YTread Logo
YTread Logo

Inside Tan Tock Seng Hospital's Fight Against The COVID-19 Pandemic

May 29, 2021
More than 26 million infected people around the world, hundreds of thousands have died, it is a world war type scenario, figures of victims of the world war, the first case of Covet 19 arises in Uhan, China in November 2019. In January 2020, Singapore confirms its first case of the new coronavirus the

fight

against what will become a global

pandemic

is about to get tougher and last much longer than health care workers can imagine. Overnight we saw three times as many Singaporeans coming to our screening centre. My twenties painted what has just been transformed into a wart with forty baits, we call it.
inside tan tock seng hospital s fight against the covid 19 pandemic
The most terrible Monday because we saw 520 cases I didn't sleep that day how I feel one word sums it up tired Tantoxing

hospital

is one of the largest multidisciplinary

hospital

s in Singapore next door under the sea the administration is the national center for infectious diseases that officially opened its doors just four months before the largest public health crisis in the city-state's recent history, over eight months in 2020 the two will test a total of more than 35,000 people for the coveted 19 and attribute thousands of infected cases to almost every staff member will be dragged into the war against the virus and it begins so on December 30 there were reports from China that there were clusters of atypical pneumonia in muhan and the cost is unknown, indicating that there could be something unusual happening and it's something we need to watch closely because Dr.
inside tan tock seng hospital s fight against the covid 19 pandemic

More Interesting Facts About,

inside tan tock seng hospital s fight against the covid 19 pandemic...

Angela Chao heads NCID's clinical epidemiology department. One of her tasks is to look for data on infectious disease trends around the world, so every day they were monitoring diseases. very closely and receiving influenza and also tells you where countries are, areas where there is active transmission or even users three days after the news from China, Singapore begins screening all incoming travelers from uhan, although the cause of the outbreak is still unclear. and ncid went into full outbreak mode, we never at any point had any doubt that it would save singapore professor leo eason was at the forefront of singapore's

