1
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
May 21, 2020 CareUniversity Webinar #139
For resource downloads go to:
www.MedTacGlobal.org
Coronavirus Survive & Thrive Guide
for Caregiver & Critical Worker Families
2
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
Charles Denham, MD Chairman, TMIT Global
Founder Med Tac Bystander Rescue Care
Med Tac Bystander Rescue Care March 21, 2020 CareUniversity Webinar #139
Welcome
3
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
To optimize webinar sound volume, please check:
• WebEx volume
• Computer volume
• External speaker volume
4
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
If you are still having difficulty hearing the webinar:
Please click on Participants
Then the “Request Phone” button to receive a toll dial-in
5
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
Our Purpose Statement
Our Purpose:
We will measure our success by how we protect and enrich the lives of families…patients AND caregivers.
Our Mission:
To accelerate performance solutions that save lives, save money, and create value in the communities we serve and ventures we undertake.
CAREUNIVERSITY ®
EMERGING THREATS
COMMUNITY OF PRACTICE
6
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
Speakers
& Reactors
Dr. Charles Denham
Chief William Adcox Dr. Gregory Botz
Becky Martins
Heather Foster RN
Dr. Christopher Peabody
7
7
www.MedTacGlobal.org
Bystander Rescue Care
for Failure to Rescue
8
8
9
9
10
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
Disclosure Statement The following panelists certify that unless otherwise noted below, each presenter provided full disclosure information; does not intend to
discuss an unapproved/investigative use of a commercial product/device; and has no significant financial relationship(s) to disclose. If
unapproved uses of products are discussed, presenters are expected to disclose this to participants. None of the participants have any
relationship medication or device companies discussed in their presentations.
• Gregory H. Botz, MD, FCCM, is a professor in the Department of Critical Care at the UT MD Anderson Cancer Center. He received his medical degree from George
Washington University School of Medicine in Washington, DC. He completed an internship in internal medicine at Huntington Memorial Hospital and then completed
a residency in anesthesiology and a fellowship in critical care medicine at Stanford University in California. He also completed a medical simulation fellowship at
Stanford with Dr. David Gaba and the Laboratory for Human Performance in Healthcare. Dr. Botz is board-certified in anesthesiology and critical care medicine. He
is a Fellow of the American College of Critical Care Medicine. He has nothing to disclose.
• William H. Adcox serves as the Chief of Police and CSO at The University of Texas MD Anderson Cancer Center and The University of Texas Health Science Center.
He has nothing to disclose.
• Becky Martins has nothing to disclose.
• Heather Foster has nothing to disclose.
• Charles Denham, MD, is the Chairman of TMIT; a former TMIT education grantee of CareFusion and AORN with co-production by Discovery Channel for Chasing
Zero documentary and Toolbox including models; and an education grantee of GE with co-production by Discovery Channel for Surfing the Healthcare Tsunami
documentary and Toolbox, including models. HCC is a former contractor for GE and CareFusion, and a former contractor with Siemens and Nanosonics, which
produces a sterilization device, Trophon. HCC is a former contractor with Senior Care Centers. HCC is a former contractor for ByoPlanet, a producer of sanitation
devices for multiple industries. He does not currently work with any pharmaceutical or device company. His current area of research is in threat management to
institutions including conflict of interest, healthcare fraud, and continuing professional education and consumer education including bystander care. Dr. Denham is
a collaborator with Professor Christensen at Harvard Business School.
11
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
Becky Martins
Founder, Voice4Patients.com
TMIT Patient Advocate Team
Member
Warren, ME
Voice of the Patient
© 2006 HCC, Inc. CD000000-0000XX 12 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better! The 4 P’s to Address Emerging Threats
CAREUNIVERSITY ®
EMERGING THREATS
COMMUNITY OF PRACTICE
Global Patient
Safety Forum
SAFETYLEADERS ®
© 2006 HCC, Inc. CD000000-0000XX 13 Med Tac Bystander Rescue Care
Cardiac Arrest
Meaningful Use is dead. Long live something better! High Impact Care Hazards to Patients, Students, and Employees
Opioid Overdose
Common Accidents
Bullying
A Medical-Tactical Approach undertaken by
clinical and non-clinical people can have
enormous impact on los of life and harm
from very common hazards:
• High Impact Care Hazards are frequent,
severe, preventable, and measurable.
• Lifeline Behaviors undertaken by anyone
can save lives.
