Professional Documents
Culture Documents
FIrst of all, BIG THANK YOU to everyone who have been working so hard to help keep our kababayans safe and healthy.
The purpose of this group is to rapidly coordinate the response to COVID-19. It is directly connected to the DOH Emerge
if true or false).
Discussion is allowed but will be moderated. Please ensure your Viber profile reflects your name and affiliation. To do th
Any and all discussion, including that of patients’ cases shall be in the interest of responding to COVID-19 as a public hea
we all are in person during said conferences.
Kindly message any of the admins/moderators with your full name, hospital or clinic location, MD/RN and PRC license n
Our two volunteer-moderators are: Dr Albert Domingo (Consultant, WHO) and Dr Paolo Medina (UP Department of Fam
From Dr Salvana:
Unsolicited advice to hospitals especially in those areas with COVID19 cases:
1. Stop all elective admissions and non-urgent clinics.
2. Discharge all stable patients that aren't pneumonias or acute respiratory illnesses.
3.
4. Treat all pneumonias
Conserve as possible
PPE by limiting numberCOVID19
of people- who
initiate
havedroplet isolation
to physically + n95
see mask until
a COVID19 ruled
patient. If out.
one doctor has already s
at the same time as much as possible.
5. Send home mild cases of respiratory illness unless with comorbids or elderly (>60) for home-quarantine for 14 days o
and ease of access to the hospital. Recommend doing a chest xray prior to sending home.
6. Don't forget to feed your people. Arrange food deliveries or inhouse catering so people dont have to order or bring the
Think of practical solutions to your flow and avoid crowding in the ER and triage tents. Each hospital is unique. DOH and
The above is just added info based on my own analysis of the situation. Am posting this because I can't answer every sin
Hi Admin,
I can help moderating today by screening those not following instructions to reflect their Complete Name, and affiliation
Maybe we can include also putting RN/MD sa names para mas clear sa chat? (Shiela Villa RN)
qwe
File Name
Conference on Retroviruses and Opportunistic
Infections 2020 - special COVID19 coverage
UP-PGH algorithm on COVID19
Algorithm for patient triage (DOH Mar 10 2020)
Clinical Management of NCOV (WHO Jan 28 2020)
Coronavirus 2020: The Essential Guide
Coronavirus Disease 2019 (UpToDate)
WHO, getting
Patients your workplace
with Suspected ready for COVID19
and Confirmed 2019 Novel
Coronavirus Acute Respiratory Disease (Phil. Society
COVID 19 Hospital
for Microbiology Preparedness
and Assessment
Infectious Diseases Tool
and Pediatric
(CDC)
DOH Guidelines for Management of COVID-19 Patients
(March 11, 2020)
DOH List of Countries with High Risk of Importation
DOH Directive to All Hospitals on Reporting COVID-19
FOR PHARMACISTS
PPhA Community Pharmacy Guide - COVID-19
01
Preparedness.pdf
PH Govt COVID-19 Related EOs, Memos, etc. (DILG, DBM, DSWD, etc)
01 ExecSec MEMO Enhanced Community Quarantine
Luzon March 16 2020.pdf
DILG
PROCUREMENT AUGMENTATION
AUGMENTATION PROCUREMENT Med Supplies DILG
01 Memo March 16 2020.jpg
02 SAMPLE LIST Test Kits for CAPABLE SPECIALIZED
FACILITIES ONLY (PCR Tech).jpg
OH Department Circulars
s and Social Media Cards (SMCs)
FOR PHARMACISTS
DILG
CUREMENT AUGMENTATION
HIYA Kaugnay ng Sakit na COVID-19
link to infographic
https://drive.google.com/open?id=1FW0bLLIjijYscQNgHNr_Zb5E9I7vcqcq
8856305345/?type=3&theater
o DOH Algorithm
Question Category Questions/Concerns/ Challenges
Service Delivery How
the DOH can ilatest
get tested?
algorithm says that all PUIs with
Human Resource mild symptoms
spaces like small are for home quarantine.
households, evacuation
Health Information centers, prisons, etc.
