Nurse's fight against Corona Virus ( Covid 19 )

1. By: Argentina I. Mercado, RN
Nurse’s fight against
Corona Virus (Covid-
19)
Reviewed by: Dr. David Hali De Jesus RN, PgDip, FISQua
Associate Professor, School of Nursing
Philippine Women's University

2. Disclaimer
I have no actual or potential
conflict of interest in relation to
this presentation.
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3. OBJECTIVES
The objective of this presentation is to provide education about
Corona virus, a pandemic which all of us are facing.
This presentation provides information about Corona Virus and
its effect on healthcare workers.
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4. What is Corona Virus (Covid-19)?
On 31 December 2019, WHO was alerted to several cases of
pneumonia in Wuhan City, Hubei Province of China. During
this reported period, the causal agent was not yet identified.
On 7 January 2020, Chinese authorities confirmed that they
had identified a new virus. The new virus is a corona virus,
which is a family of viruses that include common cold, and
viruses such as SARS and MERS. This new temporary virus
was then named “ 2019-nCOV”.
On January 11, 2020, WHO received further detailed
information from National Health Commission China that the
outbreak is associated with exposures in one seafood
market in Wuhan City.
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5. From January 13, 2020 many countries reported the imported case of lab-
confirmed novel coronavirus (2019-nCOV) from Wuhan, Hubei Province,
China.
There’s a link to a large seafood and animal market, suggesting animal-to-
person spread and a growing number of patients reportedly have not had
exposure to animal markets, suggesting person-to-person spread is
occurring.
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6. “We cannot say this loudly enough or
clearly enough or often enough: All
countries can still change the course of
this pandemic”
—DR. TEDROS ADHANOM GHEBREYESUS, WORLD
HEALTH ORGANIZATION’S DIRECTOR GENERAL
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7. COVID-19 affects different people in
different ways. Most infected people will
develop mild to moderate illness and
recover without hospitalization.
Most common symptoms:
fever
dry cough
tiredness
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8. DRY COUGHHIGH FEVER
Irritation and constant
coughing without expelling
any mucus
The body feels completely
tired and without energy to
perform normal tasks
The body temperature can
exceed 37.3 Celsius
degrees or 99 Fahrenheit
degrees
SYMPTOMS OF COVID-19
TIREDNESS
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9. Less common symptoms:
aches and pains
sore throat
diarrhea
conjunctivitis
headache
loss of taste or smell
a rash on skin, or discoloration of
fingers or toes
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10. Serious symptoms:
difficulty breathing or shortness of breath
chest pain or pressure
loss of speech or movement
Seek immediate medical attention if you have serious symptoms. Always
call before visiting your doctor or health facility.
People with mild symptoms who are otherwise healthy should manage
their symptoms at home.
On average it takes 5–6 days from when someone is infected with the
virus for symptoms to show, however it can take up to 14 days.
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11. Many people infected with COVID-19 show
mild symptoms, especially during the first
stages of the disease. Thus, you can still
catch the disease from an infected person
who only has a mere cough and does not feel
ill.
ASYMPTOMATIC PEOPLE
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12. HIGH FEVERTIREDNESS
DIFFICULTY
BREATHING
DRY COUGH
INFOGRAPHICS
The body temperature
can exceed 37.3 Celsius
degrees
The body feels completely
tired, without energy
Breathing actually feels
more difficult
Constant coughing
without expelling any
mucus
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13. WHAT TO DO IF YOU HAVE SYMPTOMS
You have symptoms or
have been in an infected
area
STEP 01
Call the designated phone
number for your region
STEP 02
You will be given a home
test over the phone
STEP 03
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14. Follow the instructions
provided by the doctor
WHAT TO DO IF YOU HAVE SYMPTOMS
Patiently wait for the
results of the test
STEP 04
STEP 05
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15. ABOUT 80% OF
PEOPLE RECOVER
FROM THIS DISEASE
WITHOUT NEEDING
SPECIAL
TREATMENT
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16. Who are at risk for Coronavirus?
The virus that causes COVID-19 infects people of all ages. However,
evidence to date suggests that two groups of people are at a higher
risk of getting severe COVID-19 disease. These are older people (that
is people over 60 years old); and those with underlying medical
conditions (such as cardiovascular disease, diabetes, chronic
respiratory disease, and cancer).
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18. WHO has issued advice for these two
groups and for community support to
ensure that they are protected from
COVID-19 without being isolated,
stigmatized, left in a position of
increased vulnerability or unable to
access basic provisions and social
care.
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19. But among these people, the most at risk for
acquiring the Coronavirus are the people they
called “Frontliners” and we, as nurses, are
among them.
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20. What nurses should know about the coronavirus
pandemic?
Even if you never see a single case, all nurses are in a great spot to help patients cope
with the threat of the coronavirus pandemic. This new virus that causes respiratory
illness and pneumonia originated in Wuhan, China and has been responsible for at least
4,200 deaths as of March 11, 2020, according to the World Health Organization. It has
the global healthcare community and patients worldwide in a fluster.
As health officials and government leaders scramble to streamline operations and gain
hold of a pandemic that’s upended daily life, nurses are likely to encounter concerned
patients—and some with symptoms requiring testing.
Informed nurses can put groundless fears to rest, reinforce the points where patients
should be concerned about coronavirus, encourage reasonable preventive measures
and just generally help the public make sense of it all.
Of course, there is a lot of misinformation and emotional misinterpretation fueling fears
and discouraging people from understanding their odds of contracting coronavirus and
how to diminish them. Nurses owe it to their patients, friends and family to be a voice of
reason, and this handy guide from reliable nurse and medical experts is a great starting
point for communication. 19