Choking & Drowning
Anaphylaxis
Major Trauma
Transportation Accidents
Med Tac
Story Article
Active Shooter
Healthcare Article
AED & Bleeding
Control Gear Article
Rapid Response
Teams Article
Battling Failure to Rescue
Automated External
Defibrillator
& Bleeding Control
Gear Placement
14 © 2020 TMIT
Meaningful Use is dead. Long live something better! In the News: Med Tac Updates
Source: Campus Safety Nov/Dec Issue - https://www.campussafetymagazine.com/public/med-tac-training-bystanders/
Nov/Dec 2018 Issue
Emerging Threats
Community of Practice
Bystander Rescue Care
CareUniversity Series
15 © 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Ann Rhoades
Dr. Charles Denham Chief William Adcox Dr. Gregory Botz
Randy Styner Dr. Chris Fox Tom Renner David Beshk
Dennis Quaid John Nance JD Beth Ullem
John Little
Dr. Casey Clements
Dr. Steve Swensen Perry Bechtle III Fred Haise
Nancy Conrad
Dr. Mary Foley
Heather Foster
Dr. Chopra
Betsy Denham Becky Martins
Debbie Medina
Preston Head III
Charlie Denham III
Dr. McDowell
Tyler Sant Avarie Pettit Bob Chapman
Dr. C Peabody
Emerging Threats
Community of Practice
Bystander Rescue Care
CareUniversity Series
16 © 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Dan Ford
C Sullenberger Charlotte Guglielmi
Bill George Penny George
Dr. Don Berwick
Contributions Through Segments of Documentaries
Dr. Howard Koh Jim Collins Dr. Jim Bagian
Arlene Salamendra Jennifer Dingman
Dr. Harvey Fineberg
Hilary Schmidt PhD
Prof Christensen
Paul Bhatia EMT
17
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
Heather Foster RN Dr. Gregory H. Botz William Adcox, MBA
Coronavirus Survive & Thrive Guide
© 2006 HCC, Inc. CD000000-0000XX 18 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better! Essential Critical Infrastructure Workers
© 2006 HCC, Inc. CD000000-0000XX 19 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better! Essential Critical Infrastructure Workers
40% of
Work
Force
No Family
Training
Provided
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Protecting Your Family
Survive & Thrive Guide: Preparing for Care at Home
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Protecting Your Family
Survive & Thrive Guides
22
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
Heather Foster RN Dr. Gregory H. Botz William Adcox, MBA
Coronavirus Survive & Thrive Guide
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Keeping Your Family Safe
Understand
the Basics
The Basics
Form Family Team &
Health Security Plan
Care of Your
Loved Ones
Leadership Practices
• Why Checklists?
• Setting up Care Room
• Protecting Caregivers
• Protecting the Family
• Family Health Security Plan
• The Family CFO
• Engaging Family: Head,
Heart, Hands, & Voice
• Critical Concepts
• Prevention, Preparedness,
Protection, & Performance
Improvement – The 4 P’s
• How the Virus Spreads
Putting Supplies
& Gear to Work
Technologies
• Supplies & Gear
Checklist
• Seniors & At-Risk Care
Checklists to be Safe
• Innovating Solutions
Preparing for Care at Home
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Keeping Your Family Safe
Understand
the Basics
The Basics
Form Family Team &
Health Security Plan
Care of Your
Loved Ones
Leadership Practices
Putting Supplies
& Gear to Work
Technologies
Preparing for Care at Home
• Critical Concepts
• Prevention, Preparedness,
Protection, & Performance
Improvement – The 4 P’s
• How the Virus Spreads
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Keeping Your Family Safe
Understand
the Basics
The Basics
Care of Your
Loved Ones
Leadership Practices
Putting Supplies
& Gear to Work
Technologies
Preparing for Care at Home
• Family Health Security Plan
• The Family CFO
• Engaging Family: Head, Heart,
Hands, & Voice
Form Family Team &
Health Security Plan
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Keeping Your Family Safe
Understand
the Basics
The Basics
Care of Your
Loved Ones
Leadership Practices
Putting Supplies
& Gear to Work
Technologies
Preparing for Care at Home
Form Family Team &
Health Security Plan
• Why Checklists?
• Setting up Care Room
• Protecting Caregivers
• Protecting the Family
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Keeping Your Family Safe
Understand
the Basics
The Basics
Care of Your
Loved Ones
Leadership Practices
Putting Supplies
& Gear to Work
Technologies
Preparing for Care at Home
Form Family Team &
Health Security Plan
Putting Supplies
& Gear to Work
• Supplies & Gear Checklist
• Seniors & At-Risk Care Checklists to
be Safe
• Innovating Solutions
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Keeping Your Family Safe
Understand
the Basics
The Basics
Understand
the Basics
The Basics
29
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
Gregory H. Botz, MD, FCCM
Professor of Anesthesiology and
Critical Care
UT – MD Anderson Cancer Center
Adjunct Clinical Associate Professor,
Department Anesthesiology
Stanford University Medical School
Coronavirus Survive & Thrive Guide
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Protecting Your Family
Sources of Infections
Days Since Infection
Presymptomatic 45%
Symptomatic 40%
Environment 10%
Asymptomatic 5%
New Infections Caused by Day
0.3
0.2
0.1
0 0 2.5 5.0 7.5 10.0 12.5
Source: Chart Graphically adapted by Charles Denham from Quantifying SARS-CoV-2 transmission suggests epidemic control with digital contact tracing Ferretti et al., Science 368, 619 (2020) 8 May 2020 and Tomas Pueyo adaptation
Presymptomatic Patient Transmission before infected
patients experience symptoms
45%
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Protecting Your Family
Sources of Infections
Days Since Infection
Presymptomatic 45%
Symptomatic 40%
Asymptomatic 5%
New Infections Caused by Day
0.3
0.2
0.1
0 0 2.5 5.0 7.5 10.0 12.5
Source: Chart Graphically adapted by Charles Denham from Quantifying SARS-CoV-2 transmission suggests epidemic control with digital contact tracing Ferretti et al., Science 368, 619 (2020) 8 May 2020 and Tomas Pueyo adaptation
Symptomatic Patient Transmission from infected
patients experiencing symptoms
40%
Environment 10%
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Protecting Your Family
Sources of Infections
Days Since Infection
Presymptomatic 45%
Symptomatic 40%
Asymptomatic 5%
New Infections Caused by Day
0.3
0.2
0.1
0 0 2.5 5.0 7.5 10.0 12.5
Source: Chart Graphically adapted by Charles Denham from Quantifying SARS-CoV-2 transmission suggests epidemic control with digital contact tracing Ferretti et al., Science 368, 619 (2020) 8 May 2020 and Tomas Pueyo adaptation
Environmental Sources are likely from Contact Surfaces
10%
Environment 10%
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Protecting Your Family
Sources of Infections
Days Since Infection
Presymptomatic 45%
Symptomatic 40%
Asymptomatic 5%
New Infections Caused by Day
0.3
0.2
0.1
0 0 2.5 5.0 7.5 10.0 12.5
Source: Chart Graphically adapted by Charles Denham from Quantifying SARS-CoV-2 transmission suggests epidemic control with digital contact tracing Ferretti et al., Science 368, 619 (2020) 8 May 2020 and Tomas Pueyo adaptation
Asymptomatic Patients who are infected and never
get symptoms 5% Environment 10%
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Keeping You and Your Family Safe
Understand
the Basics
The Basics
• Critical Concepts
• The 4 P’s: Prevention,
Preparedness,
Protection, &
Performance
Improvement
• How the Virus Spreads
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
SOURCE: CDC Website
Social
Distancing
Hand
Washing
Disinfecting
Surfaces
Care at
Home
CDC Guidelines
Survive & Thrive Guide: Protecting Your Family
Meaningful Use is dead. Long live something better!
