ABOUT THIS EPISODE

CE747: The goal of this Middle East respiratory syndrome coronavirus (MERS-CoV) program is to provide nurses, lab professionals, nurse practitioners and physicians with the information needed for the prompt identification and isolation of suspected MERS-CoV-infected patients to prevent the spread of infection in healthcare facilities. After studying the information presented here, you will be able to:
—Explain MERS-CoV infections and how they are transmitted to humans
—Describe symptoms, complications and diagnosis of the virus
—Provide recommendations for preventing the transmission of the virus in hospitals
—Discuss how the members of the interprofessional healthcare team can stem the spread of MERS in the acute care setting both individually and collectively


Accreditation Information

This course is intended for an interprofessional audience, including nurses, lab professionals, nurse practitioners and physicians.

Physicians: Take this version of the course to ensure you receive appropriate credit.

For the version accredited or approved for another profession, go to your specific profession at ContinuingEducation.com or Nurse.com/CE. If you have a CE Direct login ID and password (generally provided by your employer), please log in as you normally would at CEDirect.ContinuingEducation.com and search for this topic title.

OnCourse Learning is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME), to provide continuing education for the healthcare team.

OnCourse Learning is also approved by the Florida Board of Medicine, Florida Board of Osteopathic Medicine, and Florida Physician Assistants (provider # 50-1489).

Physician Continuing Education Credit

OnCourse Learning designates this enduring activity for a maximum of 1.0 AMA PRA category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosures

There is no commercial support provided for this online educational activity.
English