fight

against the severe acute respiratory syndrome outbreak in the early 2000s, which claimed 33 lives two of them were his colleagues at ttsh a very painful experience taught us that our systems must be ready after sas the hospital developed a comprehensive outbreak manual each staff is assigned a role to play in case of an outbreak and hospital-wide drills are carried out at least once a year planning is an essential part of our preparedness makes an outbreak known, unknown, realistically speaking, dr ang hao, who joined the hospital shortly before the Sars outbreak, he now runs its emergency department, which is the largest and busiest emergency department in Singapore.
inside tan tock seng hospital s fight against the covid 19 pandemic
The department has a long history of testing for outbreaks during peacetime, we already tested with partners, yellow fever, mono, pop, ebola, plague, Lassa fever and now, kovid 19, this is new , working closely with Dr. Ang is Dr. Charmaine Manawas, who develops the instructions for healthcare personnel to perform screening. patients, there was a particular period when we had to look for certain provinces in China, so of course not everyone knows where the provinces are, that's why they put the map here once we set out on a trip to these certain countries. triage to fever area four days after screening begins NCID opens its first outbreak award to isolate suspected patients Margaret Soon is their director of nursing with almost 30 years of experience in initial cases, it definitely gives us a lot of anxiety Because we know very little and we can also tell the staff very little that it is a tense period on January 8 Chinese officials identify a new coronavirus related to Sars and Mers as the cause of the epidemic a day later its genome is made public scientists in Singapore They are a team made up of ttsh staff and the science, technology and research agency, so when the first case arrived we were able to use our own internal detection kits to be able to make the diagnosis. .
inside tan tock seng hospital s fight against the covid 19 pandemic
In China, the virus has spread from Wuhan to other parts. from hubei province people are starting to die from the infection and medical workers are contracting the disease in the line of duty in singapore ttsh is not taking any chances with the safety of its staff its infection control team is ensuring Ensure that everyone, from doctors to cleaning staff, is properly trained and equipped to protect themselves. These strict protocols have been meticulously developed over the years by Dr. Brenda Aung, another Sars veteran. The role of infection control in limiting spread between patients and also trying to prevent transmission to healthcare workers.
Even the contractors are wearing masks. The rest of the January cases emerge in other parts of Asia on January 23, the same day the Chinese government closed Hupei cities, Singapore confirms its first case, a 66-year-old Chinese national from Uhan who is awarded in singapore general hospital the day after case number This time it was confirmed two in the NCID: she was actually a tourist from Ohan, so of course she couldn't remember where she was, what she did, find out where she had been and who had known is the work of Dr. Chao's team in In the coming weeks, the role of comprehensive contact tracing will become even more evident as more is known about when and how infected people transmit the virus from the moment they present symptoms, we look back an incubation period, so 14 days the story can go back like two three weeks a lot of time to slowly joke about their memories to remember where you went with your daughter, you know, I think they have quite a social life active, that's definitely good, it's just a little more challenging when you try contact rushes to know exactly where the places you went are and what times you went as more close contacts of infected patients are identified, the load screening in emergency department increases ttsh decides to activate ncid dedicated infectious disease screening center so it was a very busy Chinese New Year for many people, not because we were celebrating, furniture had to be moved, computers had to be set up, we actually managed reduce activation time by two days, also more nurses are needed to triage and exchange patients we have to attract nurses from various areas including operating room nurses, clinics, our nurse educators, some of them volunteered, actually the whole kang phong is involved, so this is my night shift, let's take a look, a nurse from the cardiology department is one Of the volunteers we practice and exchange with each other, I tell you, you won't think about doing it again until now.
All confirmed cases here have been travelers from China, Singapore will restrict entry to all new travelers who have been to the mainland. China in the last 14 days regardless of nationality, but on February 4 the inevitable happens: a cluster of infections emerges from a Chinese medical center that serves tourists from China. The four cases mark the beginning of community spread in Singapore. It also causes a change in the definition of a suspected case for anyone with recent close contact with travelers from China taxi drivers tour bus drivers people who worked at tourist attractions or hotels and airports casinos where everyone was flooding today was three times more than what we saw the day before the task of making sure you stay at the forefront of this massive search and demand drops in this place welcome to the tanoxing hospital command center this is where we have visibility of the entire hospital industry Operations and National Infectious Diseases Center This military-inspired command and control center is the first of its kind in a local healthcare facility and is overseen by Dr. jamie lim, director of hospital operations, the screen gives us visibility of the supplies we have in the screening center, how many patients we have at that time we use colors to represent the status when it crosses a certain threshold it turns amber yellow and then the next threshold will be great we don't want to be reactive but we want to be ahead of the signs and diseases on that crucial night of February 4 c3 the system activated an alarm within 24 hours, we opened five additional words, we had to open 100 offers in one day, which was really stressful, there's just a lot of coordination to make sure the medications are there, Lyndon is there, but when the bits fill up quickly with suspected cases that present clinically well the team comes up with a new strategy the ncid clinical director sean vasu keeps health ministry updated regularly we proposed to the ministry a swap and send home strategy where patients not receiving hospital care would receive that diagnostic test an adequate amount of medical leave to return home and isolate until The results are expected to come out within the next 8 to 24 hours at home.
These patients are closely monitored by the surveillance team to see if they develop symptoms. Those who test positive are We were immediately brought by ambulance for admission to the NCID. We have also trained our data analysts, our biostatisticians, pathologists, our psychologists, they helped us with telephone surveillance as soon as the patient load increased, up to 50 staff are roped in to call more than 500 people. one day as part of surveillance and contact tracing efforts, another team working 24 hours a day in the background is the department of laboratory medicine led by dr. patha. Very quickly we had to move to 24/7 operation from normal office hours right now I'm tagging.
The samples we will extract for the next round of extraction are another crucial link in the chain race to provide timely confirmation of whether a suspected case has been infected or not. Even a negative result allows doctors and nurses to discharge patients and release them. Prepare beds for new incoming suspects and confirmed cases almost every half hour. Samples will arrive on my busiest night all night from 8:30 until the next morning. 8.30 I didn't even have time to rest. It was a continuous operation. samples, team uses test kit developed by ttsh scientists and a star that was made available to hospitals on February 6 and arrives not too soon the next day Singapore raises status of its disease outbreak response system At orange alert level the disease spreads easily between people but is contained and non-general visitors to hospitals will now have to fill out declaration forms and have their temperatures taken.
Staff are redeployed here from other departments to make this possible and, as a safety measure, the hospital is reducing elective surgeries and closing some clinics. from an acupuncture clinic a business office health department some staff like dietician technician collis yap now work twelve hour shifts instead of normal working hours at fps it is very tiring. My family members always remind me why I do this and why it is important. Thank you so much. to come on a Saturday, other medical staff are ordered to support the wart detection and outbreak center, obviously, we needed more manpower, the entire hospital had to cut down and go and days off, in fact, I was planning my honeymoon honey, but they canceled me and I came.
I returned to ncid to take care of my patients, but social media accounts share accounts of ambulance drivers and nurses being turned away on public transportation and in public areas. However, this paranoia triggers the unexpected: an overwhelming outpouring of love and encouragement for healthcare workers, so we've received a lot of things from children and the public so this is from Little Footprints preschool um look, they have the babies uh these are the babies' footprints and then the older children wrote us letters, so it's very touching that the patients also express their gratitude for Mrs. Jung. most of his 18 days in ncid under intensive care, meanwhile the virus continues to spread in the community and new clusters emerge, but the infection rate remains low compared to countries like Italy and for some it looks like life soon could return to normal in Singapore.
Let's assume for the public that it may seem like a noisy period but that silence was very worrying for us. Countries other than China enter quarantine and whoever declares the coveted 19 as a