Impact of Social Distancing
Social Distancing
For COVID-19, this has
been estimated at 2.5 R0 is the average number
of people a sick person will infect
To Illustrate the potential of social distancing, the following assumptions are made:
There is a linear
correlation between social exposure and R
The median incubation period of COVID-19 is
approximately five days - after this period, a
person will experience symptoms and self
quarantine. o
5
Days
Source: The Math Behind Social Distancing https://www.visualcapitalist.com/the-math-behind-social-distancing/
Meaningful Use is dead. Long live something better! Social Distancing
DAY 1
1 Person
INFECTS
DAY 5
0.625 People INFECTED
DAY 30
2.5 People INFECTED
REDUCING SOCIAL EXPOSURE BY 75%
With these in mind, here’s how distancing measures can control the spread of the disease:
Source: The Math Behind Social Distancing https://www.visualcapitalist.com/the-math-behind-social-distancing/
Meaningful Use is dead. Long live something better! Social Distancing
DAY 1
1 Person
INFECTS
DAY 5
1.25 People INFECTED
DAY 30
15 People INFECTED
Reducing Social
Exposure by 50%
Source: The Math Behind Social Distancing https://www.visualcapitalist.com/the-math-behind-social-distancing/
Meaningful Use is dead. Long live something better! Social Distancing
DAY 1
1 Person
INFECTS
DAY 5
2.5 People INFECTED
NO SOCIAL DISTANCING MEASURES IN PLACE
406 People
INFECTED IN 30 DAYS
No Social Distancing At 30 Days
DAY 1
1 Person
INFECTS
DAY 5
2.5 People INFECTED
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
40
Stay-at-Home
DO NOT ENTER Social Distance
Separating Infected from Not Infected
Critical Concepts
CALL or TEXT __________
SELF
QUARANTINED
VIRUS FREE
ISOLATION
AREA
Coronavirus
COVID-19
DO NOT ENTER
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Keeping You and Your Family Safe
Understand
the Basics
The Basics
• Critical Concepts
• The 4 P’s: Prevention,
Preparedness,
Protection, &
Performance
Improvement
• How the Virus Spreads
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Keeping You and Your Family Safe
Presence of Virus
On Surfaces Understand
the Basics
The Basics
• Critical Concepts
• The 4 P’s: Prevention,
Preparedness,
Protection, &
Performance
Improvement
• How the Virus Spreads
© 2006 HCC, Inc. CD000000-0000XX 43 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better! Infection Targets: Flu and Common Cold versus Coronavirus
43
Influenza
“Common Cold”
Upper Respiratory
Infection
© 2006 HCC, Inc. CD000000-0000XX 44 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better! Infection Targets: Flu and Common Cold versus Coronavirus
44
Influenza
“Common Cold”
Upper Respiratory
Infection
Coronavirus
(SARS CoV-2)
Lower Respiratory
Infection
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Person-to-Person Transmission
45
Infectious Droplets &
Droplet Nuclei Travel Length
1-3 Feet 3-5 Feet 5-160+ Feet
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! __________
The Centers for Disease Control and Prevention
recommends a 6-foot (2-m) separation. However, these
distances are based on estimates of range that have not
considered the possible presence of a high-momentum
cloud carrying the droplets long distances. Given the
turbulent puff cloud dynamic model, recommendations for
separations of 3 to 6 feet (1-2m) underestimate the
distance, timescale, and persistence over which the cloud
and its pathogenic payload travel, thus generating an
underappreciated potential exposure range for a health
care worker. For these and other reasons, wearing of
appropriate personal protection equipment is vitally
important for health care workers caring for patients who
may be infected, even if they are farther than 6 feet away
from a patient.
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! __________
The Centers for Disease Control and Prevention
recommends a 6-foot (2-m) separation. However, these
distances are based on estimates of range that have not
considered the possible presence of a high-momentum
cloud carrying the droplets long distances. Given the
turbulent puff cloud dynamic model, recommendations for
separations of 3 to 6 feet (1-2m) underestimate the
distance, timescale, and persistence over which the cloud
and its pathogenic payload travel, thus generating an
underappreciated potential exposure range for a health
care worker. For these and other reasons, wearing of
appropriate personal protection equipment is vitally
important for health care workers caring for patients who
may be infected, even if they are farther than 6 feet away
from a patient.
Given the turbulent puff …
3 to 6 feet (1-2m) underestimate the
distance…
underappreciated potential exposure
range for a health care worker…
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better!
48
Survive & Thrive Guide: Protecting Your Family
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better!
49
Survive & Thrive Guide: Protecting Your Family
Loud Speech can emit
thousands of droplets per
second. They can remain in
stagnant air environment for
8-14 minutes.
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better!
50
Survive & Thrive Guide: Protecting Your Family
Loud Speech can emit
thousands of droplets per
second. They can remain in
stagnant air environment for
8-14 minutes.