Access to Medicines and This is what DOH has circulated before, does
Tecnology this indicate preference for isopropyl?
Service Delivery Iprofessionals/workers?
mean the virus might spread via bills/money
How about, say, ?
Access to Medicines and advocates?
severe cases? administrators?
Can, for example, vents be
Tecnology
Leadership and loaned
Any similar initiatives forperipheral
from unaffected us, given hospitals?
that we face
Governance more resource constraints?
4. Is there a manpower rotation system
Human Resource especially
dedicated area for frontline workers?
for triaging, like clinics for
Service Delivery example?
Continued social interaction thru other
Service Delivery
Leadership and modes/medium should
drivers/operators to stillbe encouraged
earn despite decreased
Governance
Access patronage. preparations (aside from dilute
to Medicines and home/herbal
Tecnology bleach)?
(ala post-disaster) for affected individuals and
Service Delivery
Leadership and families?
and scarce resources were optimized. it worked!
Governance bakit
maging po vehicle
kaya hindiyung same modelpag
machines gawin now? ng
di nalinis
Health Information
Leadership and maayos.
ensure basic economic activity (& prevents
Governance
Leadership and worse
checkpointshealthwill
conditions).
help ensure the same for overall
Governance quarantine efforts.
as the lockdown caused a lot of people from the
Service Delivery provinces
day quarantine to return home. with respiratory
to patients
Service Delivery symptoms
verified by Dr. hereRolly
in NCR?
Cruz, chief of QC
Service Delivery epidemiology
or quarantine na langand
diseas angsurveillance.
vague if puwede at
Service Delivery clinic level.
Service Delivery What is threshold
May Republic act pofor ba
testing
for curfew incase of
Health Information
Access to Medicines and public health emergency?
Tecnology May alternative
adversely affected meds po coming
in the ba for covid?
months, can
health financing PHIC premiums
relaxing be put on
the sacrosanct hold?
PHIC reserves can
health financing perhaps
ng virus, be angattended
city healthto soon.
din ba ang mag
human Resource clearance?
Pano po pag admitted na? Private MD na? Or
Service Delivery still needspara
covid-19 assessment
hindi maidenyfrom the
yung DOH personnel?
travel history?
Service Delivery
Leadership and (For international travel history)
Does the CESU/RESU have contact with BQ or
Governance DOH
for usdata on travel this
to streamline history?
through electronic
Service Delivery records/app?
should it be lahat ng involve sa station? Since
Service Delivery nakakasalamuha
right now, not all people din ungare RN.. thanks
honest withpo..
their
Service Delivery histories po
Ano po ba suot nila na PPE when monitoring
Service Delivery PUM?
in policies in management of PUIs and PUMs in
the private sector. An issue was brought up in
one of the physician call center GCs last night. A
fellow physician (with comorbids) was on duty
and encountered a PUM and PUI. Following
DOH protocol, he proceeded to call RESU but
was advised by the company nurse to call
another physician (presumably a higher up
doctor in the health care provider system? Idk) to
confirm if the pt should be referred to RESU. A
clinic
Good policy
day! I'm was sent w/the
a Nurse fromffthe rules:
DOH 1. HRH
Pts w/fever
and exposure are sent home,
Program. I have a concern about the safety our 2. Pts w/ILI
WITHOUT
health teamfever in the are to be
field given athe
regarding FM,situation
meds and
the trainer/supervisor has the
that they are deployed in certain checkpoints final say if the ptand
is
allowed to go home, depending
also closely monitoring the PUM's because some on the magnitude
of
of calls.
them are Thisillwas very concerning
equipped when theyfor areus since
Access to Medicines and not all pts with
monitoring. COVID
Is there 19 present
anything we can withdofever
about
Tecnology initially. Considering call centers are packed and
Access to Medicines and our PPE? Thank you!
close contact cannot be avoided, missing a
Tecnology
Access How
to Medicines and mask
PUI/PUM do
is we
soaked
may treat itPUI/ PUM
on water
magnify without
with
the number N95?
chlorine
of infected
Tecnology overnight?
