RUTGERS PROJECT ECHO MCH-OUD COVID-19 ECHO Damali - - PowerPoint PPT Presentation

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RUTGERS PROJECT ECHO MCH-OUD COVID-19 ECHO Damali - - PowerPoint PPT Presentation

Jun 24, 2023 220 likes •367 views

RUTGERS PROJECT ECHO MCH-OUD COVID-19 ECHO Damali Campbell-Oparaji, MD Susan Neshin, MD April 13, 2020 Annette DAngelo, MSN, RN SESSION AGENDA Epidemiology and impact of risk factors (social determinants) What the data tells us

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SLIDE 1

RUTGERS PROJECT ECHO MCH-OUD COVID-19 ECHO

Damali Campbell-Oparaji, MD Susan Neshin, MD Annette D’Angelo, MSN, RN April 13, 2020

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SLIDE 2
  • Epidemiology and impact of risk factors (social

determinants)

  • What the data tells us about NJ populations at risk
  • Importance of maintaining good maternal care

practices

  • How COVID has changed SUD treatment
  • How to provide care and be safe.
  • Personal Protective Equipment (PPE)
  • Questions and Answers

Rutgers NJ Project ECHO – MCH/OUD COVID 2

SESSION AGENDA

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SLIDE 3
  • Coronavirus Disease 2019 , COVID-19
  • Thought to be spread mainly from person to person
  • Spread from contact with Contaminated surfaces or
  • bjects

Rutgers NJ Project ECHO – MCH/OUD COVID 3

EPIDEMIOLOGY

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SLIDE 4
  • Most data available is antedoctal and is based on observations

from China and Italy, not sure this entirely extrapolate to our US population ( heterogeneous population)

  • Current available data does not indicate pregnant women at

increased risk

  • Pregnant women are considered relatively immunosuppressed

and at greater risk of severe morbidity and mortality from other respiratory infections (ie influenza, SARS-CoV, MERS-CoV)

  • THEREFORE PREGNANT WOMEN SHOULD BE

CONSIDERED AN

  • AT RISK POPULATION FOR COVID-19

Rutgers NJ Project ECHO 4

EPIDEMIOLOGY OF COVID-19 IN PREGNANCY

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SLIDE 5
  • OUD patients and Pregnant patients are both very

vulnerable groups

  • Factors that may be exacerbate poor outcomes:
  • Food insecurity
  • Homelessness
  • Domestic violence/ IPV
  • Loss of income
  • Loss of insurance
  • Additional childcare responsibilities
  • Self treatment of anxiety or depression

Rutgers NJ Project ECHO 5

IN TIMES OF PANDEMICS/ CRISIS – VULNERABLE POPULATIONS ARE AFFECTED IN A GREATER FASHION BOTH SHORT TERM AND LONG TERM

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SLIDE 6
  • Instruct patients to call first
  • First person to contact patient –should ask about

symptoms

  • Testing sites, local and state health departments
  • Patient presents on labor floor- PPE, dedicated staff
  • Travel history no longer necessary component
  • Vitals , Pulsox, respiratory findings
  • Testing- influenza, other viral , renal failure, chest

xray

Rutgers NJ Project ECHO 6

REAL WORLD – WHAT TO DO

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SLIDE 7

Rutgers NJ Project ECHO 7

WHAT THE DATA TELLS US ABOUT NJ POPULATIONS AT RISK

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SLIDE 8
  • Continue to screen and treat SUD
  • Incorporating more telehealth for all aspects of care-

for those who have the technology

  • Asking patients how they are managing stress during

this crisis ( tobacco, alcohol and substance use)

  • Anticipatory guidance for patients
  • Is it safe to deliver in the hospital, am I a candidate for home

birth ?

Rutgers NJ Project ECHO 8

NOW MORE THAN EVER WE WANT TO BE LASER FOCUSED ON MAINTAINING GOOD MATERNAL CARE PRACTICES

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  • Telephone check -ins/ telemedicine
  • Patients are afraid- fear and anxiety- increase stress

and stress related complications

  • Increasing # of extramural deliveries and or intentional

home births

  • Rely on our BASIC TRAINING
  • When in proximity to blood bodily fluid, secretions –

don’t get lax

  • Use PPE (mask, face shield, gloves, gown, booties)

Rutgers NJ Project ECHO 9

HOW TO PROVIDE CARE AND BE SAFE

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SLIDE 10
  • Taking it off properly is just as important (Doffing)

as

  • Putting it on properly (Donning)

Rutgers NJ Project ECHO 10

PERSONAL PROTECTIVE EQUIPMENT (PPE)

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SLIDE 11
  • Focus on what is in your control
  • Acknowledge your thoughts and feelings
  • Come back to your body
  • Engage in what you are doing
  • Committed action
  • Opening up
  • Values
  • Identify Resources
  • Disinfect and distance
  • Reference: www.weitzmaninstituete.org/coronavirus

Rutgers NJ Project ECHO 11

FACE COVID- A MODEL FOR DEALING WITH CURRENT STRESSORS

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SLIDE 12
  • NJ Department of Health
  • 609-392-2020 After hours / Epi on call phone #,
  • 609-826-5964 Infectious Disease Outbreak-related Questions
  • CDC
  • ACOG

https://www.acog.org/-/media/project/acog/acogorg/files/pdfs/clinical- guidance/practice-advisory/covid-19- algorithm.pdf?la=en&hash=2D9E7F62C97F8231561616FFDCA3B1A6

Rutgers NJ Project ECHO 12

REFERENCES

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SLIDE 13

Thank you!

Questions & Discussion