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better!
51
Survive & Thrive Guide: Protecting Your Family
“substantial probability
normal speaking causes
airborne virus transmission
in confined environments”
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
52
Source: New Yorker Magazine May 13, 2020
Atul Gawande
Survive & Thrive Guide: Keeping Your Family Safe
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
53
Source: Nature Medicine 04-03-20
Survive & Thrive Guide: Keeping Your Family Safe
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
54
Source: Nature Medicine 04-03-20
Surgical Masks likely block 99% of Respiratory Droplets by
people with Coronaviruses or Influenza Viruses.
Survive & Thrive Guide: Keeping Your Family Safe
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
55
Source: https://fastlifehacks.com/n95-vs-ffp/
Survive & Thrive Guide: Keeping Your Family Safe
Surgical Mask Composition: Melt Blown Fibers
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
56
Source: Disaster Medicine and Public Health
Survive & Thrive Guide: Keeping Your Family Safe
Efficacy of Cloth Masks
“Surgical masks did three times
better than homemade masks at
blocking outward transmission of
respiratory viruses” Dr Gawande,
New Yorker Magazine
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
57
Source: https://www.preprints.org/manuscript/202004.0203/v1
Survive & Thrive Guide: Keeping Your Family Safe
Impact of Cloth Masks
A recent, extensive review of the research from an international consortium of scientists
suggests that if at least sixty per cent of the population wore masks that were just
sixty-per-cent effective in blocking viral transmission—which a well-fitting, two-layer
cotton mask is—the epidemic could be stopped. Dr. Gawande, New Yorker Magazine
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
58
Source: https://www.medrxiv.org/content/10.1101/2020.04.17.20069567v2.full.pdf/
Survive & Thrive Guide: Keeping Your Family Safe
Benefit of Surgical & Cloth Masks to Wearer
Benefit to the wearer may be limited, but it’s likely not insignificant: laboratory research
has found that surgical masks reduce inhalation of respiratory-droplet-size
particles by about three-quarters. Two-layer cotton masks filter about half as
much on average, though a good fit can improve that considerably.
Dr. Gawande, New Yorker Magazine
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
59
Source: https://www.medrxiv.org/content/10.1101/2020.04.17.20069567v2.full.pdf/
Survive & Thrive Guide: Keeping Your Family Safe
The Takeaway: Masks Work
N 95 Mask Surgical Mask Cloth Mask
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
60
Source: https://www.medrxiv.org/content/10.1101/2020.04.17.20069567v2.full.pdf/
Survive & Thrive Guide: Keeping Your Family Safe
The Takeaway: Masks Work
“I protect you; you protect me”.
Dr. Gawande, New Yorker Magazine
N 95 Mask Surgical Mask Cloth Mask
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
SOURCE: CDC Website
Social
Distancing
Hand
Washing
Disinfecting
Surfaces
Care at
Home
CDC Guidelines
Survive & Thrive Guide: Protecting Your Family
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
62
Source: https://pubmed.ncbi.nlm.nih.gov/11457626/ and Atul Gawande, New Yorker Magazine May 13, 2020
Survive & Thrive Guide: Keeping Your Family Safe
Handwashing Really Works
A 45% reduction in total outpatient visits for
respiratory illness was observed after
implementation of the handwashing program.
1,089,800 person-weeks were reviewed.
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
63
Source: https://www.bmj.com/content/336/7635/77 and Atul Gawande, New Yorker Magazine May 13, 2020
Survive & Thrive Guide: Keeping Your Family Safe
Handwashing Really Works
Research on the 2002 SARS coronavirus
outbreak found hand washing more than
ten times per day reduced the infection
rate substantially.
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
64
How Long Does Corona Virus Live on Surfaces?
*At 71 to 65 relative humidity
Adapted From Business Insider
Source: New England Journal of Medicine (NEJM) and The Lancet Microbe (L-M)
*At 69.8 to 73.4 degrees F (21 to 23 Degrees C) and 40% Humidity
Paper and Tissue
Paper**
Copper*
Cardboard*
Wood**
Cloth**
3 hours
4 hours
24 hours
2 days
2 days
Stainless Steel*
Polypropylene
Plastic*
Glass**
Paper Money**
Outside of
surgical mask **
2-3 days
3 days
4 days
4 days
7 days
Contact Surfaces
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Contact Surfaces
Paper and Tissue
Paper**
Copper*
Cardboard*
Wood**
Cloth**
3 hours
4 hours
24 hours
2 days
2 days
*At 69.8 to 73.4 degrees F (21 to 23 Degrees C) and 40% Humidity
*At 71 to 65 relative humidity
Adapted From Business Insider
Source: New England Journal of Medicine (NEJM) and The Lancet Microbe (L-M)
How Long
Does Corona
Virus Live on
Surfaces?
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Contact Surfaces
Paper and Tissue
Paper**
Copper*
Cardboard*
Wood**
Cloth**
3 hours
4 hours
24 hours
2 days
2 days
*At 69.8 to 73.4 degrees F (21 to 23 Degrees C) and 40% Humidity
*At 71 to 65 relative humidity
Adapted From Business Insider
Source: New England Journal of Medicine (NEJM) and The Lancet Microbe (L-M)
How Long
Does Corona
Virus Live on
Surfaces?
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Contact Surfaces
Paper and Tissue
Paper**
Copper*
Cardboard*
Wood**
Cloth**
3 hours
4 hours
24 hours
2 days
2 days
*At 69.8 to 73.4 degrees F (21 to 23 Degrees C) and 40% Humidity
*At 71 to 65 relative humidity
Adapted From Business Insider
Source: New England Journal of Medicine (NEJM) and The Lancet Microbe (L-M)
How Long
Does Corona
Virus Live on
Surfaces?