Access to Medicines and cases in the workplace. When this issue was
Tecnology brought
Is
OB,there
ortho,aupwaywithtoadmin,
ophtha, disinfect
derma, their response
n95s?
gen surgeoniscan thatbe
we
Human should just follow company policy even if the
Access Resource
to Medicines and accepted
collected
DOH algorithm
to the
at treatprovincial
covid patients?
says otherwise. level that has to
Is there be
a way
Tecnology shipped to RITM?
that we can enforce the standardization of
management of pts with ILI in the workplace? We
believe that public health is more important than
Service Delivery company
we will admit politics and bureaucracy
the patient or transfer him to a level
Service Delivery 2 hospital
travel (ex. truck bus drivers, "bumbays" collecting
Health
Access to Medicines and dues
Information doingin inthe
Southarea?)Korea. Will these help prevent the
Tecnology spread?
infection? Most of the patient with COVID died
health information with pneumonia.
asymptomatic, and Is iteven
bacterial
if theyorarestillPUIs
viral?
Service Delivery awaiting
they will be results?
elevated to PUI or confirmed cases
Health information since MHO
send these patients na po ang nagmomonitor
home until they are sa non
kanila.
Health information infectious.
trying to pool Saminfunds kasi
for di nila pinapauwi.
donation to buy PPE and
health financing help out our fellow healthcare
far asymptomatic. Do they need to report to localworker
Service Delivery authorities?
-With the cityThank heathyou! office of their locality? Manila
Service Delivery and Paranaque sila
contact sa patients. This goes to say with the
Service to
Access Delivery other
Medicines and ba specialties
natin gamitin ang and reusable
subspecialties.
masks? 3ply cloth
Tecnology
Access masks?
to Medicines and local and available materials that is both cost
Tecnology efficient
should they andbe effective?
under quarantine regardless that
Service Delivery country is not
dialysis unit patient...on list ofonaffected
how to one.go about our
Service Delivery clients
standard questionnaire that we allfrom
on dialysis... any updates can DOH?
use to
Service Delivery minimize contact while being
operations, and other recommendations? Thank thorough
health information you.
Especially in places without confirmed covid
Service Delivery cases
Pero duringyet? usal operations (OPD, bemonc)
Service Delivery other
COVID-19 than the usual (masks),
Assessment forms you that don't?
the healthcare
health information workers can use?
Good day, Ano po yong tamang formulation ng
health information
leadership and tubig
Dumagueteat chlorine/due to zonrox
COVID19? pang disinfect?
So far, some has
Governance no records of PUMs
weeks. Will there be advise on thisunder their municipalities?
in the light of
Service Delivery COVID and push for social distancing measures.
Access to Medicines and hydroxychloroquine for treatment? Will we be
Tecnology adopting
don't wantany of thisour
to flood locally? Thank
ERs with youlike this
cases
health
Accessinformation
to Medicines and especially at this time.
is the responsible agency to update and store all
Tecnology the data?
Access to Medicines and darating na patients sa ospital. Baka pwede na
Tecnology mauso angtoonline
will report triaging. It will be better if
their barangay?
health information may mabigay
plan na po ba kamifor the naswab
hotline sa kanila.
testing from provinces
Service Delivery following the lockdown in manila?
as they contact us in case of ssx and they are
Service Delivery counselled
the Brgy health accordingly?
workers can help with the daily
Service Delivery monitoring.
de konsensya podami
Ang parin
nila un, sopo to kasing
speak in pasaway
the
Service Delivery essence of voluntary quarantine?
convince telecoms and media to text
Access to Medicines and blast/broadcast
health information home monitoring? as Yung
part ofmaytheirsymptoms
CSR program?and
Tecnology temp. Qc health has that.
Access to Medicines and Tutal mostly online naman na mga Tao. Para
Tecnology maidirect
What is theagad
proper sa proper
waste center
management at home
health information withwait
we PUIs for(mild)
a patientand to PUMs?
develop severe disease
Service Delivery before a swab is done?
