This scenario presents a 55-years-old male presenting in the emergency room with fever, coughing and generally feeling unwell. He returned from travel in an endemic area for COVID-19 1 week ago. The front desk has prioritized him to immediate examination and isolation.

The participants are expected to prepare equipment, don PPE, assess patients and triage to home quarantine, educate patients, communicate effectively with interprofessional team, escalate standard precautions for all patients and safely dispose of equipment and PPE.

Learning objectives:

• Recognize the suspected patients early and rapidly
• Apply appropriate source control
• Apply routine Infection Prevention and Control (IPC) for all patients
• Collaborate and communicate with the health care facility’s IPC infrastructure
• Apply standard precautions according to presumed diagnosis at all times
• Perform a primary assessment of a patient with a suspected acute respiratory infection
• Distinguish between severe acute respiratory infection and acute respiratory infection
• Obtain specimen for laboratory test according to safety procedures
• Triage the patient according to the general principles for patients with suspected COVID-19 infection
• Obtain patient history on personal and work relations
• Advise patient on home quarantine
• Coordinate safe patient transfer
• Doff PPE according to procedure

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Scenario overview (Word) 

This scenario presents the expected arrival of a 71-years-old male with suspected COVID-19. The patient called the healthcare triage call center, with high fever, coughing, chest pain, and respiratory difficulty. 9 days ago, he met with his son who has now been tested positive for 2019-nCoV. The patient has a history of diabetes 2 and chronic liver disease.

The participants are expected to prepare equipment, don PPE, assess patient, administer supplemental oxygen, obtain a venous blood sample, order bedside x-ray, and triage to admission on either Intensive Care Unit (UCI) or monitored acute respiratory department, educate patient, communicate effectively with interprofessional team, escalate standard precautions for all patients and safely dispose of equipment and PPE.

Learning objectives: 

• Apply standard precautions according to presumed diagnosis including appropriate PPE
• Apply routine Infection Prevention and Control (IPC)
• Ensure all equipment ready and available
• Recognize the suspected patient early
• Collaborate and communicate with the health care facility’s IPC infrastructure
• Distinguish between severe acute respiratory infection and acute respiratory infection
• Perform a primary assessment of a patient with severe acute respiratory infection (SARI)
• Start immediate treatment of respiratory distress and infection
• Alarm the Hospital IPC coordinator of suspected COVID-19
• Verbalize escalated standard precautions for spouse and front desk
• Obtain adequate samples and diagnostics for SARI according to safety procedures
• Triage the patient according to the general principles for patients with severe acute respiratory illness (SARI)
• Educate patient on personal standard precautions and plan of care
• Coordinate safe patient transfer to receiving department
• Handle contaminated equipment according to procedure
• Doff PPE according to procedure

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Scenario overview (Word)