2020 - kshe weekly covid-19 forum...air-cooled scroll air-cooled screw water-cooled centrifugal...
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2020 - KSHE Weekly COVID-19 Forum
Thank you to this week’s
sponsor
Spot Coolers Portable AC Packaged AC & Heat Air-Handlers1-5 Tons 10-20 Tons 25-100 Ton 10 – 30k CFM
Direct Fired Tube Heaters AH Concealed Flame Indirect Fired Self-Contained Indirect-Fired Industrial325k – 1.2MM BTU/HR 200k – 2.2MM BTU/HR 750k – 1 MM BTU/HR 1.4MM – 4.5MM BTU/HR
Air-Conditioners & Negative Air/ HEPA Air & Water – Cooled Chillers
Direct & Indirect Fired HeatersCooling Towers
Fluid Coolers Cooling Towers100 – 300 Tons 500 & 1000 Tons
Air-Cooled Scroll Air-Cooled Screw Water-Cooled Centrifugal Chillers: 20-155 Tons Chillers: 150-525 Tons Chillers: 500 & 1000 Tons
Generators
Diesel Generators10 – 1000kW
3
Rental Equipment
4
Rental Equipment
Helping Hospitals Serve Their CommunitiesKentucky hospitals provide countless services in their communities, from high quality patient care to employment opportunities to significant economic contributions. KHA is here to support hospitals and help them be their best!
Opening Remarks
Joe Taylor, Executive Director Facilities Owensboro Health and President of
KSHE
joe.taylor@owensborohealth.org
2020 Annual Healthcare Coalition ConferenceCelebrating our Healthcare Heroes
• September 29 - October 1• Owensboro Convention Center; Hampton Inn & Suites Downtown on the
Waterfront• Sponsorship/Trade Show Reservations Now Open• Call for Presentations Now Open (Closes June 15)• Attendee Registration Opens Late May
Helping Hospitals Serve Their CommunitiesKentucky hospitals provide countless services in their communities, from high quality patient care to employment opportunities to significant economic contributions. KHA is here to support hospitals and help them be their best!
Kentucky PPE ExchangeA secure platform for KHA members to exchange supplies and information
https://kentucky-ppe-exchange.mobilize.io/registrations/groups/39782
Questions: apeterson@kyha.com
NOTE: The Kentucky Hospital Association (KHA) is offering this service as a free member benefit. KHA is not inspecting nor taking possession of any items offered or acquired through the voluntary network. All inventory, and any pricing, logistics, inspection, shipping, costs, etc. are subject to and between the respective facilities. KHA will have no role beyond connecting members offering or seeking items. KHA, for all subsidiaries and staff, disclaims all liability, duties and warranties (including warranties of merchantability and fitness for a particular purpose) of all items offered or acquired through this voluntary network.
KY PPE ExchangeA secure platform for KHA members to exchange supplies and information.
Open to all KHA Members• More than one individual from an
organization can join.• Those especially encouraged to join:
Purchasing, Materials and Supply Chain
Joint Commission – The New Normal (Unofficial)
TJC Recovery Plan (currently under discussion)
• Safety for all JC Surveyors will be first priority.• Surveys to resume once the State of Emergency is lifted Nationally and locally permitted
• Joint Commission will review municipality and state specific data for COVID-19 cases
• Surveys will resume for hospitals performing elective surgeries and admitting non COVID-19 cases.
• Customer recovery and surge readiness must be in place for facilities to be surveyed
• Surveys will begin with “other accredited organizations” first and Hospital surveys will resume last
• TJC will check in with clients: 3 – 4 months prior to survey to discuss how things are going
• Avoid Dates: TJC will not be taking new “avoid” dates
• Will check in the hospital for readiness: 3 – 4 weeks prior to survey (some notice: protects surveyors)• Will not survey/consider retroactive documentation that would have occurred during this time. March
16th till the disaster is over• Survey Prioritization:
o Adverse Decisions: Preliminary Denial of Accreditation (PDA), Immediate Threat to Life, Egregious complaints
COVID-19 Resources for Health Care Facilities
General COVID-19 Resources
COVID-19 Recovery Resources
CMS Blanket Waiver Information
COVID-19 Recovery Checklist
Moderator: Mike Canales, HFL Program Director & IHFEA Founder
KSHE callMay 14, 2020
Deb Campbell, RN-BC, MSN, CPHQ,T-CHEST, CCRN alumna
Infection Prevention Improvement Advisor
Kentucky Hospital Association
Current numbers as of 5/12
• Kentucky– Cases: New- 191* Total- 6,853 – Deaths: Total- 321– Tests: Total- 110, 609 (about 49,596 since
last week)– Recovered: Total- *2,546
• US– Cases: 1,380,465 – Deaths: 83,150– Recovered: *230,287
Issues Update- re-opening
• Phase 1 (April 27) – May resume non-urgent/emergent health
care services, diagnostic radiology and lab services
• Phase 2 (May 6)– Outpatient surgeries and other invasive
procedures can resume• Issues
• Public fear of returning- PSAs and letters• Testing- turnaround time (72-96 hour time frame)• Visitation- patients waiting until they can have a
family member/support person with them
Ky’s Plan for re-opening
• Phase 3 (May 13)– Hospitals and care facilities can begin doing
non-emergency surgeries and procedures at 50% of their pre-COVID-19-era patient volume.
3 Pillars for Re-opening • Continued social distancing and masking when
in public• Testing– Widespread and repeated over time?
• Contact Tracing– What is an exposure?
• Does it matter whether they wore a mask, were never within 6 feet?
• What about items that may have been touched?– What about second degree exposures? – Should we use an abundance of caution and can
we afford to do that in all circumstances?
