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    Self-Assessment Tool For Temporary Treatment & Monitoring Facilities For COVID-19

    Uploaded by

    CHICKY
    This self-assessment tool from the Department of Health in the Philippines is meant to evaluate temporary treatment and monitoring facilities for COVID-19 patients. It contains a checklist of over 25 items that facilities must meet regarding location, infrastructure, patient placement, operations, coordination, and contingency provisions. Managers of facilities are to complete the checklist to ensure their site is properly equipped and following protocols to treat suspected or confirmed COVID-19 cases.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Self-Assessment Tool For Temporary Treatment & Monitoring Facilities For COVID-19

    Uploaded by

    CHICKY
    255 views3 pages
    This self-assessment tool from the Department of Health in the Philippines is meant to evaluate temporary treatment and monitoring facilities for COVID-19 patients. It contains a checklist of over 25 items that facilities must meet regarding location, infrastructure, patient placement, operations, coordination, and contingency provisions. Managers of facilities are to complete the checklist to ensure their site is properly equipped and following protocols to treat suspected or confirmed COVID-19 cases.

    Original Title

    Self-Assessment-Tool-for-TTMF

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    This self-assessment tool from the Department of Health in the Philippines is meant to evaluate temporary treatment and monitoring facilities for COVID-19 patients. It contains a checklist of over 25 items that facilities must meet regarding location, infrastructure, patient placement, operations, coordination, and contingency provisions. Managers of facilities are to complete the checklist to ensure their site is properly equipped and following protocols to treat suspected or confirmed COVID-19 cases.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    255 views3 pages

    Self-Assessment Tool For Temporary Treatment & Monitoring Facilities For COVID-19

    Uploaded by

    CHICKY
    This self-assessment tool from the Department of Health in the Philippines is meant to evaluate temporary treatment and monitoring facilities for COVID-19 patients. It contains a checklist of over 25 items that facilities must meet regarding location, infrastructure, patient placement, operations, coordination, and contingency provisions. Managers of facilities are to complete the checklist to ensure their site is properly equipped and following protocols to treat suspected or confirmed COVID-19 cases.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3
    At a glance
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    The document outlines requirements and guidelines for setting up a temporary treatment and monitoring facility for COVID-19 patients, including infrastructure, patient placement, operations, and coordination needs.

    The document mentions that the following zones should be delineated clearly: contaminated zone, buffer zone, and sterile zone.

    The document states that individual enclosed rooms should be used, with at least 3 feet of distance between patient beds, and suspect, probable and confirmed cases should be placed separately and adhere to recommended patient placement.

    Republic of the Philippines

    Department of Health
    Eastern Visayas
    Center for Health Development

    Self-Assessment Tool for Temporary Treatment & Monitoring Facilities


    for COVID-19

    Municipality:___________________ Province:____________________

    Facility Name:_______________________________________________________________
    Facility Type:
    ___Auditorium ___ Gymnasium ___School ___Hotel ___Court ___Tent
    ___Others specify:____________________________
    Location/Address: ____________________________________ Facility Contact No.:________________

    Facility Manager:
    Name: __________________________ Designation: _________________ Contact No.:_______________

    Location and Infrastructure


    Item YES NO Remarks
    1. Located within 2hrs distance from a Level 2 or
    3 COVID-19 referral hospital
    2. Uninterrupted access to:
    Electricity -
    Potable water source -
    Sewer line -

    3. Provision of at least fan ventilation


    4. Delineated clearly the following zones:
    Contaminated Zone -
    Buffer Zone -
    Sterile Zone -

    5. Separate entrance and exit for patients and staff

    6. Unidirectional flow of foot traffic for staff

    7. Adequate Toilet and Bath


    Water Closet: 1 per 25 M / 1 per 20 F -
    Urinal: 1 per 10-50 males, additional -
    Showers: 1 per 8 persons -
    Lavatory: 1 per 10 males; 1 per 10 females -

    8. Facility Divided into three (3) zones:


    Contaminated zone (area where patients are
    admitted or confined) -
    Buffer Zone (area for doffing of PPEs,
    decontamination or disinfection & hand hygiene)
    -
    Sterile Zone (for health staff: holding area,
    entrance, area for donning of PPEs, office area) -
    9. Donning area is located before entering the

    Government Center, Candahug Palo, Leyte ● Tel. /Fax Nos. (053) 323-5027 / (053) 323-5025
    [email protected] ● www.ro8.doh.gov.ph
    Republic of the Philippines
    Department of Health
    Eastern Visayas
    Center for Health Development

    contaminated zone (Buffer zone)

    10. Doffing area is located before entering the


    sterile zone (Buffer zone)

    Patient Placement
    Item YES NO Remarks
    11. Individual enclosed rooms

    12. Room partitions

    13. at least 3 feet apart distances between patient


    beds
    14. Suspect, probable, and confirmed cases
    are placed in a separate area and adheres to
    the recommended patient placement
    15. Separate Toilet and Bathroom for each patient

    For shared Toilet and Bathroom:


    Proper hand hygiene after using -
    Toilets flushed with lid down -
    Frequently touched surfaces are disinfected -
    (doorknobs, faucet etc.)
    Operations

    Item YES NO Remarks


    16. Health Human Resource
    Pre Deployment Orientation –
    Risk Assessment (DC 2020-0106) –
    Availability of HR to ensure 24/7 operations –
    Provision for Accommodation and transport
    (as needed) –

    17. Health Care Waste Management

    18. Disinfection of Non-Critical Items, and


    Environment (Including linen)

    19. Provision  of Food Services

    20. Health Records

    Item YES NO Remarks


    21. Reporting to RESU
    (Shall report using the COVID-19 Information
    Government Center, Candahug Palo, Leyte ● Tel. /Fax Nos. (053) 323-5027 / (053) 323-5025
    [email protected] ● www.ro8.doh.gov.ph
    Republic of the Philippines
    Department of Health
    Eastern Visayas
    Center for Health Development

    SystemCOVID-19 Information System every


    5PM)
    Medical Status -
    Laboratory Status -
    Disposition -
    Other remarks -
    22. Supply Management

    23. Referral Protocols in Place


    Transfer -
    Diagnostics (as needed) -
    Coordination
    Item YES NO Remarks
    24. Coordination with a COVID-19 Referral
    Hospital

    25. Availability/ Access to at least Level 1 (BLS)


    Ambulance

    Contingency Provisions
    Item YES NO Remarks
    26. Standby Generator in cases of power
    interruption. 

    Accomplished by:

    Name Designation Signature Date

    Government Center, Candahug Palo, Leyte ● Tel. /Fax Nos. (053) 323-5027 / (053) 323-5025
    [email protected] ● www.ro8.doh.gov.ph

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