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Contact Surfaces
Paper and Tissue
Paper**
Copper*
Cardboard*
Wood**
Cloth**
3 hours
4 hours
24 hours
2 days
2 days
*At 69.8 to 73.4 degrees F (21 to 23 Degrees C) and 40% Humidity
*At 71 to 65 relative humidity
Adapted From Business Insider
Source: New England Journal of Medicine (NEJM) and The Lancet Microbe (L-M)
How Long
Does Corona
Virus Live on
Surfaces?
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Contact Surfaces
*At 69.8 to 73.4 degrees F (21 to 23 Degrees C) and 40% Humidity
*At 71 to 65 relative humidity
Adapted From Business Insider
Source: New England Journal of Medicine (NEJM) and The Lancet Microbe (L-M)
2-3 days
3 days
4 days
4 days
7 days
How Long
Does Corona
Virus Live on
Surfaces?
Stainless Steel*
Polypropylene
Plastic*
Glass**
Paper Money**
Outside of
surgical mask **
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Contact Surfaces
*At 69.8 to 73.4 degrees F (21 to 23 Degrees C) and 40% Humidity
*At 71 to 65 relative humidity
Adapted From Business Insider
Source: New England Journal of Medicine (NEJM) and The Lancet Microbe (L-M)
2-3 days
3 days
4 days
4 days
7 days
How Long
Does Corona
Virus Live on
Surfaces?
Stainless Steel*
Polypropylene
Plastic*
Glass**
Paper Money**
Outside of
surgical mask **
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Contact Surfaces
*At 69.8 to 73.4 degrees F (21 to 23 Degrees C) and 40% Humidity
*At 71 to 65 relative humidity
Adapted From Business Insider
Source: New England Journal of Medicine (NEJM) and The Lancet Microbe (L-M)
2-3 days
3 days
4 days
4 days
7 days
How Long
Does Corona
Virus Live on
Surfaces?
Stainless Steel*
Polypropylene
Plastic*
Glass**
Paper Money**
Outside of
surgical mask **
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Contact Surfaces
*At 69.8 to 73.4 degrees F (21 to 23 Degrees C) and 40% Humidity
*At 71 to 65 relative humidity
Adapted From Business Insider
Source: New England Journal of Medicine (NEJM) and The Lancet Microbe (L-M)
2-3 days
3 days
4 days
4 days
7 days
How Long
Does Corona
Virus Live on
Surfaces?
Stainless Steel*
Polypropylene
Plastic*
Glass**
Paper Money**
Outside of
surgical mask **
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Protecting Your Family
Coronavirus Test
Serum Antibody Test
AB
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Protecting Your Family
WHO do we test?
WHAT is tested?
WHY test?
HOW do tests work?
Testing: Who, What, Why, and How?
Infected Not Infected Infected and
Asymptomatic
Recovered and
Maybe Immune
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Protecting Your Family
TEST for COVID & AB
TRACE Contacts
TREAT Infected Early
ISOLATE the Infected
QUARANTINE those At Risk
TEST, TRACE, TREAT, ISOLATE, and QUARANTINE
Not Infected
Infected
Infected and
Asymptomatic
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Seniors Unusual Symptoms
0 5 7 14 21 28 35
Presence
Of
Antibodies
COVID-19 RNA
and Antigen IgM Antibody
Days After Infection
IgG Antibody
No
Symptoms
Symptoms Recovery
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Antibody Presence
0 5 7 14 21 28 35
Presence
Of
Antibodies
COVID-19 RNA
and Antigen IgM Antibody
Days After Infection
IgG Antibody
No
Symptoms
Symptoms Recovery
COVID-19 RNA
and Antigen
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
IgM Disappears
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Antibody Presence
0 5 7 14 21 28 35
Presence
Of
Antibodies
COVID-19 RNA
and Antigen IgM Antibody
IgM Antibody
Detectable
Days After Infection
IgG Antibody
No
Symptoms
Symptoms Recovery
COVID-19 RNA
and Antigen
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
IgM Disappears
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Antibody Presence
0 5 7 14 21 28 35
IgG Antibody
Remains in the
blood MAY provide
long-term immunity Presence
Of
Antibodies
COVID-19 RNA
and Antigen IgM Antibody
IgM Antibody
Detectable
Days After Infection
IgG Antibody
No
Symptoms
Symptoms Recovery
COVID-19 RNA
and Antigen
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
IgM Disappears
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Antibody Presence
0 5 7 14 21 28 35
IgG Antibody
Remains in the
blood MAY provide
long-term immunity Presence
Of
Antibodies
COVID-19 RNA
and Antigen IgM Antibody
IgM Antibody
Detectable
Days After Infection
IgG Antibody
No
Symptoms
Symptoms Recovery
COVID-19 RNA
and Antigen
The Big Question:
How much
immunity do
these provide?
81
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
Heather Foster RN
Infection Prevention Nurse
ICU Nurse
Patient Safety Advocate
Cortez Colorado
Coronavirus Survive & Thrive Guide
82
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
William Adcox, MBA
Chief Security Officer
& Chief of Police MD Anderson
Cancer Center &
The University of Texas
Health Science Center
Coronavirus Survive & Thrive Guide:
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Keeping Your Family Safe
Form Family Team &
Health Security Plan
Leadership A Miracle on
the Hudson
84
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
Gregory H. Botz, MD, FCCM
Professor of Anesthesiology and
Critical Care
UT – MD Anderson Cancer Center
Adjunct Clinical Associate Professor,
Department Anesthesiology
Stanford University Medical School
Coronavirus Survive & Thrive Guide
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Keeping You and Your Family Safe
Form Family Team &
Health Security Plan
Leadership
• Family Health Security Plan
• The Family CFO
• Engaging Family: Head,
Heart, Hands, & Voice
HEAD
HEART
HANDS
VOICE
Engaging
Your
Family
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better!
