COVID-19 and Precautionary Measures

PDRE, Replenish 360 and Affiliated Organizations (“PDRE Community”)

Best Practice Guidelines for COVID-19 Pandemic Outbreak

Date of Release: March 16, 2020

Updated: March 17, 2020

Purpose:

• To minimize the risk of COVID-19 transmission during Palm Desert Resuscitation Education LLC (PDRE), Replenish 360 A Division of PDRE LLC (Replenish) 360 and Affiliated Organization (“PDRE Community”) courses, certification classes, training, wellness services, treatments, sessions and other business-related programs. To provide additional flexibility, as needed, to our valued guests, clients, customers, staff and team members during heightened precautions for COVID-19. This applies to U.S.-based affiliations as well as international clientele and business partners.

Good Day Valued Guests, Clients, Customers, Staff and Team Members of PDRE, Replenish 360 and Affiliated Organizations,

The recent outbreak of the novel COVID-19 (the illness and highly-contagious viral infection caused by a new coronavirus) pandemic has critically produced precautionary measures for PDRE, Replenish 360 and its Affiliated Organizations in addition to spawning new relevant and important inquiries and interests in preventing a public health and potential exposure to our communities in not only the United States but also everywhere else in many different and affected nations of the world.

Essentially, in response to the recent news and updates about the Coronavirus Disease, we want everyone to take a moment to read, understand, strictly adhere to and follow how the PDRE Community is responding to this evolving situation. Our excellent and concerned team and affiliated personnel are closely monitoring the ongoing Coronavirus updates from public health officials, and our hearts go out to the individuals and families affected. 

Following the guidance of the Centers for Disease Control and Prevention (CDC), Riverside County Department of Health, and other public health officials, the PDRE, Replenish 360 and its Affiliated Organizations (“PDRE Community”) are currently open with limited and changing business hours. Walk-in services are closed until further notice. Should our evolving business hours or operations be affected, we will be sure to advise you.

The dynamic reports and details about the global coronavirus outbreak are still developing and, unfortunately, no vaccine is currently available but hopefully manufactured and distributed in the next year or possibly longer in our communities. Due to the enormous amount of cases of morbidity from the COVID-19 illness including the mounting mortality resulting from the virus, it is very imperative to stay well-versed and to remember to use standard hygiene practices, social distancing, and probable quarantining to those who have been exposed to novel Coronavirus to avoid contamination and prevent the sequelae of the harmful health effects (e.g., especially moderate to severe respiratory diseases and multi-organ failure requiring intensive medical care) to the public at large and to our beloved friends, family, and loved ones.

With urgency to the public health and safety of the communities in which we serve, we are obliged and desired to support awareness and share relevant guidance and facts from relevant local, national and international public health authorities.

We are advising all of our PDRE Community including our family, friends, loved ones and every persons we are connected and work with to follow strictly and firmly the existing and the hour-per-hour ever-changing recommendations outlined on the World Health Organization (WHO) website, and in the U.S., refer to the Centers for Disease Control and Prevention (CDC) recommendations, as well as the intended plans, proposals and suggestions of local, national, and international public health authorities, which will have the most up to date facts and will provide information on basic protective measures against COVID-19.

We are truly concerned for your health and safety and we are continuously and unremittingly monitoring all of the latest developments of the outbreak locally, nationally, and worldwide.

The very best protection from infection from COVID-19 is prevention and to follow the outlined recommended procedures (that are not exhaustive to say the least) and precautionary measures to protect our PDRE Community and everyone around us.

We must all be always accountable, aggressively sensible and responsible for following the instructions and guidelines from our local government or public health authority as it relates to actions around COVID-19

It is advisable that we take necessary precautions to avoid contamination, transmission and continuously use discretion to evaluate the risk of disease progression before organizing any training events, treatment sessions and other relevant and necessary business activities.

General Recommendations:

We are all required to make the following adjustments to our course, wellness service, treatment and session management, especially in those geographical regions and areas where the public health deems it necessary to take precautions due to the concerns about COVID-19 transmission:

• Follow suggestions of the national public health as well as state and local authorities concerning closures and public gatherings.

• • Screening “At-Risk” Individuals for Cancellations and Rescheduling Appointments: These are unclear times. We have all been absorbing the negative psychosocial health and economic effects of the Coronavirus (COVID-19) as we perceive the impact this merciless virus has on our communities.

    • Our public health obligation is to safeguard your welfare and wellbeing, as well as our Medical and Wellness Team Member’s protection, while continuing to serve our valued guests, clients, customers and patients. We are dedicated to closely monitoring events and will do our part to comply with the most current and cautious measures from the Centers for Disease Control, CDC.