TRANSCRIPT

00:00:05continuing education.com
00:00:11Middle East Respiratory Syndrome MERS Coronavirus emerges channel is the Middle East Respiratory Syndrome coronavirus professionals nurse practitioners in Physician's information needed and isolation of the spectrum to prevent the spread of infection in healthcare facilities after setting the information presented here to explain 1st and how they are transmitted to humans describe symptoms of the virus Transmission in hospital
00:01:11National Healthcare Team Associated tables graphics and links to CDC documentation for another deadly virus Middle East Respiratory pulmonary disease virus one hump camels originated in serological and suggests that most likely animal Reservoir
00:02:112012 2016 1600 Smurfs with 587 in direct connection to travel or residence countries United Arab Emirates 26 countries COV infections nurse practitioners and physician virus and diligent about including it in the differential diagnosis of respiratory illness
00:03:11travel history inspection be considered inappropriate circumstances professionals precautions proper specimen collection between the State Health Department control and prevention coronavirus RNA viruses from the outer surface of their lipid envelope until 2000
00:04:112003 coronavirus where they cause an estimated 15 to 30% of mild self-limiting upper respiratory illnesses for colds human coronavirus severe acute respiratory syndrome SARS in 2002 to 2003 SARS was going to cause a severe respiratory disease with the virus spread spread from China to four continents
00:05:11the World Health Organization believe Global Public Health reported since 2004 in 2012 approximately 10 years following the majority of infections occurring in Saudi Arabia United Arab Emirates Jordan and Lebanon virus which is transmitted human Mercy OB transmission is inefficient scientist initially expected 2015 experienced the largest outbreak of MERS outside of Middle East
00:06:11South Korean businessman visiting for countries in the Middle East Medical Care at for healthcare workers and visitors break was over secondary tertiary quaternary cases of murders occurred epidemiologic overall this resulted in 185 cases of murders 36 deaths in South Korea how is MERS COV transmitted no details of camel to human transmission remains unclear for MERS COV infections
00:07:11strongest evidence for transmission direct contact from an infected year old man what his camels man owned channels that you visited failing onset of his illness for his camels were sick with a nasal discharge 7 Days Later treatment 15 days after hospital admission it should be noted that has been detected and it is uncertain House of Mirth COV infections are transmitted from animals to humans
00:08:11genetic sequences in air samples from mission of the virus might occur to the virus might also result from human consumption of unpasteurized milk or raw or undercooked meat is not uncommon for allegedly properties disease is MERS COV human virus can also be found in Saudi Arabia have issued warnings against for unpasteurized milk
00:09:11transmission of mers-cov epidemiologic and genomic studies in healthcare settings close personal contact with infected patients transmission routes are the hospital procedure performed on patients with such as generating procedures intubation and excavation cardiopulmonary resuscitation and open suctioning of Airways respiratory Services of medical mission of mers-cov contaminated surfaces and
00:10:11infection control and prevention measures coronaviruses are able to remain viable for viruses are sensitive to heat oxidizing agent and ultraviolet light Mission of Mercy Hospital virus can be transmitted unknowingly was tested following exposure time reverse transcriptase polymerase Chain Reaction PCR testing
00:11:11healthcare worker continue to contribute the numbers of confirmed infectious cases in communities and Healthcare facilities contact contact confirmed Mercy patient is defined as a household member healthcare worker anyone who has confirmed case in any close setting Bill contact as being approximately of an ill patient or care area for a prolonged. Of time wearing protective equipment for having direct contact with
00:12:11sexiest secretions what are the symptoms of MERS virus infects the hose. 5 days before illness or mild respiratory symptoms of respiratory disease in time from the onset of 12 to 50% of reported patients patients typically present with symptoms of lower respiratory infection greater than 38° Celsius chills headache sore throat shortness of breath
00:13:11first week in respiratory distress syndrome Arts respiratory failure and extracorporeal membrane oxygenation ECMO renal failure dialysis septic shock with profound hypotension requiring vasopressors symptoms include nausea chest radiography is consistent with viral pneumonitis and a RDS with a spectrum in lower lobes are more frequently in the early
00:14:11change dehydrogenase medical problems in older patients were those with comorbidities such as diabetes and chronic renal and diagnosis of mers-cov yes it is impossible to severe viral pneumonia without the Middle East are there for anyone who has a history of travel to Middle Eastern countries on set for mercy
00:15:11close contact with a Middle Eastern countries in Iran Israel West Bank Lebanon United Arab Emirates or UA symptoms Healthcare professionals patient to minimize the risk of infection transmission especially among the elderly in the absence of signs and symptoms in conjunction with epidemiologic
00:16:11history to determine if Mars COV should be considered for the respiratory tract and serum samples collected from different sites such as bronchoalveolar lavage fluid aspirates usually have higher viral loads upper respiratory tract such as nasal pharyngeal swamps in lesser amount Mars infection candy confirmed reverse transcription polymerase Chain Reaction PCR testing gnosis of murderers
00:17:11symptom of set collection professionals should consult with clinicians to determine the answers on Sat is believed to be within the last 14 days from separator tube may be used to collect the sample for or RT PCR testing the sample should be used after clotting serum shipped refrigerated in 72 hours professionals and Healthcare Providers must only be available using the rrt ersa testing
00:18:11must be made of synthetic fiber source. Container should be shipped refrigerated in 72 hours instructions for shipping and handling of Mercy laboratory Bayou safety guidelines for handling and processing specimens associated with Middle East Respiratory Syndrome coronavirus version 2 it is important for healthcare professionals working with patients to inform laboratory professionals
00:19:11medical laboratory biological and biomedical Healthcare professional information concerning Mercy POV specimen testing in shipping Emergency Operations Center treatment there are no specific drug treatments for mers-cov is associated with poor overall survival is supportive critical condition some patients have required ECMO and mechanical ventilation
00:20:11corticosteroids are under investigation as potential treatments 2016 Phase 1 clinical trial was initiated on human vaccine Institute prevention outbreak of MERS infections in South Korea and infection control infected person household Hospital confirmed most cases and 36 deaths in December 2015 CDC issued prevention recommendations for hospitalized patients with MERS COV in the US
00:21:11prevention and control recommendations for Middle East Respiratory Syndrome coronavirus in summary infection exposures and isolation of patients who have mercy over the infection risk for infection before or immediately hospital is a face mask over the patients nose and mouth and isolate in an Airborne infection isolation room 202 standard contact and airborne precautions early symptoms of MERS COV
00:22:11similar to other personal protective equipment professionals who enter the room of a patient with suspected or confirmed Mercy over you should practice standard contact including washing hands with soap and water protection National Institute for occupational safety and health or Care Peoria area patient placement patient suspected of Mercy OV infection
00:23:11should be placed in Airborne infection isolation room should be at negative pressure to the surrounding areas with a minimum of 6 air changes per hour changes per hour are recommended if an Airborne isolation room is not available essential Personnel facilities no one should enter a room without protection until sufficient time has he left and surface disinfection performing aerosol generating procedures and perform these procedures if they are medically necessary
00:24:11procedures include cough generating procedures intubation and excavation cardiopulmonary resuscitation and open suctioning of Airways healthcare workers should wear gloves down or goggles and respiratory protection 95 filtering facepiece respirator healthcare workers should not wear an aerosol generating procedure has taken place until sufficient time to remove infectious particles environmental surface of infection control precautions information for keeping patient in isolation precautions input from local state and federal Authority
00:25:113xs and movement facility restrict visitors from entering the mers-cov patient's room visitors in contact since before hospitalization may be a possible source of mers-cov for other patients visitors and staff for healthcare worker education positions and other healthcare workers to be aware of the risk related to recent travelers from mers-cov affected areas such as any suspects Arabian Peninsula importation of murders cases can be expected
00:26:11Healthcare professions infection control precautions early symptoms are healthcare workers should maintain a high level of Suspicion inappropriate contact and airborne precautions for suspected or confirmed MERS patients environmental infection control ensure that correct cleaning and disinfection procedures are followed standard cleaning and disinfection procedures prior to applying and according to label instructions 6 establish reporting within the hospital including infection control
00:27:11Hospital leadership Occupational Health Clinical Laboratory technicians Public Health authorities facilities should designate specific person's facility 7 expose Healthcare Personnel should be monitored for any signs or symptoms cough or shortness of breath for 14 days after the last known contact with a patient or PPE use healthcare workers who have had an unprotected exposure to a patient with mers-cov should be excluded from work for 14 days to watch for signs
00:28:11symptoms of respiratory illness and fever in the US only 2 patients in the US have ever tested positive for mers-cov infection in 2014 as the number of murders cases continue to increase in the Middle East will continue to be exported to other countries by tourists Travelers and workers who may have infection early detection of mers-cov infection in Travelers returning from countries with most cases remains essential to prevent nosocomial transmission of the nurses and Physicians who are more likely to encounter patients presenting symptoms and knowledge and communication
00:29:11facial activity mph is an epidemiologist J Swift ascp learning visit www. Continuing education.com exam the application for this course for free weed in their employers CT Direct TV Learning System by visiting www. Continuing education.com

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