(which are only 20% of the total number of
health information cases).
best for him to go straight to Singapore from UAE
health information or
goodcome homeask
evening firstko
and then
lang poto SG?may algorithm
kung
Service Delivery po kau for
related HCWhe
activity, exposed to COVID-19?
or she required thanks.
for mandatory
Service Delivery 14 dayschances
naging quarantine? ba saThank you.ng releasing of
duration
Service Delivery result?
Gastroenterology tehy think that the virus is also
health information shed
also toviatreat
feces?
patients with mild respiratory
service Delivery symptoms
COVID-19, can as PUMs? Thank you
be considered as PUI/PUM.
service Delivery Tama po ba?
quarantine for 14 days kahit na mild symptoms
Service Delivery pa lng meron
hospitals. - Drsila?
Edmund Kierulf, City Health
Service Delivery
leadership and Doctor,
airforce for help but d dw sila pwede if wala g
Governance order.
Thankyou.
Service Delivery -mj tan, mdprivate
secondary dpps (pedia hospitalsat panabo city) to refuse
be allowed
Service to
Access Delivery to seeMay
Medicines and yun? or admit PUMs/PUIs?
PPE allocation ba or pure covid test
Tecnology kits lang? contact with people inside the
continuous
Service Delivery operating
Are all cases room of confirmed positive for covid
health information being admitted?
tested? There seems Thanktoyou po
be inconsistencies in
health information following the algorithm in different places.
Do you have a list of referral centers for possible
Service Delivery PUIS?
RESUSorofall secondary
BGC are still and
usingtertiary
older are okay?
algorithm..
Human Resource do they have
residence in atheir wonwith
country networking?
local transmission"
health information does it mean whole pH?
Access to Medicines and pharmacies and groceries to buy for senior
Tecnology citizens. Is the PRC ID enough?
Tags Viber Chat response
1149/1150 for guidance on how to be tested if
Testing needed. (Dr. Domingo)
can initiate a Google Document where inputs
PPE, Clinical Management, Quarantine will be made. I'll set something up this
Guidelines morning (Dr. Domingo)
making these points for your information (Dr.
Disinfectant Cecilia Lazarte)
avoid touching face, mouth, nose, etc. (Dr.
Transmission Lopao)
DOH/WHO, and to obtain (clinical) feedback.
(Dr. Domingo)
ICU Equipment
Guidelines
Human Resources
Triage, PPE, Guidelines
Mental Health, Guidelines
Guidelines
PPE, Disinfectant US CDCalinea
Dr jun Recommendation: bleach,
is the president 70%
of the alcohol
philippine
Mental Health psychiatric association.
being infected (Trina deorlastaff
by other patients Llana)
(Dr.
Designated hospitals, ICU Equipment, PPE Camposano)
1% bleach; if surfaces or bedsheets 0.1%
Disinfectant, PPE, ICU Equipment bleach (Dr. Bev Ho)
Medication
PhilHealth (https://www.philhealth.gov.ph/circulars/2020/
PhilHealth circ2020-0004.pdf)
As long as the case(Ms.
doesManzano,
not merit RN)
admission,
Clearance yes (Dr. Bev)
Protocol, Clinical Management doffing of PPE, apply 5 moments of hand
Travel history hygiene at all times. (Weng Capistrano)
Travel history Yes they are in contact po (Dr. Bev)
Travel history; Electronic records
Quarantine
Quarantine surgical mask po or cotton mask. (Joice
PPE Salvan, RN)
If you mean by full PPE (medical goggles,
n95, impermeable isolation gown, clean
gloves), these are to be worn if you are going
to do aerosol-procedure activities to your
patient i.e. nebulization, intubation, etc as per
WHO and CDC protocol. Otherwise the
objective of using PPE where it is needed will
be undermined by unnecessary usage. Also,
usig full PPE in the field is quite challenging,
it's hot, uncomfortable, and gives you the
false sense of security that it can still serve its
purpose when in reality it's not because it's all
wet with your perspiration and external
materials that could breach your IPC. If you
are monitoring PUMs, best is to maintain at
least 3 meters, wash hands, or do alcohol-
based handrub frequently or follow them up
Checkpoints, PPE by SMS.Others
masks. (Weng Capistrano)
use ung cloth na masks just to
PPE have a protect po.
macompromise pa (Cj
angRamirez)
mask pag nilabhan
PPE (Alexis Bruce)
N95 should be disposed after use, ideally. (Dr.
