@rouf345

COVID 19, HOW TO

PREVENT FOR
HEALTH WORKERS
dr. Mochammad Khalimur Rouf MSc. SpPD
 @rouf345
Curriculum Vitae
dr. Mochammad Khalimur Rouf MSc SpPD

Born : Yogyakarta 2 October 1982

Husband of 1 wife and 5 adorable children
Live in Condongcatur Sleman DIY
Study 2007 Medical Doctor
2014 Magister
2015 Internist
Work Experience

2007-2009 Mitra Medika Tourist Medical Service

2009~2010 Griya Sehat Lansia
2015 Medicare Sorek Riau
2016-Now RS JIH
 @rouf345
Data Worldwide

4,24 M

COVID CHART WORLDWIDE

No 1 USA 90,000
No 5 UK 29,3 M
No 18 Indonesia
No 86 China mainland

◆119 M Cases 1,4 M

◆67,2 M Recover
◆2,3 M Deaths
 @rouf345

Agenda
HOW TO SPREAD
01 COVID 19 SPREAD IN HEALTHWORKER

SYMPTOMS
02 VARIOUS SYMPTOMS OF COVID 19

HOW TO PREVENT
03 STRATEGY TO PREVENT COVID 19 IN HEALTHCARE FACILITY

WHAT WE HAVE TO DO
04 CONDITION TO BOOST IMUNITY TO PREVENT COVID 19
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How to Spread
Covid 19 in health worker
 @rouf345
Surface transmission
When you touch surfaces that someone who has the virus has coughed or
sneezed on
Fecal-Oral

AWESOME Studies also suggest that virus particles can be found in infected people's poop

SLIDE

Droplets or aerosols
Droplets or tiny particles called aerosols carry the virus into the air from their nose or mouth

Airborne transmission
Research shows that the virus can live in the air for up to 3 hours
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Spreading in Healthcare Comunity

Hospital
Doctor & Nurse as Social Creature
Home Easy to contangious among health workers
 @rouf345
Classification Healthcare Risk
Risk Covid 19
Contangious to Healthcare Provider
Very Low Risk Low Risk Moderate Risk High Risk Very High Risk

Doctor who don’t see patient,
(Analyse data)
Doctor work in healthcare
provider but don’t see patient
(Clinical
Pathology< Anatomical
Pathology)
Doctor frequently contact to Doctor contact with patient Doctor contact with patient
patient but we dont know the suspect/probable/confirmed suspect/probable/confirmed
status patient of covid 19 Covid 19 but not do aerosol Covid 19 but do aerosol
treatment treatment
 @rouf345

PROCEDURE
AEROSOL
CORONAVIRUS
TRANSMITING

DENTAL PROCEDURE
(High Speed Device)
Ultrasonic scaller/ High speed Drills

NIV, tracheal intubation, manual ventilation,

tracheostomy, bronchoscopy,CPAP, BiPAP,
HFNO,HFOV,nebulised induction sputum, suctioning
respiratory tract, gastroscopy, high speed cutting
surgery
 @rouf345

Symptoms
Covid 19
 @rouf345
Most Common Symptoms

Dry Cough Fever Shortness Sore Throat

Of Breath
Another symptoms Serious symptoms
Common Loss taste or smell, flu like ✓ Shortness of Breath
syndrome, tiredness
✓ Loss of Speech/ Loss of Mobilitation/ Chest Pain
✓ Chest Pain
Less Headache, aches &pain,
diarrhea, rash skin, red
Common eye or iritated
 @rouf345
No Symptom COVID 19
30%
No Symptoms

30% of individuals with infection never develop

symptoms

50%
Contagious BUT
at least 50% of new SARS-CoV-2 infections was No Symptoms
estimated to have originated from exposure to
individuals with infection but without symptoms
SARS-CoV-2 Johansen M A, JAMA Netw
Open. 2021;4(1):e2035057.
Transmission From doi:10.1001/jamanetworkopen.2020.35057

People Without
COVID-19
BEWARE!!!!
Symptoms
 @rouf345

How to Prevent
Strategy to Prevent in Healtcare Facility
 @rouf345
Common Prevention
Isolated Quarantine
Healthworkers who Healthworkers who
infected symptomatic or contact with infected
no symptoms people

Wash Hand
Coronavirus Prevention
Use Mask

Social Distancing

Avoid Contact

Avoid crowded
 @rouf345

Washing
H a n d
Washing your hands is an easy yet
Hands are the primary
essential way to stop COVID 19 from
spreading, so all staff must know how to
carriers of dirt, viruses,
do it properly
and bacteria
 @rouf345
Wash Your Hands
 Masks should be used as part of a
comprehensive ‘Do it all!’ approach
including physical distancing, avoiding
crowded, closed and close-contact
settings, good ventilation, cleaning
hands, covering sneezes and coughs,
“Masks are a and more
key measure
to suppress
transmission
and save
lives”

@rouf345
 @rouf345

Kind of
MASKS

• Nose Wire
• Multiple Layer Fabric
• Mask Fitter
 @rouf345
Masks
 @rouf345
Masks
 @rouf345
How to use Hazmat
@rouf345
 @rouf345
FORM PATIENTS SCREENING COVID 19

TRAVELING HISTORY
Traveling history outside town in past 14 days???