Degrees of Separation• Case study– Employee’s spouse works closely with a co-
worker whose life partner has tested positive. • Masks worn in the spouse’s workplace? NO• Distancing adhered to? NO
– Was spouse exposed? MAYBE- if the co-worker has CoVID-19
– Can you encourage the co-worker to test? – If no, do we then treat the spouse as exposed
and quarantine our employee until the spouse is tested? And when should the test be performed?
Re-Opening Playbook
• Mike Jones, CommonSpirit Health, CHI Texas Division Safety Officer
• Please join us for the fourth installment of the “Securing the Health Sector” webinar series, hosted jointly by InfragardNational Capital Region (InfraGardNCR), the U.S. Department of Homeland Security (DHS), and the U.S. Department of Health and Human Services (HHS).• Many healthcare entities are setting up alternative care sites to combat COVID-19. This week’s webinar, “Securing the Health Sector: Physical Security for Alternate Care Sites” will offer a strategic, introductory-level overview of physical security considerations and resources for alternative care sites, including a summary of HHS guidance and resources, direct experience from leaders of current alternate care sites, and recommendations from the International Association for Healthcare Security and Safety.• Our Speakers are:• Denis FitzGerald, MD: Director of Field Operations and Response within the Assistant Secretary of Preparedness and Response at HHS, and the national team lead for alternate care strategies on the Federal Healthcare Resilience Task Force.• Edward Smith: Deputy US Marshal and Incident Commander at the San Carlos Alternate Care Site• Dave Brown: Executive Director of Integrated Protection Services (serves healthcare organizations in British Columbia) and Chair for the IAHSS Council on Guidelines• Bonnie Michelman: Executive Director of Police, Security and Outside Services at Massachusetts General Hospital
Webinar:Securing the Health Sector – a Weekly Webinar Series Co-Hosted by HHS, InfraGardNCR, and DHSPhysical Security for Alternate Care Sites
Friday May 15, 1:00 –2:00 pm ET
Medical Air and Oxygen Revisited and a BonusRON HENLEY, CHFM, CHSP, R IAQM, SASHE, LSO, CHEBAPTIST HEALTH PADUCAH
RONALD.HENLEY@BHSI .COM
Lessons learnedUnderstand your capacity of each zone to support ventilators or other 02 equipment!
Add redundancy to your system!
Vaporizer management in a high flow event!
Bulk Oxygen Calculator!
Oxygen CapacitiesRemember you can only provide what your vaporizer is capable of producing!
Medical Air Capability Based on Pipe Size
Signage for zones Room 349-363 13 Ventilators Max
Daily check on ventilator usage-during event 5/1/2020 5/2/2020 5/3/2020 5/4/2020
BHP total vents 31 31 31 31Critical Care Utilization 5 6 6 4NICU 0 0 0 0Available Vents 26 25 25 27
Flow Rate Vent 1 60 46 46 60Vent 2 40 60 60 60Vent 3 60 60 60 85Vent 4 85 85 85 50Vent 5 50 50 50Vent 6 50 50Vent 7Vent 8Vent 9Vent 10Vent 11Vent 12Vent 13Vent 14Vent 15Vent 16Vent 17Vent 18Vent 19Vent 20Vent 21Vent 22Vent 23Vent 24Vent 25Vent 26Vent 27Vent 28Vent 29Vent 30Vent 31
295 351 351 255
Daily Checks Oxygen Level and Med Air-With alerts colors
ADDED
6-Apr 7-Apr 8-Apr 9-Apr 10-Apr
O2 Main Tank 175 265 247 230 215
O2 Pressure 53 53 53 53 53
O2 Reserve Tank 62 74 56 70 65
Pressure
O2 H Cylinders 10 10 20 20 17
Air H Cylinders 9 9 9 9 9
Med Air Pressure 50 52 52 52 52
Daily Status on PPE-Alert Trigger
21 22
ON HAND AVG DAILY DAYS ON HAND ON HAND AVG DAILY DAYS ON
HAND
EARLOOP MASKS 182,950 20,564.30 8.9 45,230 15,957.10 2.8
EXAM GLOVES 482,940 9,331.40 51.8 465,340 9,988.60 46.6
FACE SHIELDS 1,192 1.9 641.8 1,184 2.6 460.4
ISOLATION GOWN 3,330 250.7 13.3 3,015 252.9 11.9
N95 14,285 56.4 253.2 14,210 42.9 331.6
Coveralls
Emergency O2 Supply Connection
Emergency O2 Connection point in progress
Med Gas Manifold addition in progress
Liquid Oxygen Calculator
Number of patients on 02 Avg flow rate LPM
75 3 225
Number of patients on Ventilator Average flow rate LPM
3 40 120Total Flow O2 LPM 345
Liquid O2 Reading 152
Days to Empty 21
Requires input
Bulk O2 Calculator-Reorder Calculator
Calculator works up to a 9,000 gallon tank
Liquid Oxygen Calculator with surge
Number of patients on 02 Avg flow rate LPM
75 3 225
Number of patients on Ventilator Average flow rate LPM
31 40 1240Total Flow O2 LPM 1465
Liquid O2 Reading 152
Days to Empty 5
Requires input
Bulk O2 Calculator-Reorder Calculator
Calculator works up to a 9,000 gallon tank
Thank you for listening!
Ron Henley, CHFM, CHSP, RIAQM, SASHE, LSO, CHE
Baptist health Paducah
Ronald.Henley@bhsi.com
Q&A
Moderator: Mike Canales, HFL Program Director & IHFEA Founder
Thank you to this week’s
sponsor
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