21. How Covid affects Nurses as Healthcare workers?
Healthcare workers must be supported as they man the front line of the struggle against the novel
coronavirus. As the corona virus spreads globally, measures must be taken to protect and support
health workers and their families.
The COVID-19 pandemic is straining healthcare workers worldwide. The pressure on the global
healthcare workforce continues to intensify. This pressure takes two forms. The first is the
potentially overwhelming burden of illnesses that stresses health system capacity and the second is
the adverse effects on healthcare workers, including the risk of infection.
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22. Six kinds of measures can protect and support healthcare workers and their families
1. Infection prevention: Protective gear
is essential to prevent healthcare worker
infection when treating COVID-19 patients,
the CDC recommends the use of personal
protective equipment including a gown,
gloves, and either an N95 respirator plus a
face shield/goggles or a powered, air-
purifying respirator (PAPR). If N95
respirators or PAPR are not available such
as in many outpatient settings, medical
masks could be effective protection.
In a study of outpatient healthcare
personnel in diverse ambulatory practices,
medical masks applied to both patient and
caregiver provided effectively similar
protection as N95 masks in the incidence
of laboratory-confirmed influenza among
caregivers who were routinely exposed to
patients with respiratory viruses.
2. Emergency department protocols:
EDs are on the front line of the coronavirus
pandemic and crowding is a concern for
person-to-person contact among patients
with respiratory symptoms. Placing a
facemask on the patient at arrival,
supplying tissues, promoting cough
etiquette, and providing for hand hygiene
and surface decontamination are all
important steps.
They say urgent actions should be taken
for patients who present at EDs with
COVID-19 symptoms, which are primarily
fever, cough, and shortness of breath.
Those steps include rapid triage and
placing the patient in a well-ventilated
space away from other patients until an
isolation room is available.
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23. 3. Hand hygiene and surface
decontamination: Hand hygiene is critically
important for healthcare workers during the
COVID-19 pandemic. Healthcare personnel
must focus on meticulous hand hygiene,
avoiding contaminating workspaces. The
COVID-19 virus has been shown to live on
surfaces for hours or days, so healthcare
workers should disinfect personal items and
workspaces such as cell phones and
keyboards.
It is sensible for environmental services
workers to increase the frequency of
cleaning of commonly touched surfaces such
as light switches, countertops, chair arms,
escalator railings, elevator buttons,
doorknobs, and handles.
4. Healthcare worker precautions: With
community spread of COVID-19 reported in
many countries, healthcare workers are at
high risk of exposure to the virus. Healthcare
workers must self-monitor, report signs of
illness, and not engage in patient care while
exhibiting infectious symptoms. Healthcare
organizations should consider restricting the
travel of healthcare workers to reduce the risk
of exposure and to keep clinical staff close to
work and available.
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24. 5. Protecting family members: ways to
protect family members, including
separation of living spaces and protocols for
infection control after shifts such as
removing and washing clothing at home.
The focus should be on supportive
conversations, clear guidance when
recommendations exist, attempts to
minimize misinformation, and efforts to
reduce anxiety.
6. Leadership: With the COVID-19 crisis likely to
stretch over weeks or months, the leaders of
healthcare organizations should engage
healthcare workers to address their concerns.
Transparent and thoughtful communication could
contribute to trust and a sense of control.
Ensuring that workers feel they get adequate rest,
are able to tend to critical personal needs (such
as care of an older family member), and are
supported both as healthcare professionals and
as individuals will help maintain individual and
team performance over the long run.
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25. Cover your mouth and your
nose with your bent elbow or
a tissue when coughing
Seek medical attention if you
have difficulty breathing and
a high fever
Follow the directions of your
national or local health
authorities
Wash your hands with an
alcohol-based sanitizer or
with soap and water
Keep a distance of at least 1
meter between yourself and
anyone who coughs or
sneezes
Try your best not to touch
your eyes, your nose and
your mouth
PROTECTING YOURSELF AND PREVENTING
THE SPREAD OF THE DISEASE
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26. PROTECTION MEASURES FOR PEOPLE THAT
ARE IN OR VISITED INFECTED AREAS
01 02
Stay home if you do not feel well, even if
you feel mild symptoms such as
headaches, slight fever and a runny nose
If you need to go out (for example, to buy
food or supplies), wear a mask to
minimize the risk of infecting others
03 04
If you have difficulty breathing and/or a
high fever, seek medical advice as soon
as possible
Call your provider and inform them of any
recent travel, especially to countries with
reported cases
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28. ANTIBIOTICS DO NOT
WORK AGAINST
CORONAVIRUS
BUT STRONG
PRAYER DO…
KEEP THE FAITH
Antibiotics do not treat viruses such as COVID-19,
but they are absolutely essential for treating
bacterial infections. Patients with COVID-19, are
very susceptible to secondary bacterial infections
which can only be treated with antibiotics. People
on ventilators are particularly susceptible. Sadly it is
these secondary bacterial infections that are a
significant cause of death.
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29. REFERENCES
WHO World Health Organization
https://www.who.int/emergencies/diseases/novel-coronavirus-2019
Health leaders
Health care workers and Corona
https://www.healthleadersmedia.com/clinical-care/coronavirus-6-measures-sustain-healthcare-workforce
Ministry of Public Health Qatar
https://www.moph.gov.qa
Antibiotic Research UK
https://www.antibioticresearch.org.uk/coronavirus/
These slides is uploaded for information and as partial requirement if
Philippine Women’s University in Master of Nursing (MAN) Subject: Nursing
Practicum.
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30. THANKS!