By Rey Anthony Chiu | 10:09 PM September 24, 2021
Responding to the need to decongest hospitals and allocate vacated hospital beds for the more serious coronavirus disease (Covid-19) cases, Governor Arthur Yap issues Executive order No 46, (EO 46) series of 2021, which he signed September 17.
This as Bohol scrambles to avert the impending failure of the health care system threatened by a surge of Covid cases forcing Bohol hospitals occupancy to be in critically risky conditions.
The said EO 46 directed the opening and operationalization of the Temporary Treatment and Monitoring Facilities (TTMF) within Bohol and allowing the admission and care of stable moderate and mild cases Covid-19 cases in the ongoing Covid-19 surge of cases in Bohol.
According to the Department of Health Memorandum 0186 series of 2020, TTMFs are part of the health care providers’ network and are tasked to admit possible contact, suspect, and probable, or confirmed Covid-19.
The DOH also issued a Department Memorandum No 2020-512 which included those with mild Covid symptoms to be eligible for TTMF admission.
The facility will have the Rural Health Unit doctor as manager, who shall ensure that the facility runs, functions and operates 24/7, has necessary basic needs such as food and water, human resources, medicines, medical supplies and equipment, basic life support ambulance, coordinates with levels 2 or 3 Covid health facility for referral, and acts primarily as extension of the RHU.
And as an extension of the RHU, TTMFs may provide outpatient services to patients according to demand, supportive medical treatment, monitoring patients at least once per shift, sets food preparation, handling and distribution according to guidelines and standards of nutrition care, provide psychosocial support through its Mental Health and Psychosocial Support (MHPSS) Team or the Medical Social Workers on duty or Online Medical Social Workers of the DOH League of Medical Social Workers Inc.
Although Bohol LGUs have operated quarantine and isolation facilities, not all of those could qualify as TTMFs.
To this, in the new EO, the governor also created the Bohol IATF Inspection and Certification Team (ICT) who shall inspect and certify them according to the minimum standards of the DOH.
Certified TTMFs could get logistical, technical and personnel support from the Provincial Government with the counter-parting support by LGUs and the DOH.
The TTMF staff will have 24/7 telemedicine access to physicians from Gov Celestino Gallares Memorial Medical Center, according to the EO.
Comprising the ICT are a Provincial Health Office physician, a DOH physician, a DOH Bohol representative, the Provincial; Disaster and Risk Reduction management Office, representative from the DILG, Bohol Provincial Police Office representative.
And part of the BIATF’s commitment to the setting up of the TTMF in LGUs is to conduct short courses on proper management of admitted cases as well as duties and responsibilities of the TTMF personnel.
Along this, the BIATF will also formulate and implement the processes for the assessment, classification and management as well as referral protocols of the TTMF to level 2 or three hospitals. (rahc/PIA-7/Bohol)