PPE Hi Dr Balsicas.
Eleanor Go) Please advise the company
Human Resource HR formally (in writing, signed, scanned and
emailed) thatIt is medically and legally
Testing necessary for all practitioners to follow the
DOH algorithm especially with RA 11332 and
Presidential Proc. No. 922 declaring COVID-
Private sector, Quarantine, Protocol 19 as a Public Health Emergency.
Clinical management, Protocol
Travel history, Quarantine, Protocol
Disinfectant, Triage
Clinical management
Quarantine, Protocol
Private sector, Quarantine, Protocol inform RESU, we monitor via distant comm.
Private sector, Quarantine, Protocol (Dr JM Deblois)
establish what PPEs to procure and float to
PPE other
They shouldgroups
viber for enlisting
have the their hospitals
BOQ declaration card.
Quarantine, Protocol (Katherine Reyes)
Quarantine, Protocol the patient while scanning? (Dr. Alvin
PPE Marcelo)
*Cloth masks are not recommended under any
PPE circumstance (from WHO)
PPE kasi sa eroplano sari sari kung saan galing
Travel history, Quarantine kasama better talaga 14 days quarantine.
Protocol
Triage
Quarantine, Isolation, Protocol hours away from the municipality. ((Dr Dena
PPE Desabille)
solution. We also have a triage area po where
PPE patients areCOVID
of possible classified accordingly.
paitents) of PIDSR
Protocol uploaded
Disinfectant (Paolo Sia, RN)
Travel history, Protocol, Quarantine
Quarantine
Still for discussion in advisory group mtg. (Dr.
Medication, Clinical management Anna Ong-Lim)
Disinfectant, Poisoning
Electronic, Testing
Electronic, Triage
Hotline
Testing body malaise and reporting to the healthcare
Quarantine, Protocol worker
PNP in who is monitoring
imposing them.
home quarantine. (Dr. Drew
Quarantine, Protocol Camposano)
helping solve the COVID problem by sticking
Quarantine with self quarantine. (Perles)
Electronic, IEC
Home monitoring advisable ang online triaging. (smiley) (Dr.
Triage, Electronic Lopao)
Protocol, Quarantine latest algorithm, unfortunately ( Dr. Drew
Clinical management, Testing, Protocol Camposano)
Yes, that's right po. But we need to act as
CFR stewards of our
as "high risk limited resources.
of imporation" relative(Perlas)
to areas
Travel history, Quarantine outside of it. (from the mods)
Protocol
Protocol, Quarantine Yes po ( Dr. Drew Camposano)
Testing precautions for orofecal transmission. (Dr.
Clinical management Lopao)
evaluation, they will give you the next steps to
Testing, Clinical management, Protocol take. (Antonio
imposition Abad)
today HAVE to do home quarantine
Travel history, Quarantine, Protocol in their provinces. (Dr Lopao)
Quarantine, Protocol Yes
Protocol
Testing
Quarantine, Protocol and in-patient departments. They should also
Protocol be able to handle infectious cases.
PPE *No -from various RN and MDs
Quarantine, Protocol symptoms that were placed on HOME
Protocol QUARANTINE.
I think they were(eyemmeye)
tested before the new
Protocol, Testing guideline was released.
algorithm para less patient (Mylene
innextEscritor)
level of care
Referral (Dr. Lopao)
ang gustong iwasan ng chat group na ito. (Dr.
Networking, RESU Lopao)
na enhanced quarantine lang ay Luzon, then
Protocol you would
vehicle not bean
to reach faulted for that
exempted (Dr. that
place, Lopao)
is
Quarantine allowed. (Dr. Lopao)
Possible room
consolidate forontesting
data action centers, pathways, Reference
contacts, etc.
Standard Home Quarantine advisory https://drive.google.com/open?