pandemic

. We knew it was a matter of time before we see the second wave. We didn't know how big the second wave was going to be, soWe made a decision with the ministry to set up a tent right outside the screening center, if there is ever an overflow of patients coming for screening, the lab is also trying to increase. increased its capacity from 500 to 800 tests per day with more staff and equipment, but its efforts are hampered by a global shortage of reagents on March 21 Singapore reports its first

covid

19 deaths ICU team is no stranger to dealing with mortality, but also with death from covet 19 is different what you use is out of the world ico what we see is reality and the sickle cell patient unfortunately we lost patients despite all the efforts we made, they still die, that was very, very difficult for the families because none of them could come.
And look, and you had to tell them on the phone what was happening and that your father or your mother, brother and sister, were probably going to die. You can imagine that this is my love. Once, I would really want to hold his hand to see a proper moment pass. we have a family member funded during the video call we feel a little helpless yes but we try our best to do everything we can to help the patient and the family everyone does it yes in the ICU Spain is now emerging as a New country. hotspot for covet 19. by march 22 the worldwide death toll from covet 19 is over 11,000 and in singapore infection numbers have risen again mainly due to imported cases for the first time in history singapore closes its borders to tourists and short-term visitors The next day, Dr Jamie Lim's fears came true.
We called it the most terrible Monday because we saw 520 cases. We actually had to open the tentach until 3am. m. at night and many patients had to wait a little longer, so it was a struggle. I didn't sleep that dayThis search in cases is mainly due to students and travelers returning home from countries that are in lockdown. Why are there suddenly so many customers? Yeah, so oh yeah, we're just Chong Mao. We are 80 people. If there is a job to do, then we do it immediately. enacts his plan to expand the number of bits in the outbreak rooms, so let's move on to 5f, okay, we'll go down to level 2, the capacity here in the baseline is 330 bits, we can expand the capacity to 586.
The rooms in this building are designed in such a way that we can double stack them or, in some rooms, triple stack them, but many of the bits are also being occupied by infected patients who are recovering well and, in the opinion of the clinical team, can be treated outside the hospital environment at the national level. The decision was made, there was a turning point in the outbreak in terms of our isolation strategy. This is where clinical data informs policy. We knew that the clinical presentation had certain demographics about the patient, his age and his medical history, which means we can now have 19 younger, more coveted cases.
They are being cared for in the isolation facility and most of them would recover without significant complications within a month. Three more community isolation facilities have been established. You must have a system that is flexible enough so that it is based on the situation and we can still respond effectively on March 29, a porter transporting patients at ncid is confirmed to have contracted

