QIO Office Hours COVID19 EMS Response to COVID19

QIO Office Hours COVID-19 EMS Response to COVID-19 with Special Patient Considerations Brandon Sargent April 30, 2020

Agenda • Opening Remarks • Housekeeping • Presentation • Q&A • Closing Remarks 2

On-Demand Learning We also make each Office Hour available for On-Demand Learning to share with peers. Office Hours | COVID-19 Focused Survey for Nursing Homes URL: https: //bit. ly/2 RCWf. Cq Office Hours | How to Safely and Effectively Handle Vendors in Your Facility During COVID-19 URL: https: //bit. ly/2 K 1 o. ZQT 3

Housekeeping Items: Chat • To ensure maximum sound quality, participant lines have been muted; however we welcome ALL questions and comments via the chat box on the right hand side of your screen • To submit questions or comments: • Use the chat box 4

Polling Question Which of the following sources do you prefer to receive professional development opportunities and information? Select your top 3: Ø Webinars/Webcasts Ø Podcasts/Short audio recordings/On-demand learning sessions Ø Online Journal Articles and/or Blogs Ø Email network/List. Serv with links to online resource Ø Social Media (twitter, facebook, linkedin) 5

EMS RESPONSE TO COVID-19 WITH SPECIAL PATIENT CONSIDERATIONS A SYSTEMATIC APPROACH

THE INFORMATION CONTAINED HEREIN IS FROM A SMALL SAMPLING OF EMS PROVIDERS AND DOES NOT DIRECTLY REFLECT THE POLICIES AND/OR ACTIONS OF ALL EMS PROVIDERS. THIS INFORMATION IS A GENERALIZED GUIDELINE THAT REFLECTS THE POLICIES SET FORTH BY THE INDIANA STATE DEPARTMENT OF HEALTH IN CONSORTIUM WITH OWEN COUNTY EMS AND OUR MEDICAL DIRECTOR FOR EMS OPERATIONS DURING THIS PANDEMIC.

EMS ADAPTATIONS TO COVID 19 OVERVIEW UPDATES TO POLICIES AND PROCEDURES UNIVERSAL PRECAUTIONS TO PATIENTS IN GENERAL RESPONSE TO SUSPECTED OR CONFIRMED COVID-19 INFECTION EXTENDED CARE FACILITIES CONSIDERATIONS THE WELL BEING OF RESPONDERS

UPDATES TO POLICIES AND PROCEDURES FREQUENCY OF UPDATES ARE ALMOST DAILY SCREENING OF EMPLOYEES HEALTH DURING WORK UNIFORMS AND HYGIENE STATION AND AMBULANCE CLEANING AND DECONTAMINATION ACTIONS TAKEN IF EXPOSED TO COVID-19

UNIVERSAL PRECAUTIONS TO PATIENTS IN GENERAL ADDITION OF SURGICAL MASKS TO BE DONNED ALONGSIDE STANDARD BODY SUBSTANCE ISOLATION PRECAUTIONS TREATMENT CHANGES WITH LARGE EMPHASIS ON AIRWAY MANAGEMENT AND RESPIRATORY COMPLAINTS TRANSPORT DECISIONS AND POLICIES IN THE MIDST OF A PANDEMIC SPECIAL CONSIDERATIONS TO RECEIVING FACILITIES OF SPECIALIZED TRANSPORT UNITS

RESPONSE TO SUSPECTED OR CONFIRMED COVID-19 PATIENTS BODY SUBSTANCE ISOLATION OR OTHERWISE KNOWN AS PPE IN A PANDEMIC DO NOT RUSH AN EMERGENCY RESPIRATORY MANAGEMENT WITH SEVERE DYSPNEA OR APNEIC PATIENTS CARDIAC ARREST MANAGEMENT

EXTENDED CARE FACILITIES CONSIDERATIONS UNDERSTANDING THAT THE RESIDENTS OF THESE FACILITIES ARE HIGH RISK PATIENTS CHALLENGES WITH GAINING ACCESS TO ECF PATIENTS AND MITIGATING THOSE CHALLENGES EMS PRECAUTIONS TO SAFELY ENTER FACILITIES

