WLAVA:COVID-19 PPE: Difference between revisions

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==Official GLA PPE Recommendations==
'''Last Updated 5/24/20'''
'''Last Updated 4.3.20'''
==GUIDANCE ON DONNING AND DOFFING FOR ED PATIENT ENCOUNTERS==
===PATIENT ENCOUNTER SCENARIOS AND DETAILED PPE===
[[File:06B68CDD-1AD2-4390-8044-22D7FC1A4DEB.jpg|thumb|center|Patient Encounter Scenarios and Detailed PPE]]


===PPE for Suspected COVID-19 Patients: Critically Ill or Aerosolizing Procedures===  
===FOR PATIENTS'''W/COVID''' ISOLATION PRECAUTIONS===
* Airborne
[[File:DBB5C750-02D7-4CA3-B085-80ECD361D51C.png|thumb|center|Donning and Doffing Guidance for Patients w/COVID-19 Isolation Precautions]]
* Droplet
* Contact precautions (with eye protection)
* Negative pressure room (if available)
* Critically ill (i.e., receiving ICU-level care)
* Eye protection (face shield or goggles)


===PPE for All Other Suspected COVID-19 Patients===
===FOR PATIENTS'''W/O COVID''' ISOLATION PRECAUTIONS===
* Standard
[[File:ABDFBBCB-FADB-4295-9CA0-3A5BD6EC916D.png|thumb|center|Donning and Doffing Guidance for Patients w/o COVID-19 Isolation Precautions]]
* Droplet
* Contact precautions (with eye protection)
* Eye protection (face shield or goggles)


===GLA Donning & Doffing Checklist===
==AIRWAY/CODE DONNING AND DOFFING CHECKLIST==
* Latest laminated version included in the Airway Cart (PAPR Drawer)
'''N95'''
'''N95'''
* '''CODE Scenario:''' N95 Donning & Doffing ([[:File:PPE Donning Checklist ER 2020 N95 for CODE - 4.4.pdf]])
* '''CODE Scenario:''' N95 Donning & Doffing ([[:File:PPE Donning Checklist ER 2020 N95 for CODE - 4.4.pdf]])
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====PPE PAPR Donning Video====
===PPE PAPR DONNING VIDEO ===
{{#widget:YouTube|id=w253AxiuFzk}}
{{#widget:YouTube|id=w253AxiuFzk}}


====PPE PAPR Doffing Video====
===PPE PAPR DOFFING VIDEO===
{{#widget:YouTube|id=vKnZaTdhRQs}}
{{#widget:YouTube|id=vKnZaTdhRQs}}


====PPE Buddy Doffing Video====
===PPE BUDDY DOFFING VIDEO===
{{#widget:YouTube|id=sl78L2DtloY}}
{{#widget:YouTube|id=sl78L2DtloY}}


===Radiology COVID-19 and PPE===
===DONATED 3D PRINTED FACE SHIELDS===
* Very low threshold for placing facemask on patients with respiratory symptoms or symptoms potentially concerning for COVID.  
* These may not be completely splash proof because of the holes in the front.  
** All patients with respiratory symptoms are supposed to have this anyway, but we may have to enforce further
* It's best to use goggles to protect your eyes. Please keep the headbands.
* In the current climate, portable CXRs generally preferred (especially for respiratory symptoms)
* You may discard the clear plastic sheets but they can also be cleaned and reused.
* Very low threshold for staff wearing face masks whenever interacting directly with patients including when obtaining XRs
* Make sure patients are wearing face mask properly if they are sent down to imaging (Remind transport to check face mask).
* We can do portable CXRs in Fast Track if either the patient is in a bed (Room D only) or the patient is very compliant and able to sit still in our exam chairs without risking dropping the cassette.  


===Updates on GLA ED Supply of PPE===
===LENGTH OF TIME FOR FACE SHIELD USAGE===
* Please do not mark PAPR hoods with your name. We are going to be using them indiscriminately based on your size.  
* CDC stated, "Eye protection should be discarded if damaged (e.g., face shield can no longer fasten securely to the provider, if visibility is obscured and reprocessing does not restore visibility)."
** A way to optimize the face shield and minimize staff exposure is to have one or two designated person each shift for PUI.
 
===PAPR HOODS===
*'''PAPR hoods are reusable '''SHARED''' supply, please send to SPS for decontamination.'''
* Please do not mars PAPR hoods with your name. We are going to be using them indiscriminately based on your size.  
* We secured a limited supply of Inner Hoods with neck covering for use with PAPR.  
* We secured a limited supply of Inner Hoods with neck covering for use with PAPR.  
[[File:Inner hood.jpg|thumb|center|Inner Hood for PAPR]]
[[File:Inner hood.jpg|thumb|center|Inner Hood for PAPR]]
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** There is only one in the airway cart and one in the Med Room.
** There is only one in the airway cart and one in the Med Room.
[[File:PAPR Hood.jpg|thumb|center|PAPR w/Hood]]
[[File:PAPR Hood.jpg|thumb|center|PAPR w/Hood]]
* '''Bunny Suit''' - comes in 3 sizes (located in Med Room).
* Zahir had a great idea about buying protective goggles for our nurses/ICTs. The idea is to buy onefor yourself and one for a nurse/ICT. No pressure, [https://www.amazon.com/dp/B000BQUTQS/ref=cm_sw_r_sms_c_api_i_aMKFEbDJ9KPZ8 $13.00 on Amazon].


====Reusing PPE====
===BUNNY SUIT===
* We are not re-using these, '''discard''' after each use.
* Come in 3 sizes (located in Med Room).
 
