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Inform Promote Sustain
Coronavirus (COVID-19) Training Package for Sussex Grange
This training package has been adapted from IPS
Instructions
1. Please read through all pages
2. Please complete the declaration at the end to finalise the
training (via a separate link)
What is Coronavirus and COVID-19
Inform Promote Sustain
 Coronaviruses are a large family of viruses - they
cause infections ranging from the common cold to
Severe Acute Respiratory Syndrome (SARS)
 Coronaviruses circulate between animals and
humans; sometimes new variants of the
coronavirus emerge - such as COVID-19
 COVID-19 has the potential to spread widely as
lack of immunity means everyone in the
population is susceptible
What are the symptoms of COVID-19?
 Symptoms start 5 -11 days
after exposure
 Similar to seasonal flu
 Majority have fever and dry
cough (rapid onset)
 Symptoms last 5 - 6 days
 Severe illness starts day 7
  Shortness of breath
 Lung inflammation
 Pneumonia
Symptom
Proportion
of cases
Fever >37.8oC 88%
Dry cough 68%
Fatigue 38%
Sputum 33%
Shortness of breath 19%
Muscle/joint pain 15%
Sore throat 14%
Headache 14%
Inform Promote Sustain
How is COVID-19 transmitted?
 Exposure to large respiratory droplets & vomit
 Coughing/sneezing onto mucous membranes (mouth/eyes)
 Need close contact for this to occur (within 1 metre)
 Contact with respiratory secretions
 Transferred by touching mucous membranes
 Tissues/surfaces contaminated with respiratory secretions
It is NOT transmitted in air except if patient undergoing a
procedure that generates aerosols e.g. airway suction (this is
therefore not applicable for Sussex Grange)
Inform Promote Sustain
Infection Prevention & Control
Strategies
1. Cough etiquette
 Cover mouth and nose with a tissue or your sleeve (not your hands)
2. Standard precautions
 We have implemented additional hand washing, cleaning/cleaning kits and
precautionary use of PPE
3. Isolation precautions
 We are promoting some measures of isolation amongst residents in the care home,
community care is covered by social isolation and we have asked our teams and the
office to take measures around social distancing.
Better Medicine Better Health
Hand Hygiene
 Immediately before touching a resident / client
(entering their room or house)
 Before a clean/aseptic procedure
 After removing gloves
 On leaving their room or house
Inform Promote Sustain
Alcohol gel is effective against COVID-19
Soap and water should be used if hand are soiled
Inform Promote Sustain
Hand Washing
(Click on image to play video. Then return to training module)
Hand hygiene for people we care for
 Encourage people to clean their hands
 After coughing/sneezing
 Before eating
 After toilet
 Encourage use of hand wipes or alcohol
gel available for people to use
Inform Promote Sustain
Standard precautions: Gloves
 For procedures involving DIRECT contact with blood
or body fluid
 Risk assess procedure
 if gloves are required put on immediately before
commencing procedure
 Remove and wash hands immediately after the
procedure
Inform Promote Sustain
Take gloves off promptly!
Virus (and other pathogens) are transferred between people,
surfaces and your own mucous membranes on your gloved hands
Standard Precautions: Aprons
 For procedures where there is a risk that the clothing may
become soiled
 Risk assess procedure – we have now implemented the
use of Aprons for all close contact with residents/clients
 Remove if contaminated or on leaving and decontaminate
hands
Inform Promote Sustain
Protective clothing
Known or suspected COVID-19
(or precautionary measures as implemented)
 Surgical mask - when in close contact (under 2 metres)
 Eye protection - if risk of splashing
 Gloves - for close contact, respiratory secretions, body fluids
 MUST be changed between procedures (personal care, meal prep etc.)
 Apron - when in close contact (under 2 metres)
 MUST be changed between procedures (personal care, meal prep etc.)
Inform Promote Sustain
Remember to avoid touching your mouth, nose and eyes
Inform Promote Sustain
Donning and Doffing: Gloves
(Click on image to play video. Then return to training module)
Inform Promote Sustain
Donning and Doffing
(Click on image to play video. Then return to training module)
This is the procedure we need to follow even if we have no confirmed or suspected cases. Masks MUST
NOT be touched unless putting on or taking off. They CAN NOT be rested down on the face and pulled up.
This puts you at greater RISK.
Inform Promote Sustain
Donning and Doffing
We don’t expect you to remember that!
Pictorial guidance has been issued
with every box of masks and must be
available at every location where
masks are sited.
IF more pictorial guides are needed
then please let the office know.
Correct donning and doffing is vital to
keep you and others safe.
