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| ''This page is for the location/creation/preservation of resources. For hospital protocols for resource ALLOCATION please see [[Hospital preparedness: COVID-19]]''
| | #REDIRECT[[COVID]] |
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| ==PPE Shortage and Conserving Supplies Guidelines==
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| In case of PPE shortage or in an attempt to save on PPE supplies, the following guidelines were approved by CDC 3/13/20:
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| * Same respirator can be worn for multiple serial patient contacts (e.g. in between successive COVID/PUI (patients under investigation) without exchanging respirator. Therefore, in between each patient:
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| * No need to change mask or eye protection
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| * BUT need to change gown and gloves
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| * Respirator reuse possible? Higher risk because of having to touch the mask and either self-inoculate or transmit to another patient (e.g. wear it for a patient, then you remove, and then you put it back on)
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| * If you must do this because of limited supplies, don and doff properly and perform proper hand hygiene in between
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| * CDC / NIOSH will allow certain N95s to be used beyond manufacture-designated shelf life
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| ** See list of appropriate models here (manufactured between 2003-2013)
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| * N95 Reuse? Probably okay to re-use same N95 during an 8 hour shift as long as no tears or visible contamination. Store facedown in labeled re-sealable bag/container.
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| ** Based on non peer reviewed reports from Washington State
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| ===Respirators/PAPR===
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| *N95/KN95/P95/P100/Powered Air Purifying Respirator or equivalent to protect against aerosols
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| *N95/KN95 respirators- crisis capacity calls for entire shift/multiple day use
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| *May be recycled after vaporous hydrogen peroxide treatment (Battelle method)
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| *Industrial UV light may be used; light must reach every crevice
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| *Do not bake in a home oven/wash/douse in bleach- will degrade the fibers
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| ===Eye Shields/Face Shields/Goggles===
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| *Clean/disinfect and reuse
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| *Face shields- made by 3d printing or affixing acetate sheets to a foam headband and elastic
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| ==Medical Equipment==
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| ===Oxygen Delivery===
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| *Nasal cannula, Venturi mask, high flow nasal cannula
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| *Use Y tubing (purchased or 3d printed) to divide oxygen flow to several patients
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| *Oxygen from portable tanks/wall setup/concentrators
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| ===Non-invasive ventilation===
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| *BPAP/CPAP-Negative pressure room preferred https://em.umaryland.edu/educational_pearls/3741/
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| *Decreased aerosolization distance if surgical mask applied over face piece/nose and mouth
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| ===Ventilators===
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| *Consider ventilator splitting to ventilate 2 or more patients of similar size and illness
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| *May need to remove a patient from the vent to give it to another https://www.nejm.org/doi/full/10.1056/NEJMsb2005114
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| ===Isolation equipment===
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| ===IV pumps===
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| *Use extended tubing so iv pumps can be placed outside patients’ rooms, decreases need for ppe
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| *Use drop count method if no pumps available/for maintenance fluids
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| ==Personnel==
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| ==See Also==
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| {{Special:Prefixindex/COVID-19 |hideredirects=1}}
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| ==References==
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| [[Category:COVID-19]]
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