===GOGGLES===
* ED staff will be given safety googles
** Come see Jonie/Kian/Manny/TBlair to get one if you need it
 
===REUSING PPE===
* '''PAPR hoods''' - Used PAPR hoods are now community property amongst ED staff since they are being cleaned by SPS (will be labeled ER).  
* '''PAPR hoods''' - Used PAPR hoods are now community property amongst ED staff since they are being cleaned by SPS (will be labeled ER).  
*'''Cleaning Eye Protection:'''
*'''Cleaning Eye Protection:'''
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***[[:File:APPROVED_20200330.1030.Interim GLA guidance for Eye Protection Cleaning.pdf]]
***[[:File:APPROVED_20200330.1030.Interim GLA guidance for Eye Protection Cleaning.pdf]]


====GLA Main Contact For Official PPE Purchasing (Not Donations)====
===GLA CONTACT FOR OFFICIAL PPE PURCHASING (NOT DONATIONS)===
* Terry Wolgamott: Terry.Wolgamott@va.gov
* Terry Wolgamott: Terry.Wolgamott@va.gov


====GLA Contacts for PPE Donations====
===GLA CONTACTS FOR PPE DONATIONS===
* If you know someone who is interested in donating masks, or other items, to our medical center please have them contact our Voluntary Service dept.
* If you know someone who is interested in donating masks, or other items, to our medical center please have them contact our Voluntary Service dept.
**Alexia Lunningham, Chief of Voluntary Service: Alexia.Lunningham@va.gov or 310-286-3994
**Alexia Lunningham, Chief of Voluntary Service: Alexia.Lunningham@va.gov or 310-286-3994
**Shirley Bearden, Voluntary Service Specialist: Shirley.Bearden@va.gov or 310-268-3194
**Shirley Bearden, Voluntary Service Specialist: Shirley.Bearden@va.gov or 310-268-3194


==Other WLA VA Pages==
==OTHER WLA VA PAGES==
* [[WLAVA:COVID19_ED_Operational_Updates|WLAVA: COVID19 ED Operational Updates]]
 
* [[WLAVA:COVID19_ED_Airway|WLAVA: COVID-19 ED Airway Main]]
{{Special:Prefixindex/WLAVA |hideredirects=1}}
* [[WLAVA:Enhanced_Screening_Tent|WLAVA: Enhanced Screening Tent]]
* [[WLAVA:Enhanced_Screening_Tent_LIP_Orientation|EST Provider Orientation]]
* [[WLAVA:Enhanced Screening Tent Telehealth]]


{{Special:Prefixindex/WLA VA: |hideredirects=1}}
[[Category:Admin]]

Latest revision as of 05:14, 5 October 2020

Last Updated 5/24/20

GUIDANCE ON DONNING AND DOFFING FOR ED PATIENT ENCOUNTERS

PATIENT ENCOUNTER SCENARIOS AND DETAILED PPE

Patient Encounter Scenarios and Detailed PPE

FOR PATIENTSW/COVID ISOLATION PRECAUTIONS

Donning and Doffing Guidance for Patients w/COVID-19 Isolation Precautions

FOR PATIENTSW/O COVID ISOLATION PRECAUTIONS

Donning and Doffing Guidance for Patients w/o COVID-19 Isolation Precautions

AIRWAY/CODE DONNING AND DOFFING CHECKLIST

  • Latest laminated version included in the Airway Cart (PAPR Drawer)

N95

PAPR


PPE PAPR DONNING VIDEO

{{#widget:YouTube|id=w253AxiuFzk}}

PPE PAPR DOFFING VIDEO

{{#widget:YouTube|id=vKnZaTdhRQs}}

PPE BUDDY DOFFING VIDEO

{{#widget:YouTube|id=sl78L2DtloY}}

DONATED 3D PRINTED FACE SHIELDS

  • These may not be completely splash proof because of the holes in the front.
  • It's best to use goggles to protect your eyes. Please keep the headbands.
  • You may discard the clear plastic sheets but they can also be cleaned and reused.

LENGTH OF TIME FOR FACE SHIELD USAGE

  • CDC stated, "Eye protection should be discarded if damaged (e.g., face shield can no longer fasten securely to the provider, if visibility is obscured and reprocessing does not restore visibility)."
    • A way to optimize the face shield and minimize staff exposure is to have one or two designated person each shift for PUI.

PAPR HOODS

  • PAPR hoods are reusable SHARED supply, please send to SPS for decontamination.
  • Please do not mars PAPR hoods with your name. We are going to be using them indiscriminately based on your size.
  • We secured a limited supply of Inner Hoods with neck covering for use with PAPR.
Inner Hood for PAPR
  • We secured a limited supply of special PAPRS with Hood with neck covering.
    • There is only one in the airway cart and one in the Med Room.
PAPR w/Hood

BUNNY SUIT

  • We are not re-using these, discard after each use.
  • Come in 3 sizes (located in Med Room).

GOGGLES

  • ED staff will be given safety googles
    • Come see Jonie/Kian/Manny/TBlair to get one if you need it

REUSING PPE

  • PAPR hoods - Used PAPR hoods are now community property amongst ED staff since they are being cleaned by SPS (will be labeled ER).
  • Cleaning Eye Protection:

GLA CONTACT FOR OFFICIAL PPE PURCHASING (NOT DONATIONS)

  • Terry Wolgamott: Terry.Wolgamott@va.gov

GLA CONTACTS FOR PPE DONATIONS

  • If you know someone who is interested in donating masks, or other items, to our medical center please have them contact our Voluntary Service dept.
    • Alexia Lunningham, Chief of Voluntary Service: Alexia.Lunningham@va.gov or 310-286-3994
    • Shirley Bearden, Voluntary Service Specialist: Shirley.Bearden@va.gov or 310-268-3194

OTHER WLA VA PAGES

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