVE US AND
MANY AROUND
3/24/2020 Dr.T.V.Rao MD @ COVID 19 26

27. Resources and References
• Source of information and resources on COVID WHO and CDC
• Google based Resources
3/24/2020 Dr.T.V.Rao MD @ COVID 19 27

28. • Program File Created by Dr.T.V.Rao MD for Benefit of
Medical Nursing and Health care workers in the
Developing World
• Email
• doctortvrao@gmail.com
3/24/2020 Dr.T.V.Rao MD @ COVID 19 28