Infographic on types of alcohol, disinfectant and id=1_mMCU7wpIK8QJZiQidnz-haD6rjdubEd
data showing evidenceetc. https://drive.google.com/file/d/1WAn_YUuw_dcyNEpABnTW
formal statement on transmission from surfaces
Coordination of equipments- pool from bigger
hospitals? https://drive.google.com/open?
Critical care guidelines id=13punGT5jU2g_WhprtzPCPg5tRAzgkkLo
Guidelines for triage for smaller hospitals and
clinics
US CDC Recommendation:
https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaning-d
mobilize counselling units
European CDC:
Alternative PPEs https://drive.google.com/open?id=19zbD0InJr4eJXP2tcJ9aZZJ6hHw
European CDC:
Alternative PPEs https://drive.google.com/open?id=19zbD0InJr4eJXP2tcJ9aZZJ6hHw
https://www.who.int/publications-detail/advice-on-the-use-of-ma
HCW volunteerism
Guidelines for level 1 or 2 hospitals?
questionnaire/guidelien
Guidelines for level 1 or for distant monitoring
2 hospitals/
municipalities
PPE protocol- further dissemination of guidelines https://www.who.int/publications-detail/advice-on-the-use-of-ma
PPE protocol- further dissemination of guidelines https://www.who.int/publications-detail/advice-on-the-use-of-ma
n_YUuw_dcyNEpABnTWbEajSX4ESE1n/view?usp=sharing
9-ncov/prepare/cleaning-disinfection.html
bD0InJr4eJXP2tcJ9aZZJ6hHwB5e-C
ail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-corona
bD0InJr4eJXP2tcJ9aZZJ6hHwB5e-C
bD0InJr4eJXP2tcJ9aZZJ6hHwB5e-C
ail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-corona
ail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-corona
ail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-corona
ail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-corona
-context-of-the-novel-coronavirus-(2019-ncov)-outbreak
-context-of-the-novel-coronavirus-(2019-ncov)-outbreak
-context-of-the-novel-coronavirus-(2019-ncov)-outbreak
-context-of-the-novel-coronavirus-(2019-ncov)-outbreak
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Topics
consolidate data on testing centers, pathways, contacts, etc. and how to disseminate
Standard Home Quarantine advisory for both patients and healthcare personnel with guide on distant monitoring
Advisory on different types of alcohol, disinfectants and data showing evidence etc.
Official statement on transmission of covid from surfaces (bills, hand rails etc.)
Mobilize counselling units for those having problem coping with COVID
Guideline on PPEs, prescribed and alternative, for low resource centers/area
Advisory for Company physicians on how to handling PUIs/PUM
Technical and practical guide on making quarantine/isolation sites/rooms
Guidelines for those working in clinics, smaller hospitals, municipalities re: providing clearance, testing, monitoring
Guidelines and availability of equipments used on PUI/PUMs esp ICU, dialysis
Guidelines on other health concerns- polio vaccination, bleach ingestion
Guidelines for HCWs exposed to PUIs
(With current lockdown) Protocol for the tests coming from areas outside metro manila
specific questions
- Who monitors the PUMs for clinics, where do they send the patients
- Does the clinic who classified as PUM get back info if patient eventually tests positive?
-waste management,
-alternative PPE use, home care
disinfectants
-hospital disinfection
-mental health
-visitation guide for admitted patients
-alternative PPEs
-PUMs for quarantine
-do we quarantine everyone who interacted with PUMs too
-where to send specimens for provinces
-can
-can level 1/2 hospitals
we borrow defer
equipment ofadmission of PUIifto
other hospitals wea have
largera hospital
critical covid patients
-dialysis machine use of PUI
-continuation
-leaves of vaccine
and how long schedules
-do you consider all HCWs in the room
-where to send the tests
possible reference guideline
sts positive?
-WHO and EU CDC with guidelines
-US CDC with guidelines
Provinces and Cities Under Quarantine
Ilocos Norte
Davao City
Batangas
Travel Restrictions
Aurora
Zamboanga city
Cebu
Aklan
Davao City