Subject: Fwd: [External] Re: Specimen collection training help at Grady
From: Tamar Gabunia </O=EXCHORGANIZATION/OU=EXCHANGE ADMINISTRATIVE GROUP (FYDIBOHF23SPDLT)/CN=RECIPIENTS/CN=E6CA04F38EC94D0CADAB9CBDF90FCDDE-TAMAR G>
To: Ekaterine Adamia </o=ExchOrganization/ou=Exchange Administrative Group (FYDIBOHF23SPDLT)/cn=Recipients/cn=89b4d31758d34f2cbdcfe688199f6941-Ekateri>; Anzor tchavtchavadze </o=ExchOrganization/ou=Exchange Administrative Group (FYDIBOHF23SPDLT)/cn=Recipients/cn=0e03f3df18104f3b8b06b0400c558fbf-Anzor t>
Date: Tue, 24 Mar 2020 05:17:25 +0000

Sent from my Samsung Galaxy smartphone.

-------- Original message --------

From: Zaza Avaliani <[email-masked]>

Date: 3/24/20 8:46 AM (GMT+04:00)

To: Tamar Gabunia <[email-masked]>, Tengiz Tsertsvadze <[email-masked]>, Amiran Gamkrelidze <[email-masked]>, Amiran Gamkrelidze <[email-masked]>

Cc: Nana Kiria <[email-masked]>, Lika Papitashvili <[email-masked]>, Akaki Abutidze <[email-masked]>, Nikoloz Chkhartishvili <[email-masked]>

Subject: Fw: [External] Re: Specimen collection training help at Grady

ძვირფასო კოლეგებო,

ჩვენმა ამერიკელმა მეგობრებმა ემორის უნივერსიტეტიდან მოგვაწოდეს კოვიდ კლინიკური მართვის განახლებული გაიდლაინი და რამდენიმე ინსტრუქცია პირადი დაცვის საშუალებებთან დაკავშირებით, რასაც სრულად გიზიარებთ (იხილეთ მიმოწერა და ბმულები)

საუკეთესო სურვილებით,

ზაზა ავალიანი

Zaza Avaliani, MD PhD Professor

Director, National Center for Tuberculosis and Lung Diseases

8, Achara str. Tbilisi, 0101 Georgia

Phone (office): (+995 32) 2910252

Phone (cell): (+995 599) 585336

On Tuesday, March 24, 2020, 1:44 AM, Kempker, Russell <[email-masked]> wrote:

Dear All, I am attaching our updated treatment guidelines and also some documents on PPE wear and donning/doffing. We are happy to discuss the treatment guidelines if have any questions. Key caveat is these treatment guidelines are interim and will likely be
updated as we learn more and are not based on rigorous scientific trial data. Russell

Russell Kempker, MD, MSc

Associate Professor

Emory University School of Medicine, Division of Infectious Diseases

Office: 404-251-8701

Email: [email-masked]

From: Nestan Tukvadze <[email-masked]>

Sent: Monday, March 23, 2020 5:30 PM

To: Kempker, Russell <[email-masked]>; Tewodros Haile <[email-masked]>; Alemseged Abdissa <[email-masked]>; Abraham Aseffa <[email-masked]>; Dr Mulugeta Tsegaye <[email-masked]>

Cc: Rebolledo, Paulina <[email-masked]>

Subject: [External] Re: Specimen collection training help at Grady

Russell,

This is very helpful and thank you so much for sharing.

Congratulations to Paulina and team

on this incredible work!

All stay safe!

Nestani

Nestani Tukvadze, MD

Head of Research Unit,

National Center for Tuberculosis and Lung Diseases

50 Maruashvili str 0101 Tbilisi, Georgia

Cell: +995593733334

Sent from Yahoo Mail for iPhone

On Monday, March 23, 2020, 5:35 AM, Kempker, Russell <[email-masked]> wrote:

Attaching the specimen collection protocol Paulina put together in regards how to properly and safely (if equipment available) collect NP swabs. Seems like simple procedure but the amount of training to get faculty/housestaff and hopefully soon nurses
has been incredible.

Russell Kempker, MD, MSc

Associate Professor

Emory University School of Medicine, Division of Infectious Diseases

Office: 404-251-8701

Email: [email-masked]

From: Rebolledo, Paulina <[email-masked]>

Sent: Sunday, March 22, 2020 11:44 AM

To: Hernandez, Alfonso <[email-masked]>; Stampfer, Samuel David <[email-masked]>; Graciaa, Daniel Sans <[email-masked]>; Titanji, Boghuma Kabisen <[email-masked]>; Sherman, Amy <[email-masked]>;
Adelman, Max Wiener <[email-masked]>; Webster, Andrew Scott <[email-masked]>; Collins, Lauren Frances <[email-masked]>

Cc: Yoon, Jane Chung <[email-masked]>; Ray, Susan M <[email-masked]>; Rollin, Francois <[email-masked]>; Kempker, Russell <[email-masked]>; Howard-Anderson, Jessica Renee <[email-masked]>

Subject: Specimen collection training help at Grady

Hello all,

I am emailing to see if anyone would be interested in helping on the in-patient side at Grady with specimen collection. Jane, Francois, Marcos and he two ID consult teams have done a phenomenal job in holding training sessions (in addition to the "see one,
swab next" approach) many residents, RT (for intubated patients) and attendings from ED, IM, Hospital Med, MICU and MH ID. Most of the patients are being swabbed in the ED if they come in as PUIs, with a small portion of PUI's not getting a sample for some
reason in the ED (initially refused, transported etc) and the remaining becoming a PUI later in the admission (teams have been helping as more of them trained)

Nursing has not been part of this for various reasons, but think we may have finally broken trough with Nursing leadership. As you all know, during normal times, they are usually the ones collecting NP specimens for Flu PCR testing so it make sense to have
them involved too.

If you are interested, there are two things you could help with:

Being available during any period of time M-F during 9am-5pm to help with specimen collection if there is no one on the team is trained

Holding brief 15-20 min teaching sessions with housestaff, attendings and hospitalist that can occur during the middle of the day and will be particularly important
to have once teams switch over on 3/31 (I can coordinate with Chief residents getting a room and spreading the word)

We would of course "train" you on Grady's procedure for collection
and am attaching the SOP for reference.

I know most of you are doing other volunteer work, so if not possible, we all understand! If you know of others who may be interested, please pass along.

Jane and Francois - please feel free to add anything I may have left out.

Gracias!

Paulina

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