Summary of precautions for people
with COVID-19
Personal
Protective
Equipment
Close patient
contact
(within 2m)
Enter room but
no contact with
patient or
environment
Cleaning
room/area
(Domestic
staff)
AGP
Apron    
Surgical mask    
Long sleeved
disposable gown    
FFP3 respirator    
Eye protection Risk assess   
Gloves    
Inform Promote Sustain
AGP = aerosol generating procedures
Cohorting
Key principles for caring for people with
COVID-19
Key Principles
 ANYONE with suspected or confirmed COVID-19 should be notified to your manager
immediately
 Staff will be assessed to work in COVID-19 designated areas and not care for other people
 We may implement a system of ‘Clean Teams’ and ‘Clinical Teams’
 Designated donning and doffing stations will be put in place (in the care home) and be made
urgently available as needed on dom care
 Care plans will be updated immediately to alert carers to anyone how is infected.
 You must discuss your concerns, worries and feelings with your manager. We will ensure you
have the support and guidance you need for delivery of care
Inform Promote Sustain
Isolation precautions in residential care
For residents with known/suspected COVID-19
Infection is transmitted by respiratory droplets and contact with respiratory secretions therefore:
 Resident to remain in their room (including for meals)
 Must have en-suite facilities
 Protective clothing for close contact (under 2 metres)
 Protective clothing for direct contact with body fluid
 Clean surfaces daily
 Clean frequently touched surfaces more often
 Use detergent followed by disinfectant
 Dedicated patient equipment
Inform Promote Sustain
Remember to avoid touching your mouth, nose and eyes
Disposal of waste & laundry for
COVID-19 (suspected or confirmed)
 Waste - discard as clinical waste
 These bags should be placed into another bag, tied securely and kept separate from other waste
within your own room. This should be put aside for at least 72 hours before being put in your
usual external household waste bin.
 Laundry - as infected laundry
 To minimise the possibility of dispersing virus through the air, do not shake dirty laundry.
 Wash items as appropriate in accordance with the manufacturer’s instructions. All dirty laundry
can be washed in the same load.
 Uniforms
 change before starting / leaving work
 If washing at home wash separately and do not overfill machine
Inform Promote Sustain
Staff with COVID-19
 If you develop symptoms of a flu-like illness then DO NOT come to
work:
 Acute onset fever >37.8oC
 New persistent cough
 Inform your manager by phone
 Self-isolate at home for 7 days from onset of symptoms
 Use the 111 online service to get an isolation note/advice
 1st – Symptom Checker https://111.nhs.uk/covid-19
 2nd – Isolation Note https://111.nhs.uk/isolation-note/
Inform Promote Sustain
Inform Promote Sustain
Training Complete
To finalise your training please complete the link below
Training Declaration

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Sussex Grange COVID-19 Training.

  • 1. Inform Promote Sustain Coronavirus (COVID-19) Training Package for Sussex Grange This training package has been adapted from IPS Instructions 1. Please read through all pages 2. Please complete the declaration at the end to finalise the training (via a separate link)
  • 2. What is Coronavirus and COVID-19 Inform Promote Sustain  Coronaviruses are a large family of viruses - they cause infections ranging from the common cold to Severe Acute Respiratory Syndrome (SARS)  Coronaviruses circulate between animals and humans; sometimes new variants of the coronavirus emerge - such as COVID-19  COVID-19 has the potential to spread widely as lack of immunity means everyone in the population is susceptible
  • 3. What are the symptoms of COVID-19?  Symptoms start 5 -11 days after exposure  Similar to seasonal flu  Majority have fever and dry cough (rapid onset)  Symptoms last 5 - 6 days  Severe illness starts day 7   Shortness of breath  Lung inflammation  Pneumonia Symptom Proportion of cases Fever >37.8oC 88% Dry cough 68% Fatigue 38% Sputum 33% Shortness of breath 19% Muscle/joint pain 15% Sore throat 14% Headache 14% Inform Promote Sustain
  • 4. How is COVID-19 transmitted?  Exposure to large respiratory droplets & vomit  Coughing/sneezing onto mucous membranes (mouth/eyes)  Need close contact for this to occur (within 1 metre)  Contact with respiratory secretions  Transferred by touching mucous membranes  Tissues/surfaces contaminated with respiratory secretions It is NOT transmitted in air except if patient undergoing a procedure that generates aerosols e.g. airway suction (this is therefore not applicable for Sussex Grange) Inform Promote Sustain
  • 5. Infection Prevention & Control Strategies 1. Cough etiquette  Cover mouth and nose with a tissue or your sleeve (not your hands) 2. Standard precautions  We have implemented additional hand washing, cleaning/cleaning kits and precautionary use of PPE 3. Isolation precautions  We are promoting some measures of isolation amongst residents in the care home, community care is covered by social isolation and we have asked our teams and the office to take measures around social distancing. Better Medicine Better Health
  • 6. Hand Hygiene  Immediately before touching a resident / client (entering their room or house)  Before a clean/aseptic procedure  After removing gloves  On leaving their room or house Inform Promote Sustain Alcohol gel is effective against COVID-19 Soap and water should be used if hand are soiled