covid

19. an outbreak within its walls It would be the nightmare of any hospital. It happened ttsh during sars when about 100 staff visitors and patients became infected after exposure to the virus on their warts, but this time almost 20 years later, the hospital came prepared for the fight and, despite the more infectious nature of covet 19, strict measures of personal protection protocols for staff surveillance have prevented disease transmission so far.
Now I can do it again. Everyone who enters the ncrd uses this technology. All ncid patients and staff wear a real-time tracking device that allows the staff surveillance team to quickly track people who are in contact with the gatekeeper, you can open them all so you can see who everyone has been in contact with. all other people. It provides a granular level of visibility of where each patient is and where each staff is, so this is the floor plan shows the movement history of this portal on this date the information helps the ncid identify staff at risk of contracting the virus and to quarantine them to stop a possible hospital cluster.
You could say that this is the older brother watching him, but just say that there is a friendly father. The hospital observes people again for staff, there is a lot of security as of September 13. 10 employees of ttsh and ncid have hired covet 19, but none in the course of their work, but in other parts of Singapore a ticking time bomb is about to explode. The coronavirus has been quietly spreading among migrant workers (this was the dormitory with Bangladeshi workers Dayden before he tested positive for the virus). Meanwhile, although nowhere near the levels of countries like the United States or Italy, the number of community cases untied has slowly increased on April 3, Prime Minister Lee Sien Long. announces that Singapore will go into circuit breaker mode, closing schools and many workplaces.
We all have to take social distancing extremely seriously in this period because this is the only effective way to curb the transmission of the virus. We don't want to wait for a situation where cases increase dramatically and then we become overwhelmed. The streets of Singapore have never been quieter, but the scene in ttsh is very different every day, up to 300 migrant workers come here to be tested. The basic difference is that migrant workers cannot control themselves. isolate because they live in a dormitory, we will have to hold them until the swab results are available, if the patient is negative then they must be transferred to a clean dormitory, if the swab results are positive then they can be admitted or transferred. to an isolation center on April 20 Singapore sees 1,400 new cases of greed 19 highest numbers so far in a single day most of them are migrant workers I remember coming to work and overnight my twenties painted the which turned into forty primed because we had to increase our capacity just to deal with this increase in infection cases.
That's when we saw some of the sickest patients. It was an emotional time for me personally because the patients we see are generally fit young construction workers. hospitalized for quite a long time I only think about my family and how to say my life I can I can continue my life also very very my inside very question mark really daily new cases of greed 19 remain high throughout April and ncid warts are almost completely busy again triggering their plan to expand to ttsh my name is nadia i am an assistant creation here at sandboxing and i am a nurse working at kobit award this is the first time we have coveted patients and regular patients in In the same building, first thing What we need to do is make sure that the paths are segregated, which includes mapping the rules and blocking the Kobe leaf or path, so that these are the two areas actually designated to take care of our Kovid patients. so let's go six general prizes that become outbreak rooms one that is actually assigned to be the clean area the first shift it's like you walk in okay it's not even five minutes you're wet everywhere and then you feel so stuffy and then you have this like fainting like you can't breathe as well in each cubicle there will be three big exhaust fans, this actually to create negative pressure because the cubicle doesn't have any extra glass doors or an extra room, finally after eight weeks of circuit breaker, the infection rate begins to decrease with the reduced load of 19 patients, the additional outbreak of warts in ttsh is no longer necessary, but for one department there is no relief, in fact, our workload in microbiology for PCR has increased much more and has doubled to cope.
The department hires additional staff and purchases new equipment that streamlines the testing process. There are people who need clearance to return to work, such as school teachers, delivery drivers for goods, essential goods like groceries, etc., the emphasis has shifted to screening, which is a good thing. which is part of the reopening, covid19 will eventually become the new normal respiratory virus that we will test every year, just like the h1n1 swine flu on July 14, the laboratory makes a mistake, a confirmed case of greed 19 was found was misdiagnosed due to a mix-up of test samples at the Tantoxin hospital laboratory to ensure that an error like this does not occur again the laboratory has automated its patient registration process.
I have a thousand samples to process even if we tell them to take their time. We know there are patients waiting at the end of this and they want to do the best they can, so we've had to try to manage all those psychological and physical demands while the hospital is still not back up to 100%. As usual, it has managed to resume some elective surgeries and open certain clinics, other inpatient warts have also continued to operate, while compared to sars, when ttsh was designated the central treatment hospital closed for all patients who were not sars, in an outbreak, people still come with people with a heart attack still break their leg and need treatment, emergency surgeries will still continue.
We essentially run two hospitals, both xin as business as usual and ncid as the outbreak center, with the same team of doctors, nurses and administrators, can you call me? If there is any problem, I will be in the office, okay, um, biting really did not reduce the proportion of patients with diseases on either the bau side or the ncid side, we deliberately planned for the ratio to be one to four, especially since we believe which is appropriate. Backfilling is important for both patient and staff safety, but the months-long fight has taken a mental and emotional toll on staff and the war with Covet 19 is far from over.
One day, my husband returned from work with a high fever. I'm not afraid for me, I was really afraid for my love once and what I don't want is for him to be covered because of me. Actually, there's something that really touched me at that moment. I realized that running the screening center requires a lot of effort. and each of the different family groups contribute a lot um yeah, it's been exhausting. Sorry, everyone has come together to respond to this terrible pandemic. You do fantastic work, not just during the pandemic. You do a fantastic job all day, every day.
I am tremendously proud of my colleagues, they are wonderful, have good hearts and know that they really do their best in their care. I think so far Singapore has coped reasonably well and, again, that's the job of the entire health system, the ability to respond to the challenge, though, I think we should not be complacent because I think the road ahead It is still long and windy.

If you have any copyright issue, please Contact