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Department of Health
OFFICE OF THE SECRETARY
DEPARTMENT CIRCULAR
No. 2020 - 0213
The Department of Health (DOH) hereby issues the Temporary Treatment and
Monitoring Facility (TTMF) Readiness Checklist, based on existing DOH guidelines for
standards and operation of Temporary Treatment and Monitoring Facilities, to assist the
National Incident Command Emergency Operations Centers and Facility Managers in ensuring
the effective and efficient operations of Mega TTMFs. The checklist shall serve as a guide in
four main components: 1) Infrastructure, Planning and Design, 2) Human Resources, 3)
Medicines, Supplies and Equipment and 4) Outsourced Services. A soft copy of the checklist
may be accessed through bit.ly/TTMFChecklists.
Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila 0 Trunk Line 651-7800 local 1 113, 108, 135
1 1
Direct Line: 711-9502; 711-9503 Fax: 743-1829 0 URL: http://www.doh.gov.ph; e-mail: liduqucw doheovph
Temporary Treatment and Monitoring Facility (TTMF) Readiness Checklist
(National Government-Led TTMF)
The purpose of this checklist to guide facility managers in preparing the TTMF for operations. The checklist
shall be divided into 4 main components ( 1) Infrastructure, Planning and Design (2) Human Resources (3)
Medicines, Supplies and Equipment (4) Outsourced Services.
Infrastructure OK
Site selection:
I Access to a COVlD-19 Referral Hospital or an L2/ L3 Hospital Accepting Suspect,
Probable and Confirmed COVlD-19 patients with severe or critical symptoms
I Fully enclosed space with adequate lighting
Ventilation
I Level of air pressure should follow a decreasing value from the clean/ sterile zone area, buffer
zone and to the contaminated zone to ensure the unidirectional airflow from one zone to another.
I Diluted ventilation in all areas, with air exhausted to an air space with no people
I Provision of at least fan ventilation in patient rooms or patient observation area
Patient placement
For Facilities catering to Confirmed COVlD-19 patients
0 Ward type may be allowed considering each patient observation area of at least
7.43 sq.m
0 Partition of at least 1.5 meters between patients, if not applicable, the use of floor
to ceiling curtains maybe an alternative as wall partition
0 Each patient bed should be at least 1 m apart on all sides
I Each patient room or patient observation area shall have the following:
0 Patient Bed
0 Chair and table
0 Power/Electrical Outlet
0 Light source
Floor Plan and Zones OK
General requirements
I Has Clean, Buffer, and Contaminated Zones
Separate doonNay from clean to contaminated zone and vice versa
Each zone is divided by a non-porous partition such as glass, steel, or drywall.
Each functional room should be adequately ventilated with proper lighting
Footbath should be placed in all exits of the facility
Footbath in the passageway from the contaminated area to the buffer area
Buffer Zone:
I Donning Area
- Ante-Rooms
Level 1: Lockers for change of clothes per staff (Change from outsrde clothes to
_
-
uniform)
- Level 2: Hand washing sinks, foot-operated waste receptacles (Hand Hygiene)
- Level 3: Cabinets for PPE supply (Wearing of Complete PPE)
I Doffing Area
- Ante-Rooms
- Level 1: Receptacles for disposable PPEs, Bins for disinfection of reusable
PPEs, Misting (if applicable) (For removal and disposal of gloves and gown)
- Level 2: Hand washing sinks, foot-operated waste receptacles (Hand hygiene,
removal of mask and goggles)
- Level 3: Hampers for used uniforms or scrubs (Change from uniform to outside
clothes)
Contaminated Zone:
I Patient Entry and Exit
- Main door shall be 0.90m to 1.20m is length to easily accommodate patients
regardless of type of movement
—
Accessible to main driveway
I Patient receiving or triage area
— At least 5 sqm to allow at least 1 staff to man and receive patients and
documents
I Patient ward/rooms (as indicated in Patient Placement)
I Specimen Collection Areal Room (if applicable)
- Individual booths
- Physical barrier between patient and specimen collector
Other Areas (located outside the main infrastructure of the Temporary Facility)
I Waste Disposal and Storage Area
- At least 4.65sqm
- Accessible to driveway for access of hauler service provider
I Laundry Holding Area (if applicable)
- At least 4.65 sqm if for storage only
- Accessible to driveway for access of laundry service provider
Human Resource Management
ITEMS OK
Pre-deployment
Orientation:
I Signs and symptoms of COVID-19 and how to monitor patients with such
I Chain of infection and how to break the chain of transmission
I Triaging, early recognition of signs and symptoms, high risk individuals and source
control of COVlD-19
I Medical and Psychosocial management of COVlD-19 patients
I Respiratory Etiquette and Social Distancing
I isolation Precautions (Standard Precaution and Transmission-based Precautions-
Airborne, Contact, and Droplet)
I Physical layout and workflow map of important areas and zones in the facility
I Healthcare worker Risk Assessment and Management in the Context of COVlD-19 Virus
I Reporting procedures for COVlD-19 surveillance as established in the facility
I Policies or protocols on accommodation arrangement, transportation, laundry of dirty
uniforms and/ or scrubs worn during duty