Form Family Team &
Health Security Plan
Leadership
• Family Health Security Plan
• The Family CFO
• Engaging Family: Head,
Heart, Hands, & Voice
Survive & Thrive Guide: Keeping Your Family Safe
Response
Rescue
Recovery
Resilience
Readiness
Activate
Mobilize
Care Monitor
Family Health Security Plan
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Protecting Your Family
The Waves that Follow
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better!
TRUTH
TRUST
TEAMWORK
TRAINING Ann Rhoades
Jim Collins
Bob Chapman
Clayton Christensen
Survive & Thrive Guide: Protecting Your Family
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better!
HEAD
HEART
HANDS
VOICE
What do you want
them to KNOW?
What do you want
them to FEEL?
What do you want
them to DO?
What do you want
them to SAY?
TRUTH
TRUST
TEAMWORK
TRAINING
The Science of
Spread and Safety.
The Fight for Life
for your loved ones.
Plan the Work &
Work the Plan
All Teach &
All Learn
Survive & Thrive Guide: Keeping Your Family Safe
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Protecting Your Family
Survive & Thrive Guides
91
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
Charles R Denham III
Co-founder Med Tac Bystander
Rescue Program
Junior Instructor
Coronavirus Survive & Thrive Guide
92
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
Heather Foster RN
Infection Prevention Nurse
ICU Nurse
Patient Safety Advocate
Cortez Colorado
Coronavirus Survive & Thrive Guide
93
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
William Adcox, MBA
Chief Security Officer
& Chief of Police MD Anderson
Cancer Center &
The University of Texas
Health Science Center
Coronavirus Survive & Thrive Guide:
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Keeping Your Family Safe
Care of Your
Loved Ones Practices
95
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
Gregory H. Botz, MD, FCCM
Professor of Anesthesiology and
Critical Care
UT – MD Anderson Cancer Center
Adjunct Clinical Associate Professor,
Department Anesthesiology
Stanford University Medical School
Coronavirus Survive & Thrive Guide
© 2006 HCC, Inc. CD000000-0000XX 96 © 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Editable Checklists
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Survive & Thrive Guide: Protecting Your Family
Checklists for Care at Home
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Survive & Thrive Guide: Protecting Your Family
Checklists for Care at Home
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
SOURCE: CDC Website
Social
Distancing
Hand
Washing
Disinfecting
Surfaces
Care at
Home
CDC Guidelines
Survive & Thrive Guide: Protecting Your Family
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better!
Care of Your
Loved Ones
Practices
• Why Checklists?
• Setting up Care Room
• Protecting the Home
Caregivers Giving Care
• Protecting the Family
During Care at Home
Survive & Thrive Guide: Keeping Your Family Safe
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better!
Care of Your
Loved Ones
Practices
• Why Checklists?
• Setting up Care Room
• Protecting Caregivers
• Protecting the Family
Survive & Thrive Guide: Keeping Your Family Safe
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better!
Care of Your
Loved Ones
Practices
• Why Checklists?
• Setting up Care Room
• Protecting Caregivers
• Protecting the Family
Cleaning
Image
Survive & Thrive Guide: Keeping Your Family Safe
103
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
Heather Foster RN
Infection Prevention Nurse
ICU Nurse
Patient Safety Advocate
Cortez Colorado
Coronavirus Survive & Thrive Guide
104
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
William Adcox, MBA
Chief Security Officer
& Chief of Police MD Anderson
Cancer Center &
The University of Texas
Health Science Center
Coronavirus Survive & Thrive Guide:
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Keeping Your Family Safe
Putting Supplies
& Gear to Work
Technologies
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Keeping You and Your Family Safe
Putting Supplies
& Gear to Work
Technologies
• Supplies & Gear
Checklist
• Seniors & At-Risk Care
Checklists to be Safe
• Innovating Solutions
Hand
Washing
Soap
Wash
Thoroughly
Await
Drying
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better!
Putting Supplies
& Gear to Work
Technologies
• Supplies & Gear
Checklist
• Seniors & At-Risk Care
Checklists to be Safe
• Innovating Solutions
Survive & Thrive Guide: Keeping Your Family Safe
© 2006 HCC, Inc. CD000000-0000XX 108 Med Tac Bystander Rescue Care
Care of the At Risk & Seniors at Home Coronavirus Response
CareUniversity Series
© 2006 HCC, Inc. CD000000-0000XX 109 Med Tac Bystander Rescue Care
Care of the At Risk & Seniors at Home Coronavirus Response
CareUniversity Series
Supplies Checklist:
Prescription Medications On Hand: Have at least 90 days of prescription medications on hand. If insurance will allow it, get a 120-day supply. If not, keep track of when they can renew them and then have them filled so they have them on hand.
Over the Counter Medications: Make sure they have over the counter medications for headache, colds, and other ailments they may have not needing prescriptions.
Thermometers: Every home should have a thermometer on hand to so that inhabitants can monitor their temperature whether healthy or sick. Many will get colds or the flu and may be frightened they may have Coronavirus.
Food and Bottled Water: It is important to have food on hand that will not spoil. If power goes out as it can in ordinary circumstances, it may take longer to repair if service personnel are sick. Food that does not require refrigeration or to be stored in freezers needs to be on-hand.
Flashlights and Batteries: (better than candles for reasons of risk) and batteries incase power goes out.