      • Any guest, client, customers and patients grossly acutely and chronically symptomatic with an upper respiratory infection (URI) such as a common cold (i.e., runny nose and sniffles) or flu-like signs and symptoms (i.e., fever, productive and non-productive cough, myalgia, arthralgia, shortness of breath, and lethargy) regardless of diagnosis; in close contact with anyone who is ill; or who has recently traveled to an “at-risk” region (e.g., CDC-Level 3 “at-risk” regions such as China, Italy, Iran, South Korea, and other countries as of 03/16/2020), should not schedule a training event for a course or class or, in the same token, book an appointment for a treatment session in one of our IV Hydration Therapy and Wellness Clinics and Aesthetic Medical Spas for at least 14 days thereafter.

        • If you are not feeling well, please reschedule your appointment.

        • We are temporarily restricting everyone with any symptoms of influenza and respiratory infection such as the following but not exhaustive:

          • Fever

          • Cough

          • Chills

          • Runny nose

          • Shortness of Breath

        • Our policy may mean missing a continuous and regular treatment through our Wellness Services and Membership Options.

        • Often, we will be able to accommodate you with phone or video conferencing and modifications to your Preventative and Wellness Services. We continue to update our policy and approach as needed.

      • Any one scheduled or participating with perceived illness may have their temperature taken. In cases where illness is detected, this may result in cancellation or postponement of treatment.

      • Our Valued Guests, Clients, Customers, and Patients of PDRE, Replenish 360 and Affiliated Organizations can email us for any questions 7 days per week.

        • PDRE: [email protected]

        • SoCal Nursing: [email protected]

        • Replenish 360: [email protected]

        • Allure: [email protected]

      • We will contact patients within 1-2 business days and can schedule a phone or video consultation within 3-5 business days.

  • In-office Appointments and Private Mobile Off-site Sessions

    • Our Medical and Wellness Team and Staff have employed specific in-office appointments and private mobile off-site sessions precautions:

      • Our Valued Guests, Clients, and Customers are encouraged to wash their hands frequently and use our hands-free sanitizer dispensers placed in the office for your convenience.

      • We are taking extra care to disinfect and sterilize every surface in our facilities and affiliated vicinities repeatedly throughout the day.

    • Business-related and customer transactions will be made over the phone and online as much possible.

      • We may ask for your payment ahead of time or reschedule you to a preferred online appointment and/or consultation with directions on how to complete your training requirement, wellness session and treatment as needed.

• • 

• • Social Distancing: Business activities at PDRE, Replenish 360, and its affiliated organizations will have strict restrictions in the number of guest, client, and customer participation per training events, treatment sessions and other relevant and necessary business activities of the PDRE Community.

    • Practice social distancing by limiting going to places with large public gatherings, especially tourist areas.

      • PDRE: 6 or less

        • When possible, manikins should be spaced apart at least 3 feet (1 meter) during training, based on CDC and WHO guidance on social distancing.

      • Replenish 360: 1 appointment per 30 to 60 minutes

        • When possible, guests, clients, and customers should be spaced apart at least 3 feet (1 meter) during scheduled appointments and treatments, based on CDC and WHO guidance on social distancing.

      • Other Business Activities: By Appointment Only

        • To continue our commitment to public health authority orders and guidelines, we will allow only 1 Adult visitor per participant in our premises on scheduled appointments.

• Follow the WHO and CDC updated recommendations for local, national and international travel and health especially in affected areas.

• • Limit Exposure During Private Events: Limitations in private, off-site and mobile training events, treatment sessions and other relevant and necessary business activities of the PDRE Community.

    • Comply with ALL travel advisories issued by the CDC.

      • PDRE: 6 to a maximum of 10

        • When possible, manikins should be spaced apart at least 3 feet (1 meter) during training, based on CDC and WHO guidance on social distancing.

      • Replenish 360: 6 per hour per one Medical and Wellness Team Member

        • When possible, guests, clients, and customers should be spaced apart at least 3 feet (1 meter) during scheduled appointments and treatments, based on CDC and WHO guidance on social distancing.

      • Other Business Activities: By Appointment Only

        • To continue our commitment to public health authority orders and guidelines, we will allow only 1 Adult visitor per participant in our premises on scheduled appointments.

• Follow the WHO and CDC recommendations for material, accessories, equipment, kit, apparatus, furnishing, provisions, facility and vicinity decontamination.

• • Sound Hygiene and Decontamination: The following additional requirements during training events, treatment sessions and other relevant and necessary business activities of the PDRE Community:

    • In recent weeks, we have established an Emergency Response Team (ERT) to evaluate and respond, in real time, to the needs of our people as well as our valued customers.