Training
I Hand Hygiene Technique, Five (5) Moments of Hand Hygiene
I Appropriate use of Personal Protective Equipment
I Proper Donning and Doffing of PPE
I Proper cleaning and disinfection of environmental surfaces and equipment
I Proper collection and handling of healthcare waste
I Safe Management of Cadaver
with DM 2020-0180
Medicines, Supplies, and Equipment
ITEMS OK
Medicines
Antipyretics
- Paracetamol 500mg tablet
Respiratory Medications:
- Lagundi 300 mg or 600 mg tablet
- Lagundi 300mg/5mL, 60mL syrup and 120mL Syrup
- lpratropium + Salbutamol 500mcg +2.5mg x 2.5mL (unit dose) Respiratory
- Salbutamol 1mg/mL 2.5mL nebule
- Butamirate Citrate 50mg tablet
Antidianheal Medications
- Oral Rehydration Salts
- Loperamide 2mg Capsule
Vitamin Supplementation
- Ascorbic Acid 500mg/tab
- Multivitamins + Zinc tab
Supplies
Complete set of Personal Protective Equipment
- Face shield/ Goggles
- Face Masks
- N95 masks
- Isolation Gowns/ Coveralls
- Gloves
- Shoe Cover
Equipment
*Ideally dedicated 1 per patient. If not feasible, should be dismfected after every use
_
- Stethoscopes
- Pulse Oximeters
—
BP Apparatus
— Thermal Scanners
Emergency Medicine, Supplies and Equipment (On standby)
Medicines
- Clonidine 75mcg tab
—
Clonidine 150mcg/mL, 1mL amp
- IV Fluids (Plan N88 and PLR)
- Epinephrine 1mg/mL, 1mL amp
Medical Supplies
- Endotracheal tube with cuff of varying sizes
- IV stand
- IV cannula
- IV infusion
- Surgical tape
- Cotton Balls
- Sterile Gauze
- Tourniquet
- Povidone Iodine
- Syringes (3cc, 5cc, 10 cc syringe)
Equipment
- Laryngoscope and Blade
- Bag Valve Mask
IT Equipment
—
Desktop Computer with printer
- Laptop
- Phone connection (whether landline or cellular phone)
—
Provision for Internet Connection speed of at least 5—10 Mbps dedicated for receiving
and sending reports
ITEM OK
Service Expected
I Provision of meals per day shall be given in three (3) meals and two (2) snacks.
I A cycle menu shall be provided and should contain a variety of meals and snacks
per day
I Meals and snacks should contain the following food items and serving portions:
*The amount of serving may vary depending on the type of food item.
Equipment! Supplies
I Disposable wares and utensils, preferably biodegradable utensils and wares for packaging
and distribution
I Food Trolly
I PPE for Food Distributors
Human Resource
I Food Distributors (if the facility has limited HR)
Documentary Requirements
I Service contract
I Sanitary permit
I Medical certificates of personnel
I Water analysis
I Mayor’s permit to operate.
Outsourced Service: LAUNDRY (For Linen and uniform of stafl)
ITEM OK
Service Expected
I Collection and Pick up of Laundry at the specified time
I Adherence to the CDC recommendation on Laundry Cycle* consisting of:
o Flush
0 MainWash
0 Bleaching"
o Rinsing
o Souring
I Protocols/ Contingencies for Delays in pick-up and delivery
I Protocols for Lost/ Damaged linen and uniforms collected
** The use of chlorine or oxygen-activated bleach shall be used during the bleaching cycle
* lfhot water cycle is used, the optimum temperature is at least 160°F (71°C) for a minimum of
25 min
Equipment/Supplies
I Separate bags for collecting linens of patients and Healthcare Workers
I PPE for personnel collecting linen and uniforms
Human Resources
I Personnel to collect laundry from the wards
Documentary Requirements
I Service contract
I Business permit
I Sanitary Permit
I Other permit as necessary
Outsourced Service: SECURITY and SAFETY
ITEM OK
Service Expected
I Safety and Security of the vicinity 24 hours a day/ 7 days a week
Equipment
I Communication devices on each post
I Guard Touring Monitor
I Side arm for Security guards manning the gates
Human Resources
I All security personnel shall be licensed and trained
At least 1 security personnel on each gate, entrance and exits of the facility
Dedicated roving security personnel outside the facility
Detachment Commander/ Supervisor
lTEM OK
Services Expected
I Ensure that cleaning and disinfection of the facility is based on the prescribed schedule
per zone
- Contaminated Area: at least 4x a day
- Buffer and Sterile! Clean Zone: at least 2x daily
- Toilet and Bath: at least 2x daily
- Disinfection of frequently touched surfaces such as knobs, faucets, flush lever
after use
I Waste should be collected from all receptacles at least 4x a day
I Management of temporary storage area for waste generated in the facility
I Transport, treatment, and disposal of collected waste
Equipment! Supplies
I Standard Disinfectants
- 70% ethyl alcohol to disinfect small surface areas and equipment between
uses
- Sodium hypochlorite at 0.1% (1000 ppm) for disinfecting surfaces
- Sodium hypochlorite at 0.5% (5000 ppm) for disinfecting surfaces with blood or
bodily fluids spills (allowing 30 mins for the disinfectant to sit)
Provision for complete and appropriate PPE of utility personnel
Provision for waste bins with proper labels
Dedicated cleaning materials for each zone of the facility
Wheeled trolley for collection of waste
Human Resource
I Utility Personnel
I Training on the protocols/ standards for sanitation, disinfection and healthcare waste
management
I Training on proper donning and doffing of PPE
Documentary Requirements
I Service contract
Business permit
Sanitary Permit
Other permit as necessary