Symptoms
Fever • New onset of cough • Worsening chronic
cough • Shortness of breath • Difficulty breathing •
Sore throat • Difficulty swallowing • Decrease of loss POSITIVE TESTED
of sense of taste or smell • Chills • Headaches • Positively tested or close
Unexplained fatigue/malaise/muscle aches (myalgias) contacted with person
• Nausea/vomiting, diarrhea, abdominal pain • Pink COVID 19
SCREENING confirmed? Or waiting for covid
eye (conjunctivitis) • Runny nose or nasal congestion 19 test?
without other known cause FORM

ELDERLY PERSON
Delirium?
Increasing Falls?
Acute functional declining?
Worsening chronic condition?
 @rouf345

IF ANY QUESTION FORM

POSITIVE

DO THE TEST !!!!!!!!!!

ANTIGEN SARS COV2

OR
PCR SARS COV 2
 @rouf345

AEROSOL
PROCEDURE

SCREENING Do screening form and test covid properly

USE HIGH LEVEL

PERSONAL
Standard Hazmat Google and Mask
PROTECTIVE
EQUIPMENT

DO IT QUICKLY Minimalize time of procedure

Disinfected all device and equipment

Exhaust system
DISINFECTED
Make sure you have “clean” before leave
hospital
 @rouf345

What We Have To Do
To Boost Imunity
 @rouf345

Awesome
Presentation

G e t Va c c i n a t e d
COVID-19
 @rouf345

EAT
PROCEDURE
Low Carbs, High Protein,
AEROSOL
Vagetables, Fruits rich Beta
Caroten Ascorbic Acid,
CORONAVIRUS
Mushrooms, Tomato, Brocoli, Spinach
TRANSMITING

Sleep 7-8 Hour

Drink 8-10 water
DENTAL PROCEDURE

Exercise 30-60 Minutes

(High Speed Device)
Ultrasonic scaller/ High speed Drills

NIV, tracheal intubation, manual ventilation,

tracheostomy, bronchoscopy,CPAP, BiPAP,
HFNO,HFOV,nebulised induction sputum, suctioning
respiratory tract, gastroscopy, high speed cutting
surgery
 @rouf345

EAT
Destress
PROCEDURE
Yourself
Low Carbs, High Protein,
AEROSOL
Vagetables, Fruits rich Beta
Caroten
CORONAVIRUS
MeditationAscorbic Acid,
Mushrooms, Tomato,
Avoid
TRANSMITING Brocoli, Spinach
smoking,

Sleep 7-8 Hour

alcohol and others
Traveling
Drink 8-10 water
VitaminsDENTAL PROCEDURE

Exercise 30-60 Minutes

(High Speed Device)
Ultrasonic scaller/ High speed Drills
Vitamin C, Vitamin D,
Zinc, Elderberry, Tumeric and Garlic
NIV, tracheal intubation, manual ventilation,
tracheostomy, bronchoscopy,CPAP, BiPAP,
HFNO,HFOV,nebulised induction sputum, suctioning
respiratory tract, gastroscopy, high speed cutting
surgery
 @rouf345

EAT
Destress
PROCEDURE
BE Yourself
GREATFULL
Low Carbs, High Protein,
AEROSOL
Vagetables, Fruits rich Beta
Caroten
CORONAVIRUS
MeditationAscorbic Acid,
Mushrooms, Tomato,
Avoid
TRANSMITING Brocoli, Spinach
smoking,

Sleep 7-8 Hour

ISTIGHFAR
alcohol and others
Traveling
Drink 8-10 water
VitaminsDENTAL PROCEDURE

ExercisePRAY
30-60 Minutes
(High Speed Device)
Ultrasonic scaller/ High speed Drills
Vitamin C, Vitamin D,
Zinc, Elderberry, Tumeric and Garlic
NIV, tracheal intubation, manual ventilation,
tracheostomy, bronchoscopy,CPAP, BiPAP,
HFNO,HFOV,nebulised induction sputum, suctioning
respiratory tract, gastroscopy, high speed cutting
surgery
 @rouf345

THANK YOU
Wassalamu’alaikum Warrohmatullahi Wabarokatuh