COVID-19 Care Home Training: Practical Competency Session
This session supports the national Train the Trainer Programme for Sussex CCGs, aimed at training care home staff on hand hygiene, PPE use, and COVID-19 testing procedures. Trainers are expected to deliver training either virtually or face-to-face, ensuring attendees demonstrate competency in practical skills. Hand hygiene practices, PPE donning, and nasal swab techniques are emphasized. Trainers will assess competency, provide feedback, and issue certificates of competency to participants.
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Presentation Transcript
Covid-19 Care Home training practical competency session. Supporting the national train the trainer programme Sussex CCGs May 2020
Aims Support the homes in training their staff To demonstrate how to hand wash or use hand sanitiser effectively To observe hand hygiene technique to assess competency To demonstrate donning of Standard respiratory personal protective equipment To assess competency of donning standard respiratory personal protective equipment To demonstrate how to take a nasal and throat swab for COVID-19 To answer any questions that have arisen from listening to the national care home train the trainer slide decks.
What is expected of you as trainers? You will be delivering the training either virtually or face to face at the care home. If delivering face to face you will need AV equipment to display the slides and videos. Internet access is necessary to display the NHS website for video demonstration. If Internet or AV equipment is not available you will need to demonstrate all the practical's, if AV equipment but no internet, you will just need to demonstrate the hand decontamination for them but can use the other slides to demonstrate PPE donning and doffing. The care home will be expected to have reviewed the 4 packs prior to your practical session and have access to PPE for each attendee, hand gel and posters to complete the practical training session. You will use the slides in the packs as a resource to answer any questions that arise during the training session If you are unsure of the answers at the time please inform the home you will contact the CCG IPC and you will get back to them with the answers You will need to undertake the practical competency assessments. Attendees will need to complete a feed back form and self competency assessment at the end of the session A certificate of competency will be issued once you are satisfied the attendee has been observed as competent to complete the three practical's and the attendee has returned their self assessment and feedback forms (process to be finalised) You will be observing practice and deeming someone competent from that observation . It is then for the attendee to take accountability and responsibility of continuing this good practice. You will need to complete a spreadsheet showing progress with the homes you are supporting this will be provided and support available if you need it.
Hand Hygiene Hand Hygiene When? How? Watch the video here: https://www.nhs.uk/video/pages/how-to-wash- hands.aspx Hand hygiene must be performed every time gloves are donned and doffed Gloves must be changed in line with 5 moments of hand hygiene between tasks for the same resident and before attending to other residents. You may need access to hand rub whilst in the residents room if it is not safe to leave within the care environment staff should wear a personal tottle. Staff should be bare below the elbows, not wearing watches or jewellery, no false nails or nail varnish. Commonly missed areas nails , webs between fingers and thumbs *more information available in resource pack 1
2. Apply enough soap to cover your hands 3. Rub your hands together and grip and clean wrists 1. Wet your hands with water. 4. Use 1 hand to rub the back of the other hand and clean in between the fingers. Do the same with the other hand 6. Rub the back of your fingers against your palms. 5. Rub your hands together and clean in between your fingers.
7. Rub your thumb using your other hand. Do the same with the other thumb. 8. Rub the tips of your fingers on the palm of your other hand. Do the same with other hand. 9. Rinse your hands with water. If you have had physical contact involving your forearms e.g.. Rolling someone or helping the sit forward etc. you will need to decontaminate your forearms as well 10. Dry your hands completely with a disposable towel. 11. Use the disposable towel to turn off the tap.
