WLAVA:COVID-19 PPE

Last Updated 4/19/20

Patient Encounter Scenarios and Detailed PPE

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

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

N95

CODE Scenario: N95 Donning & Doffing (File:PPE Donning Checklist ER 2020 N95 for CODE - 4.4.pdf)
Airway Buddy: N95 Donning & Doffing (File:PPE Donning Checklist ER 2020 N95 buddy - 4.4.pdf)

PAPR

Very low threshold for placing facemask on patients with respiratory symptoms or symptoms potentially concerning for COVID.
- All patients with respiratory symptoms are supposed to have this anyway, but we may have to enforce further
In the current climate, portable CXRs generally preferred (especially for respiratory symptoms)
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.

These are not 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.

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 are reusable, please send to SPS for decontamination.
Please do not mark 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

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

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:
- Perform hand hygiene
- Put on gloves
- Use an alcohol wipe across the entire INNER surface
- Use a hospital disinfectant (SaniWipe AF3) to wipe the entire OUTER surface
- Allow to air dry
- Place in brown paper bag till next use
- Remove gloves and perform hand hygiene
- GLA Infection Control Reference file:
  - File:APPROVED_20200330.1030.Interim GLA guidance for Eye Protection Cleaning.pdf

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

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