Cleaning and Disinfectant Supplies: Soap and water is very effective to kill the virus because it dissolves fats and the virus has a fat layer. Liquid Soap and water is even better than alcohol disinfectants for both hands and for contact surfaces for killing the Coronavirus. • If alcohol and soap runs out, bleach may be diluted to 1:10 Bleach to Water concentration for
contaminated clothing. • Dilution of 1:50 Bleach to Water concentration fordisinfecting contact surfaces. • Dilution of 1:100 Bleach to Water for skin cleaning. • Having plenty of liquid soap, buckets, and rags are important if caring for someone at home.
Paper towels may be in short supply – rags and towels cleaned in washing machines are safe. Kitchen Rubber Gloves: Two to three pairs of rubber gloves will be good to have on hand if one
has to take care of someone in the home. They should be used for disinfecting the surfaces. Some surfaces will sustain the virus for a few hours. Some, however, can sustain the virus for three to nine days. The virus lasts longer on-porous surfaces like door handles
Full Tank of Gas: If the supply chain is disrupted by illnesses of those transporting or operating gas stations, you may have a hard time getting fuel. We need to be as prepared as we would with a storm or during any natural disaster or emergency.
Reading Materials & Recordings: In the extreme case cable systems and internet providers may go down and seniors should have access to reading materials and recordings to inspire them and maintain hope. Our faith-based communities can provide tremendous support of them here.
Process Checklist: In Case of Emergency - ICE Contact List: Phone numbers and email addresses of friends and
family members who know they are going to be called if an individual experiences an emergency should be on an accessible list. The In Case of Emergency phone numbers should be generated. It should include those who have a Power of Attorney for healthcare and for business issues.
All Caregivers Contact Information: A master list of the doctors, nurse practitioners, pharmacists, and caregiver's office phone numbers, emergency numbers, and addresses should be on an easy to read list.
Local Support Individuals: Names and mobile numbers of friends and family who can pick up supplies for them, transport them, care for them, and check on them.
“If I Get Sick Plan”: A plan of “what if I get sick” directions. For instance – what signs and symptoms should prompt them to call for help. A certain temperature or other developments to drive action.
Hospital of Choice: If an individual has been under the care of a hospital, their medical records are very important to future care. They may identify that hospital or a hospital as a first choice for care.
Medical Power of Attorney: Everyone over the age of 18 will need to execute a medical power of attorney if they are to allow another person to make decisions regarding care if the victim is unable to do so. For instance, college students going to school in another state who are in another state get sick, parents will need one to get medical records.
Regular Expenses & Payment Mechanism: Create a list of regular bills and how to pay them if a person is in the hospital and unable to take care of them.
Regular Home Chores: A list of tasks that must be undertaken if residents become ill and are taken to the hospital should be created. They might include watering indoor and outdoor plants, pet care, and pet care.
Daily Check In Calls: Seniors and those with underlying conditions such as heart, lung, or kidney disease as well as those with immune compromised conditions such as chemotherapy and transplant patients should have someone check in on them if they are alone.
Food Replenishment Process: A process for regular replenishment of food and supplies should be set up.
Meals on Wheels & Support Programs: If seniors and those who qualify can be added to such programs, they should consider such support.
Sick Care Room: A room or section of the home should be identified where a family member can be treated in case, they become ill. This is whether they get the Coronavirus, a cold, or the flu.
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better!
Putting Supplies
& Gear to Work
Technologies
• Supplies & Gear
Checklist
• Seniors & At-Risk Care
Checklists to be Safe
• Innovating Solutions
Charlie &
Betsy
Milk
Carton
Survive & Thrive Guide: Keeping Your Family Safe
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
111
Source: C Denham
The 5 Rights of Emergency Care ®
Right Provider
Right Diagnosis
Right Treatment
Right Monitoring
Right Prevention Test
Treat
Diagnose Monitor
Watch
Rx
Right Diagnosis
Right Treatment
Right Discharge
Right Follow Up
H
MD
ED
Meds
F O
NEW
DC
PLAN
PHR
Home
Images
ICE
112
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
Christopher Peabody MD MPH
Assistant Clinical Professor
of Emergency Medicine,
University of California
San Francisco
Coronavirus Survive & Thrive Guide By Zoom Recording
113
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
Heather Foster RN
Infection Prevention Nurse
ICU Nurse
Patient Safety Advocate
Cortez Colorado
Coronavirus Survive & Thrive Guide
114
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
For resource downloads go to: www.MedTacGlobal.org
William Adcox, MBA
Chief Security Officer
& Chief of Police MD Anderson
Cancer Center &
The University of Texas
Health Science Center
Coronavirus Survive & Thrive Guide:
115 © 2020 TMIT
National Survey Questions
I would like to attend the
CORONAVIRUS CARE & SAFETY Webinar Series
Very
Strongly
Agree
10
Strongly
Agree
9
Agree
8
Agree
7
Very
Strongly
Disagree
1
Disagree
3
Strongly
Disagree
2
Neutral
6
Neutral
5
Negative
to Neutral
4
The topics I wish to have covered in the
CORONAVIRUS CARE & SAFETY Webinar Series
115
© 2006 HCC, Inc. CD000000-0000XX Med Tac Bystander Rescue Care CareUniversity
Meaningful Use is dead. Long live something better! Survive & Thrive Guide: Protecting Your Family
Survive & Thrive Guides
117 © 2020 TMIT
National Survey Questions
I would like to invite individuals or groups to
CORONAVIRUS CARE and SAFETY Series
Very
Strongly
Agree
10
Strongly
Agree
9
Agree
8
Agree
7
Very
Strongly
Disagree
1
Disagree
3
Strongly
Disagree
2
Neutral
6
Neutral
5
Negative
to Neutral
4
The topics I wish to have covered in WEBINAR on
CORONAVIRUS CARE and SAFETY in this series
117
118 © 2020 TMIT
National Survey Questions
I believe there is value in
Locally Led Coronavirus Safety Programs
Very
Strongly
Agree
10
Strongly
Agree
9
Agree
8
Agree
7
Very
Strongly
Disagree
1
Disagree
3
Strongly
Disagree
2
Neutral
6
Neutral
5
Negative
to Neutral
4
I recommend the following individuals or groups
For the Opportunity be Informed About the Program
118
119
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
Speakers
& Reactors
Dr. Charles Denham
Chief William Adcox Dr. Gregory Botz
Becky Martins
Heather Foster RN
Dr. Christopher Peabody
120
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
Becky Martins
Founder, Voice4Patients.com
TMIT Patient Advocate Team
Member
Warren, ME
Voice of the Patient
121
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
RESOURCES
© 2006 HCC, Inc. CD000000-0000XX 122 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better!