    • Our proactive approach incorporates the guidance of the CDC (Centers for Disease Control) and the WHO (World Health Organization), as well as that of our own internal experts who have decades of experience managing through global crises.

      • Most importantly, we are integrating washing and/or disinfecting our hands frequently throughout the day!

      • All participants (e.g., including our Valued Guests, Clients, Customers, Staff and Team Members) should practice good hygiene, incorporating hand washing with soap and water for at least 20 seconds before and after the training events and treatment sessions in addition to before and after consumption during a snack and/or meal breaks, if applicable.

    • To prevent transmissions of COVID-19,  respiratory pathogens and other blood-borne germs, the outlined details are being implemented during each course and class in addition to wellness services, treatment and scheduled appointments:

      • PDRE:

        • Our participants and personnel must decontaminate the manikins and training equipment after each student practices or tests on the manikin using an alcohol-based solution per WHO and CDC recommendations.

        • Face shields should not be used.

        • Direct mouth-to-mouth ventilations should not be practiced.

        • Each student will be offered with a pocket mask and one-way valve when practicing one-rescuer skills.

          • The one-way valve contains a one-way filter that blocks the flow of contaminants, helping the user keep proper hygiene during CPR training.

        • Pocket masks should not be shared during the course.

        • Bag-valve Mask (BVM), Bag-valve Devices (BVD), or Ambu Bag should be used when practicing two-rescuer skills

        • Participants should wear gloves and clean Ambu Bags between practices with an alcohol-based solution per the WHO and CDC recommendations.

        • When possible, manikins should be spaced apart at least 3 feet (1 meter) during training, based on CDC and WHO guidance on social distancing.

      • Replenish 360, Allure and Other Business Activities:

        • Our staff is taking all the necessary precautions to help prevent the spread of any infectious disease within our offices, workplaces and communities including frequent washing of hands, use of hand sanitizer, and disinfecting of surfaces, door knobs, etc.

          • In order to ensure the safety of our customers and our employees we have instituted several different measures.

          • We have adopted an extra vigilant cleaning protocol to ensure that the facilities and our company workplaces remain free of contaminants.

          • We’ve augmented daily cleaning procedures with the use of stronger disinfectant products on high-touch surfaces, have made hand sanitizer readily available, and are educating branch teams on best practices recommended by the CDC.

          • Each day, our premises undergo a deep cleaning process with special attention to frequently-touched surfaces.

          • Every piece of technology, from our associates’ iPads to registers to digital screens, is thoroughly cleaned with an antiseptic, bactericidal and bacteriostatic agent.

          • All shelves, trays, light switches and door knobs are cleaned multiple times a day.

          • Our associates wash their hands thoroughly with soap and water at the beginning of each shift, after meals and immediately following breaks.

        • If employees are sick, or have been caring for sick individuals, they should not report to work and are encouraged to stay home until all symptoms have passed.

        • The CDC does not recommend that people who are well wear a facemask. They should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to others and by medical personnel.

• We recommend that you follow the Centers for Disease Control and Prevention (CDC) everyday prevailing guidelines to prevent the spread of any respiratory illness – including COVID-19.

  • Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer.

  • Avoid touching your eyes, nose, and mouth with unwashed hands.

  • Avoid close contact with people who are sick.

  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.

  • Clean and disinfect frequently touched objects and surfaces.

  • Stay home when you are sick.

• Please contact your Primary Care Physician (PCP) or Medical Specialists immediately if you need symptom relief or evaluation or call 911 for any life-threatening emergencies.

  • Expert Medical and Clinical Consultation: If you have concerns about the Coronavirus (COVID-19) – please contact your Primary Care Physician (PCP) or Medical Specialists or go to https://www.cdc.gov/coronavirus/2019-ncov/summary.html for the most accurate and up-to-date information.

    • If you or someone close to you has a fever, cough, or shortness of breath, please contact your doctor or hospital in advance and follow any procedures they have in place.

    • If you’ve been impacted by COVID-19 and need our support, we’re here to help.

We recognize that these are unsettling times and whether you are traveling now or in the future, we want you to know that your safety and wellbeing are our first priority. We will continue to closely monitor the situation and evaluate additional measures to support our customers and communities as needs arise.

Again and more than ever, our hearts and thoughts go out to the people who have been affected by this unprecedented event and we appreciate the healthcare workers, local communities, and governments around the world who are on the front line working to contain this Coronavirus.

