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The Preparation, Delivery and Outcome of COVID-19 Pandemic Training Program among the Emergency Healthcare Frontliners (EHFs): The Malaysian Teaching Hospital Experience

Original article

Abstrak

Salah satu dari strategi untuk memperkasakan petugas kesihatan di dalam menentang kesan pandemik COVID-19 ini adalah melalui latihan yang berkesan. Keselamatan dan ketidak laziman merupakan dua perkara pokok yang menyebabkan modul ini dihasilkan. Modul latihan ini dibentuk berdasarkan tiga strategi utama iaitu belajar dari pengalaman lalu, mereka-bentuk modul latihan yang khusus, dan mengenal kelemahan yang ada. Modul yang dihasilkan ialah pemakaian-penanggalan alat perlindungan kendiri (PPE), pengurusan salur pernafasan dan resusitasi kardiopulmonari bagi pesakit yang disyaki COVID-19. Seramai 178 Perawat Kesihatan Barisan Hadapan (PKBH) telah dilatih. Setiap modul disertakan dengan senarai-semak yang mana peserta merasakan ianya sangat membantu. Tiada peserta yang jatuh sakit atau mengalami simptom setelah lebih dua minggu tamat latihan dan ini berkemungkinan hasil dari pelaksanan senarai semak persediaan pra-latihan yang ketat. Senarai semak pra-latihan ini mempunyai tujuh perkara penting iaitu ruang latihan, bilangan peserta, saringan COVID-19, pemeriksaan suhu badan, sanitasi tangan, PPE, dan pensanitasi peralatan sebelum dan selepas latihan. Latihan menggunakan senarai semak yang terarah didapati sangat membantu para petugas di dalam menguruskan situasi COVID-19. Kesimpulannya semasa menghadapai keadaan yang di luar kelaziman serta masa dan sumber yang terhad, latihan praktikal bersama senarai semak merupakan satu kaedah yang dapat membantu. Mengikuti langkah keselamatan pra-latihan yang betul juga boleh mengurangkan penyebaran penyakit ini. 

Abstract

One of the strategies in strengthening the healthcare providers in mitigating the impact of COVID-19 pandemic is through training. Safety and disease unfamiliarity with COVID-19 was the main reason for developing this dedicated specialized training modules in order to address the issue. The training modules were developed based on three strategies that are learning from experience, design suitable dedicated module and identify weakness and vulnerability. The training modules created were  donning-doffing of Personal Protective Equipment (PPE), airway management and cardiopulmonary resuscitation of suspected COVID-19 patients which were delivered through immersive life simulation technique. A total of 178 Emergency Healthcare Frontliners (EHFs) were trained. Each module was guided with a checklist that the participants found to be very useful. None of the participants reported developing symptoms of infection after undergoing the face-to-face simulation training even after two weeks of post-training periods. Seven important steps were found to be crucial that contributed to these findings which included room space, participants number per group, COVID-19 screening, taking of temperature, hand sanitization, PPE, and equipment sanitization before and after training. Hands-on training with guided-checklist  was found to be very useful to the EHFs in managing an unfamiliar situation of COVID-19. In time-constraint-resource-limited conditions, training modules should be focused  on addressing the pressing problem at hand. In conducting  a face-to-face training, precautionary safety measures should be strictly adhered  to prevent the spread of the disease.