Flattening the Curve: Avoid the Surge
www.GlobalPatientSafetyForum.org Emerging Threats Community of Practice
Readiness for Epidemics including preparedness for testing and
volume surges
125
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
Gregory H. Botz, MD, FCCM Professor, Department of Critical Care
Division of Anesthesiology and Critical Care
The University of Texas
MD Anderson Cancer Center
Adjunct Clinical Associate Professor
Stanford University School of Medicine
Med Tac Bystander Rescue Care March 18, 2020 CareUniversity Webinar #134
A Critical Care Perspective
© 2006 HCC, Inc. CD000000-0000XX 126 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better! Threat Safety Science: The Context of Emerging Threats
126
Emerging Threats
•Threat Velocity: The speed of new threats challenging us are appearing much faster
than ever before.
•Threat Spectrum: The range of different threats challenging us are increasing as well.
• Invisible and Visible Threats: Many of the threats are invisible to us until they are
upon us. The Coronavirus COVID-19 is an example of a threat that is invisible. Many
who are infected with the virus are asymptomatic AND contagious.
127
Emerging Threats
Community of Practice
Med Tac Bystander Rescue Care
Bystander Rescue Care
CareUniversity Series
Chief William Adcox, MBA Chief Security Officer
MD Anderson Cancer Center
Chief of Police at University
of Texas at Houston
Med Tac Bystander Rescue Care March 18, 2020 CareUniversity Webinar #134
The Security Leader’s Perspective
© 2006 HCC, Inc. CD000000-0000XX 128 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better! The Security Leader’s Perspective
Major Medical Centers – What you might expect to encounter:
1. Limited access points
2. Exterior access screening for everyone
3. Lines and delays
4. Limiting patient visitors and access to only patients and person
involved in direct patient care of the support of direct patient care.
5. No visitors under 18 years of age
6. Reducing and cancelling of elective surgery
7. Off-site screening and testing for COVID19
8. Public areas limited with social distancing recommended
9. Limited food services within the hospitals for visitors
10. Limited or eliminated valet services
11. Crowding and delays
© 2006 HCC, Inc. CD000000-0000XX 129 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better! The Security Leader’s Perspective
Hospital Challenges for Security
1. PPE, Sanitizing and cleaning supplies are now in greater demand
and harder to obtain. The value of these has gone up and now
must be protected in ways not previous done.
2. Reduced access point while controlling access into the hospitals
3. Limiting visitors
4. Utilization of PPE
5. Patient surges
6. Reduced staffing
7. Fear
8. Added responsibilities
© 2006 HCC, Inc. CD000000-0000XX 130 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better! The Security Leader’s Perspective
Police and Security – Changes occurring:
1. Non-violent crimes and misdemeanors not being accepted by jails and Juvenile centers
2. Diversion programs for habitual trespassers, alcohol intoxication, etc. closing
3. Some reporting of problems with Emergency Commitments due to illness
4. Setting up alternatives to first responders' homes for quarantine
5. Establish “drive up” testing and prioritized first responders and health care workers
6. Enhanced Sanitizing of police buildings, prisoner holding areas and vehicles
7. Staffs supplied with additional disinfecting wipes and hand sanitizer
8. PE deployments and testing (Nationwide shortages) 9. Communication Centers asking screening questions of
callers to better inform responding personnel and establish social distancing.
10. Limiting police responses to non-life threatening or crimes in progress calls
11. Taking more Reports over the phone instead of a police officer response.
12. Performing “Doorway Triage” at the scene of all 911 calls and asking complaints to come outside on calls.
13. Modified and reduced staffing plans 14. Civilian employees working from home where
possible 15. Repurposing of police officers assigned to special
assignments 16. Require social distancing inside police facilities to
include modified roll calls 17. Recommending officers sanitize their duty belts
and equipment, changing out uniforms at work or immediately upon reaching home to avoid contact with family
© 2006 HCC, Inc. CD000000-0000XX 131 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better! The Security Leader’s Perspective
What we all can do:
1. Understand the virus and obtain information from credible sources only
2. Educate our children. Answer their questions. Understand their fear.
Establish new routines and expectations
3. Explain basic hygiene practices to our families and everyone’s responsibility
to practice good hygiene and help more frequently clean the most touched
surfaces
4. Support each other, their families and your community
5. Don’t try to over stock thus emptying out grocery stores
© 2006 HCC, Inc. CD000000-0000XX 132 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better! Have you heard???
132
© 2006 HCC, Inc. CD000000-0000XX 133 Med Tac Bystander Rescue Care
Meaningful Use is dead. Long live something better! Protecting You And Your Family
133
Objectives:
Background Information
Current Situation
Facts vs. Fiction
What can you do to stay safe?
How can you protect yourself and your families?