  • 7. Inform Promote Sustain Hand Washing (Click on image to play video. Then return to training module)
  • 8. Hand hygiene for people we care for  Encourage people to clean their hands  After coughing/sneezing  Before eating  After toilet  Encourage use of hand wipes or alcohol gel available for people to use Inform Promote Sustain
  • 9. Standard precautions: Gloves  For procedures involving DIRECT contact with blood or body fluid  Risk assess procedure  if gloves are required put on immediately before commencing procedure  Remove and wash hands immediately after the procedure Inform Promote Sustain Take gloves off promptly! Virus (and other pathogens) are transferred between people, surfaces and your own mucous membranes on your gloved hands
  • 10. Standard Precautions: Aprons  For procedures where there is a risk that the clothing may become soiled  Risk assess procedure – we have now implemented the use of Aprons for all close contact with residents/clients  Remove if contaminated or on leaving and decontaminate hands Inform Promote Sustain
  • 11. Protective clothing Known or suspected COVID-19 (or precautionary measures as implemented)  Surgical mask - when in close contact (under 2 metres)  Eye protection - if risk of splashing  Gloves - for close contact, respiratory secretions, body fluids  MUST be changed between procedures (personal care, meal prep etc.)  Apron - when in close contact (under 2 metres)  MUST be changed between procedures (personal care, meal prep etc.) Inform Promote Sustain Remember to avoid touching your mouth, nose and eyes
  • 12. Inform Promote Sustain Donning and Doffing: Gloves (Click on image to play video. Then return to training module)
  • 13. Inform Promote Sustain Donning and Doffing (Click on image to play video. Then return to training module) This is the procedure we need to follow even if we have no confirmed or suspected cases. Masks MUST NOT be touched unless putting on or taking off. They CAN NOT be rested down on the face and pulled up. This puts you at greater RISK.
  • 14. Inform Promote Sustain Donning and Doffing We don’t expect you to remember that! Pictorial guidance has been issued with every box of masks and must be available at every location where masks are sited. IF more pictorial guides are needed then please let the office know. Correct donning and doffing is vital to keep you and others safe.
  • 15. Summary of precautions for people with COVID-19 Personal Protective Equipment Close patient contact (within 2m) Enter room but no contact with patient or environment Cleaning room/area (Domestic staff) AGP Apron     Surgical mask     Long sleeved disposable gown     FFP3 respirator     Eye protection Risk assess    Gloves     Inform Promote Sustain AGP = aerosol generating procedures
  • 16. Cohorting Key principles for caring for people with COVID-19 Key Principles  ANYONE with suspected or confirmed COVID-19 should be notified to your manager immediately  Staff will be assessed to work in COVID-19 designated areas and not care for other people  We may implement a system of ‘Clean Teams’ and ‘Clinical Teams’  Designated donning and doffing stations will be put in place (in the care home) and be made urgently available as needed on dom care  Care plans will be updated immediately to alert carers to anyone how is infected.  You must discuss your concerns, worries and feelings with your manager. We will ensure you have the support and guidance you need for delivery of care Inform Promote Sustain
  • 17. Isolation precautions in residential care For residents with known/suspected COVID-19 Infection is transmitted by respiratory droplets and contact with respiratory secretions therefore:  Resident to remain in their room (including for meals)  Must have en-suite facilities  Protective clothing for close contact (under 2 metres)  Protective clothing for direct contact with body fluid  Clean surfaces daily  Clean frequently touched surfaces more often  Use detergent followed by disinfectant  Dedicated patient equipment Inform Promote Sustain Remember to avoid touching your mouth, nose and eyes
  • 18. Disposal of waste & laundry for COVID-19 (suspected or confirmed)  Waste - discard as clinical waste  These bags should be placed into another bag, tied securely and kept separate from other waste within your own room. This should be put aside for at least 72 hours before being put in your usual external household waste bin.  Laundry - as infected laundry  To minimise the possibility of dispersing virus through the air, do not shake dirty laundry.  Wash items as appropriate in accordance with the manufacturer’s instructions. All dirty laundry can be washed in the same load.  Uniforms  change before starting / leaving work  If washing at home wash separately and do not overfill machine Inform Promote Sustain
  • 19. Staff with COVID-19  If you develop symptoms of a flu-like illness then DO NOT come to work:  Acute onset fever >37.8oC  New persistent cough  Inform your manager by phone  Self-isolate at home for 7 days from onset of symptoms  Use the 111 online service to get an isolation note/advice  1st – Symptom Checker https://111.nhs.uk/covid-19  2nd – Isolation Note https://111.nhs.uk/isolation-note/ Inform Promote Sustain
  • 20. Inform Promote Sustain Training Complete To finalise your training please complete the link below Training Declaration

Editor's Notes

  1. Lauer et al The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application. Ann Intern Med. 2020 Mar 10. doi: 10.7326/M20-0504
  2. COVID-19 is an enveloped virus and therefore destroyed by alcohol hand rubs