We sincerely apologize for any inconvenience and will keep you all informed of our future dates, cancellations and rescheduling for training events, wellness services, treatment sessions and other relevant and necessary business activities.

If you visit any one of our offices, facilities, and clinics, please know, our brilliant and cautious staff, team members and PDRE Community are available to serve you, as always.

In the meantime, if you have any questions at all, please don’t hesitate to ask one of our associates, staff and team members.

We look forward to seeing you soon and yearn for your health and safety as you navigate through this challenging situation!

Wishing you and your loved ones well,

Ryan Lagazon Nuqui, MD

Chairman and Chief Executive Officer (CEO)

Palm Desert Resuscitation Education LLC (PDRE)

Southern California Nursing Academy, Inc (SoCal Nursing)

Replenish 360 A Division of PDRE LLC (Replenish 360)

Allure A Medically Directed Spa, Inc. (Allure)

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Coronavirus Disease (COVID-19) Advice for the Public

By the World Health Organization (WHO)

Basic Protective Measures Against the New Coronavirus

Stay aware of the latest information on the COVID-19 outbreak, available on the WHO website and through your national and local public health authority. COVID-19 is still affecting mostly people in China with some outbreaks in other countries. Most people who become infected experience mild illness and recover, but it can be more severe for others. Take care of your health and protect others by doing the following:

• Wash your hands frequently. Regularly and thoroughly clean your hands with an alcohol-based hand rub or wash them with soap and water.

• Why? Washing your hands with soap and water or using alcohol-based hand rub kills viruses that may be on your hands.

Maintain Social Distancing

• Maintain at least 1 meter (3 feet) distance between yourself and anyone who is coughing or sneezing.

• Why? When someone coughs or sneezes they spray small liquid droplets from their nose or mouth which may contain virus. If you are too close, you can breathe in the droplets, including the COVID-19 virus if the person coughing has the disease.

Avoid Touching Eyes, Nose and Mouth

• Avoid touching your face, especially your eyes, nose, and mouth.

• Why? Hands touch many surfaces and can pick up viruses. Once contaminated, hands can transfer the virus to your eyes, nose or mouth. From there, the virus can enter your body and can make you sick.

Practice Respiratory Hygiene

• Make sure you, and the people around you, follow good respiratory hygiene. This means covering your mouth and nose with your bent elbow or tissue when you cough or sneeze. Then dispose of the used tissue immediately.

• Why? Droplets spread virus. By following good respiratory hygiene you protect the people around you from viruses such as cold, flu and COVID-19.

If You Have Fever, Cough and Difficulty Breathing, Seek Medical Care Early

• Stay home if you feel unwell. If you have a fever, cough and difficulty breathing, seek medical attention and call in advance. Follow the directions of your local health authority.

• Why? National and local authorities will have the most up to date information on the situation in your area. Calling in advance will allow your health care provider to quickly direct you to the right health facility. This will also protect you and help prevent spread of viruses and other infections.

Stay Informed and Follow Advice Given By Your Healthcare Provider

• Stay informed on the latest developments about COVID-19. Follow advice given by your healthcare provider, your national and local public health authority or your employer on how to protect yourself and others from COVID-19.

• Why? National and local authorities will have the most up to date information on whether COVID-19 is spreading in your area. They are best placed to advise on what people in your area should be doing to protect themselves.

Protection Measures for Persons Who Are In or Have Recently Visited (Past 14 Days) Areas where COVID-19 is Spreading

• Follow the guidance outlined above!

• Stay at home if you begin to feel unwell, even with mild symptoms such as headache and slight runny nose, until you recover.

  • Why? Avoiding contact with others and visits to medical facilities will allow these facilities to operate more effectively and help protect you and others from possible COVID-19 and other viruses.

• If you develop fever, cough and difficulty breathing, seek medical advice promptly as this may be due to a respiratory infection or other serious condition. Call in advance and tell your provider of any recent travel or contact with travelers.

  • Why? Calling in advance will allow your healthcare provider to quickly direct you to the right health facility. This will also help to prevent possible spread of COVID-19 and other viruses.

Ask WHO

Be Ready for Coronavirus

Protect Yourself and Others from Getting Sick

Practice Food Safety

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How to Protect Yourself

By the Center for Disease Control (CDC) and Prevention

Disclaimer: Older adults and people who have severe underlying chronic medical conditions like heart or lung disease or diabetes seem to be at higher risk for developing more serious complications from COVID-19 illness. Please consult with your health care provider about additional steps you may be able to take to protect yourself.

Know How it Spreads

• There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19).

• The best way to prevent illness is to avoid being exposed to this virus.

• The virus is thought to spread mainly from person-to-person.