THE WELL BEING OF RESPONDERS THE WELL BEING OF REPONDERS AS A WHOLE, BOTH PHYSICALLY AND MENTALLY PHYSICAL HEALTH AND MAINTENANCE PRACTICES MENTAL HEALTH SUPPORT TO KEEP YOU HEALTHY AND IN THIS FIGHT ALONG SIDE YOUR COLLEAGUES

THERE IS A QUOTE THAT I LIKE TO SHARE WITH MY STUDENTS THAT HELPS TO GUIDE THEM IN MAKING THE BEST DECISIONS POSSIBLE WHEN NOT ALL OF THE FACTORS ARE CLEAR. “DO THE BEST YOU CAN UNTIL YOU KNOW BETTER. THEN, WHEN YOU KNOW BETTER, DO BETTER. ” MAYA ANGELOU IN CONCLUSION I WOULD LIKE THANK EVERYONE FOR THEIR ATTENTION DURING THIS PRESENTATION. I WISH YOU ALL THE BEST GOING FORWARD AND THAT YOU STAY SAFE AND HEALTHY. PRESENTED BY TIMOTHY BRANDON SARGENT NREMT-P, P. I.

Questions? • To submit questions or comments: • Use the chat box 15

Polling Question What additional resources do you need most right now? q Policies/Waivers q Activity Ideas for Residents during COVID-19 q Surveillance Tools/NHSN Enrollment Assistance q Infection Control Education and Training q Resident Transfer Resources 16

Q Tips Podcasts for Nursing Homes Get great tips from Qsource as part of our QTips Podcast series. Available each week and sent directly to your email in-box. Podcast 1 | Qsource Assistance Overview URL: https: //bit. ly/2 UV 6 x 2 S Podcast 2 | Dining Assistant Waiver URL: https: //bit. ly/2 wn. F 1 Bq Podcast 3 | Temporary Blanket Waivers for Resident Care Facilities URL: https: //bit. ly/2 Vn. Bcot 17

Q Tips Podcasts for Nursing Homes Get great tips from Qsource as part of our QTips Podcast series. Available each week and sent directly to your email in-box. Podcast 4 | Voluntary Resident Leave of Absence During COVID-19 URL: https: //bit. ly/3 c 9 g. Qp. A Podcast 5 | Caring for Residents and Families Mental Health URL: https: //bit. ly/2 Rzneyt Podcast 6 | MDS and Case Management in the midst of COVID-19 URL: https: //bit. ly/3 a 3 p. Paj 18

Resources Available Resource. Hub. Exchange is our online warehouse of tools, resources, podcast and webinars. 19 New resource to help conduct virtual meetings. Available on Resource. Hub. Exchange.

Hero Stories We want to hear stories of Nursing Home Heroes! Whether a staff member, family member or resident, share with us the stories of those making a difference during this pandemic. From making masks and homemade soap to social distancing bingo and virtual family meetings, tell us how the everyday heroes are impacting you, your residents and the care provided. We will then compile them and share on social media, blogs and e-News to inspire and encourage others during this difficult time. Email your stories to Mitzi Daffron at mdaffron@qsource. org 20

Thank you for joining us! Please complete the survey that will come up as you exit the webinar – we value your feedback in developing future events! Please visit us at www. Qsource. org/qio 21

Connect with Us Reminders Facebook Twitter Linked. In www. facebook. com/Q source. Live. Well www. twitter. com/Qsou rce www. linkedin. com/in/q source-healthcareconsultants This presentation was prepared by Qsource, the Medicare Quality Innovation Network. Quality Improvement Organization (QIN-QIO) for Indiana under a contract with the Centers for Medicare & Medicaid Services (CMS), a federal agency of the U. S. Department of Health 22 and Human Services. Content does not necessarily reflect CMS policy. 20. QIO 3. 04. 025