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USS Nimitz certified to administer CCP

Image of USS Nimitz Aircraft carrier USS Nimitz (CVN 68) departs Naval Air Station North Island June 8. Nimitz and elements of the Nimitz Carrier Strike Group (CSG), deployed from San Diego in support of global maritime security operations. (Photo by Navy Petty Officer Second Class Jessica Paulauskas, U.S. 3rd Fleet)

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The COVID-19 Convalescent Plasma Collection Program (CCP) is a Department of Defense effort to collect 10,000 units of convalescent plasma donated by members of the military community who have recovered from the disease. Convalescent plasma will be used to treat critically ill patients and to support the development of an effective treatment against the disease. Eligible donors should contact the Armed Services Blood Program at https://www.militaryblood.dod.mil/Donors/COVID-19andBloodDonation.aspx to find a complete list of available collection centers.

The U.S. Army Medical Research and Development Command approved the Nimitz-class aircraft carrier USS Nimitz (CVN 68) as an authorized site to administer COVID-19 Convalescent Plasma, July 16.

CCP is the liquid part of blood collected from patients who recovered from a COVID-19 infection. Antibodies present in convalescent plasma are proteins that help patients fight an active infection; in this case, SARS-CoV-2, the virus that causes COVID-19. Anecdotal evidence suggests that CCP may be an effective treatment for some COVID-19 patients, but it has yet to be clinically proven.

Nimitz received 20 units of CCP from Naval Hospital Guam during a Safe Haven port visit to Guam on June 27. The CCP units Nimitz received are part of an effort by the Department of Defense to collect plasma from COVID-19 patients who have successfully recovered from the illness.

Close up image of USS Nimitz
Aircraft carrier USS Nimitz (CVN 68) departs Naval Air Station North Island June 8. Nimitz and elements of the Nimitz Carrier Strike Group (CSG), deployed from San Diego in support of global maritime security operations. (Photo by Navy Petty Officer Second Class Natalie Byers, U.S. 3rd Fleet)

“We are the first ship to get official approval of the protocol,” said Navy Lt. Heather Hernandez, the ship’s nurse and member of the COVID Response Team aboard the Nimitz. “We could administer plasma today if it was needed. We are following the Army’s protocol for administering plasma and have added an addendum to their protocol, so we are included. We have also tailored the protocol so it fits in with our capabilities on the ship.”

CCP will be available for treatment of COVID-positive patients in DOD treatment facilities and operating units who meet established criteria and in accordance with approved protocols.

“Our plasma was drawn from Sailors aboard USS Theodore Roosevelt (CVN 71) who voluntarily donated their plasma as part of this program,” said Navy Capt. Gilbert Seda, head of the COVID Response Team aboard the Nimitz. “The plasma was checked for the presence of COVID antibodies and then underwent safety checks to ensure it was clean of any other viruses or infections.”

“If we believe a patient is acutely ill, we have the option of administering the plasma and enrolling them in this program,” said Hernandez. “It is optional for the patient to have the plasma administered, and there currently isn’t proof it will make them better.”

Hernandez said that Sailors who enroll in the program and receive CCP, will be enrolled in a 31-day study to track the effects of CCP and follow their recovery, even after they leave the ship.

“This is one treatment available in our repertoire of treatments,” said Seda. “There are a number of other treatments we will provide, and this will not interfere with any of those. Our priority is still to get these patients off the ship.”

Hernandez said the main goal on board the Nimitz is prevention. Mitigation efforts to prevent the disease, including wearing face masks, social distancing, increased ship-wide cleaning, and a focus on handwashing, have all been implemented throughout the entire Nimitz strike group since April. No sailors or Marines within the strike group have been diagnosed with COVID since departing on deployment.

USS Nimitz is the flagship of Nimitz Carrier Strike Group and is deployed conducting maritime security operations and theater security cooperation efforts.

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DoD COVID-19 Practice Management Guide Version 5

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This Practice Management Guide does not supersede DoD Policy. It is based upon the best information available at the time of publication. It is designed to provide information and assist decision making. It is not intended to define a standard of care and should not be construed as one. Neither should it be interpreted as prescribing an exclusive course of management. It was developed by experts in this field. Variations in practice will inevitably and appropriately occur when clinicians take into account the needs of individual patients, available resources, and limitations unique to an institution or type of practice. Every healthcare professional making use of this guideline is responsible for evaluating the appropriateness of applying it in the setting of any particular clinical situation. The Practice Management Guide is not intended to represent TRICARE policy. Further, inclusion of recommendations for specific testing and/or therapeutic interventions within this guide does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at www.tricare.mil or by contacting your regional TRICARE Managed Care Support Contractor.

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