COVID-19

Case study
Review the case study, it is presented in sections, each of the scenario sections is followed by a series of questions. You will answer each question based on evidence you have read in the current literature, the CDC and WHO websites and or other supporting literature. When developing the paper, the questions can be used as headings, to help with organization of the information. The paper must flow and it not just answers to questions. You are expected to submit a word document, using APA formatting, citations and a complete 7 reference page. The case study is due week six and is worth 30% of your final grade.
Specific objectives of the TTX
1. Review the operation management process for a suspected case of covid-19.
2. Confirm arrangements for notification, coordination and internal communications before and after the confirmation of a covid-19 cases.
3. Confirm procedures related to the management of a suspected cases before and after laboratory confirmation.
4. Review plans to clarify lines of accountability (roles & responsibilities) and communication to enable a timely, well-coordinated and effective response.
5. Review the requirements of public health laboratories and funding.
6. Review risk and media communications plans.
Scenario
• A man is brought into Blueberry primary health care facility I Winterberry by his family with a high fever, cough and difficulty breathing.
• He lives in winterberry and has just returned home from a business trip to China. Based on his symptoms and his recent travel history, the man (58 years old) is suspected of having COVID-19.
Questions for discussion
1. Who should be informed, when and how?
2. What plans, procedures and resources would you activate at this point?
3. Does the patient need to be transferred to another hospital if so, where to and how?
4. What infection prevention and control measures would you put in place for the patient?
Scenario update
• The man apparently only developed symptoms 2 days after his return from meetings n Chine. He did not have any local travel companions on his business trip which included time in Beijing and shanghai. His return flight home was routed via a regional hub, where he spent 6 hours in the transit longue and upon arrival he did not have a fever.
• Total contacts identified since the symptoms are 15 including the examining doctor and nurses, whom initially admitted to him at the hospital, his immediate family and some local office colleagues.

5. How will you confirm whether the patient has COVID-19 of influenza?
6. Who needs to be informed of the results?

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Scenario update
• The lab report confirms a positive test for COVID-19 for the man. The man’s condition worsens and is critical. Six of the contacts are being monitored, including the man’s wife and three nurses and a doctor have also tested positive for COVID-19.
• In addition, 3 separate clusters of a total of 63 lab confirmed cases have been admitted in healthcare facilities.
• Domestic transmission is evident. The public is nervous and the media is looking for a statement and to comment on rumors of multiple confirmed cases within the country.
Now what?
Questions
7. What actions would be triggered by this new event information?
8. How will this news impact the family caregivers? Connect examples to the literature regarding the challenges for caregivers.
9. Explore the concept of uncertainty for both patients/family and nurses/medical practitioners during this pandemic.
10. In what ways did families and or/facilities facilitate psychosocial adjustment during the COVID-19 pandemic? Give examples from current news article

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