Your turn: In turn you will be asked to demonstrate your technique using hand gel Don t forget wrists and forearms! Rinse soap off thoroughly Dry thoroughly If staff have sore hands: 1) don t use too much soap (1 measure) 2) rinse all soap off 3) moisturise at break times 4) don t wear gloves for too long remove and clean hands (sweaty hands become macerated) 5) is the product suitable? 6) if all above correct discuss with manager/ Occupational health
PPE Donning (Putting on) Donning PPE for respiratory precautions Ensure you are bare below elbows and hair is tied back Hair tied up and no hair touching the face (use Alice band or clips) If hands are visibly clean decontaminate hands with Alcohol gel or wash hands with soap and water then put on the : Plastic gown with or without long sleeves Remove glasses if necessary FFP3 Respirator / Fluid repellent surgical mask Replace glasses Goggles / Visor Decontaminate hands Gloves with or without long cuffs Check all PPE is intact and undamaged before use https://youtu.be/oUo5O1JmLH0 This 5 minute PHE video shows how to safely doff (or remove) the Personal Protective Equipment (PPE) specific to COVID-19. This guidance outlines infection control for healthcare providers assessing possible cases of COVID-19 and includes hand decontamination. Gloves should be donned immediately before touching the resident/ patient Gloves should be available at the point of use to allow staff to change gloves between tasks (i.e. after taking someone to the toilet and before undertaking mouth care. Decontaminate hands with soap and water or a alcohol hand rub with virocidal activity confirming to BS EN14476 If the resident has diarrhoea you must wash with soap and water. Note: Slide reproduced from Sussex CCG resources
Your Turn Your Turn In turn you will be asked to demonstrate your technique to don PPE
Doffing ( taking off PPE) Doffing ( taking off PPE) Doffing PPE Remove Gloves (by gripping the glove cuff demonstrate to staff) Decontaminate hands* Remove gown (by rolling down and a way demonstrate to staff) Decontaminate hands* Remove glasses if necessary Remove Goggles / Visor without touching the visor Decontaminate hands* Remove respiratory protection (without touching the front demonstrate to staff) Wash hands with soap and water or hand sanitizer Decontaminate glasses if necessary and decontaminate hands. Sussex CCG slide Note: Slide reproduced from Sussex CCG resources
Your Turn Your Turn In turn you will be asked to demonstrate your technique to doff PPE
How to take a swab properly This video is designed for home testing but the technique is the same. Label the bottle prior to taking the sample You will need to undertake hand hygiene and wear PPE to take the swab for another person You will need to remove gloves and perform hand hygiene after taking the sample.
Packaging a sample Be careful not to contaminate outer packaging with contaminated gloves. Remember to wash hands between touching the sample container and placing into the packaging. If possible ask a buddy to hold the receptacle open to receive the swab. If this is not possible once the swab is in the receptacle clean the outer packaging
Any Question? Any Question? POSTERS: Donning and doffing posters for aerosol generating procedures https://www.gov.uk/government/publications/covi d-19-personal-protective-equipment-use-for- aerosol-generating-procedures Donning and doffing posters for non aerosol generating https://www.gov.uk/government/publications/covi d-19-personal-protective-equipment-use-for-non- aerosol-generating-procedures Hand hygiene https://assets.publishing.service.gov.uk/governme nt/uploads/system/uploads/attachment_data/file/ 877530/Best_Practice_hand_wash.pdf Thank you for volunteering to train others in effective use of PPE
Government Guidance and useful resources Government Guidance and useful resources correct at 14.05.2020 correct at 14.05.2020 Resuscitation Council UK Statement on COVID-19 in relation to CPR and resuscitation in first aid and community settings https://www.resus.org.uk/media/statements/resuscitation-council-uk-statements-on-covid-19-coronavirus-cpr-and-resuscitation/covid- community/ COVID-19 How to work safety in care homes https://www.gov.uk/government/publications/covid-19-how-to-work-safely-in-care-homes Coronavirus (COIVD-19): admissions and care of people in care homes https://www.gov.uk/government/publications/coronavirus-covid-19-admission-and-care-of-people-in-care-homes COVID-19: management of exposed healthcare workers and patients in healthcare settings Https://www.gov.uk/government/publications/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings COVID-19: infection prevention and control (IPC) https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control
Government Guidance and useful resources Government Guidance and useful resources correct at 14.05.2020 correct at 14.05.2020 COVID-19: guidance for stepdown of infection control precautions within hospitals and discharging COVID-19 patients from hospital to home settings https://www.gov.uk/government/publications/covid-19-guidance-for-stepdown-of-infection-control-precautions-within-hospitals- and-discharging-covid-19-patients-from-hospital-to-home-settings COVID-19: guidance for taking swab samples https://www.gov.uk/government/publications/covid-19-guidance-for-taking-swab-samples CoVID-19: Our Action Plan for Adult Social Care https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/879639/covid-19-adult- social-care-action-plan.pdf IPC resources for Care homes: You may find this of use going forward. https://www.infectionpreventioncontrol.co.uk/care- homes/