  • Between people who are in close contact with one another (within about 6 feet).

  • Through respiratory droplets produced when an infected person coughs or sneezes.

  • These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.

Take Steps to Protect Yourself

• Clean Your Hands Often

  • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.

  • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.

  • Avoid touching your eyes, nose, and mouth with unwashed hands.

• Avoid Close Contact

  • Avoid close contact with people who are sick

  • Put distance between yourself and other people if COVID-19 is spreading in your community. This is especially important for people who are at higher risk of getting very sick.

• Take Steps To Protect Others

  • Stay home if you’re sick

    • Stay home if you are sick, except to get medical care. Learn what to do if you are sick.

  • Cover coughs and sneezes

    • Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.

    • Throw used tissues in the trash.

    • Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.

• Wear A Facemask If You Are Sick

  • If you are sick: You should wear a facemask when you are around other people (e.g., sharing a room or vehicle) and before you enter a healthcare provider’s office. If you are not able to wear a facemask (for example, because it causes trouble breathing), then you should do your best to cover your coughs and sneezes, and people who are caring for you should wear a facemask if they enter your room. Learn what to do if you are sick.

  • If you are not sick: You do not need to wear a facemask unless you are caring for someone who is sick (and they are not able to wear a facemask). Facemasks may be in short supply and they should be saved for caregivers.

• Clean and Disinfect

  • • Clean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.

    • If surfaces are dirty, clean them:

      • Use detergent or soap and water prior to disinfection.

    • To disinfect:

      • Most common EPA-registered household disinfectants will work. Use disinfectants appropriate for the surface.

      • Options include:

        • Diluting your household bleach

          • To make a bleach solution, mix:

            • 5 tablespoons (1/3rd cup) bleach per gallon of water

              OR

            • 4 teaspoons bleach per quart of water

          • Follow manufacturer’s instructions for application and proper ventilation. Check to ensure the product is not past its expiration date. Never mix household bleach with ammonia or any other cleanser. Unexpired household bleach will be effective against coronaviruses when properly diluted.

        • Alcohol solutions

          • Ensure solution has at least 70% alcohol.

        • Other common EPA-registered household disinfectants

          • Products with EPA-approved emerging viral pathogens claims are expected to be effective against COVID-19 based on data for harder to kill viruses. Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method and contact time, etc.).

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Information Regarding COVID-19 Coronavirus

Riverside County Public Health Department

California Department of Public Health (CDPH)

Date of Release: April 8, 2020

Updated: April 8, 2020

Purpose:

• To minimize the risk of COVID-19 transmission during Palm Desert Resuscitation Education LLC (PDRE), Replenish 360 A Division of PDRE LLC (Replenish) 360 and Affiliated Organization (“PDRE Community”) courses, certification classes, training, wellness services, treatments, sessions and other business-related programs. To provide additional flexibility, as needed, to our valued guests, clients, customers, staff and team members during heightened precautions for COVID-19. This applies to U.S.-based affiliations as well as international clientele and business partners.

A Message from the Riverside County Public Health Department

One of the most important ways we have to combat the spread of illness like the Coronavirus is through education and information from reliable sources.  It’s vital that we provide science-based details about how the illness is spread, as well as updates on what health officials are doing to protect the health of residents of Riverside County.

The Riverside University Health System (RUHS) COVID-19 Webpage was created to provide you with information about our preparedness activities and the latest news and updates about the Coronavirus and related issues from reputable sources like the Centers for Disease Control and Prevention (CDC). We understand there is anxiety during uncertain times, but RUHS – PH wants you to know we are working to protect the community’s health.

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Page Last Updated : April 29, 2020

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PDRE Pricing And Purchasing Options

As an authorized American Heart Association (AHA) training site, PDRE follows the authority in resuscitation science, research and training as published in the official AHA Guidelines for CPR and Emergency Cardiovascular Care (ECC). Our competent and experienced instructors interpret these Guidelines into the most premier quality training courses and programs in CPR, first aid and advanced emergency cardiovascular care for healthcare professionals, first responders, employees and the general public. We thank you for selecting PDRE as your preferred authorized AHA training site in Southern California.

This is a full listing of classroom-based and online courses as well as other services and products that PDRE offers. Please click on the specific course and program or services to view the full details and purchase options.

GROUP CLASSROOM-BASED COURSE
AND PROGRAM CATALOG

• Note: Policies, terms, conditions, and prices may be subject to change without prior notice at any time depending on market value and vendor pricing in addition to yearly, seasonal and daily discounts and specials. Palm Desert Resuscitation Education (PDRE) reserves the right to update or modify these policies, terms, conditions and prices.