Prevention of COVID-19 transmission in the healthcare setting: Difference between revisions
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===Aerosol-generating procedures list=== | ===Aerosol-generating procedures list=== | ||
'' | ''Minimize exposure with these procedures when possible'' | ||
* [[Bag-valve-mask]] (BVM) | * [[Bag-valve-mask]] (BVM) | ||
* CPR | |||
* CPAP/[[BiPAP]] | * CPAP/[[BiPAP]] | ||
* [[Intubation]] | * [[Intubation]] | ||
* Nebulizer administration (if possible, use MDI instead) | * Nebulizer administration (if possible, use MDI instead) | ||
* Bronchoscopy | * Bronchoscopy | ||
* Chest | * Chest physiotherapy | ||
*[[Oxygen therapy|High-Flow Nasal Cannula]] | *[[Oxygen therapy|High-Flow Nasal Cannula]] | ||
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==External Links== | ==External Links== | ||
*[https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Finfection-control.html Main CDC Guidance for Infection Prevention and Control in Healthcare Setting] | *[https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Finfection-control.html Main CDC Guidance for Infection Prevention and Control in Healthcare Setting] | ||
==References== | ==References== | ||
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[[Category:ID]] | [[Category:ID]] | ||
Latest revision as of 15:44, 10 April 2024
COVID-19 PPE Summary Table
| Contact Category | Precations | Room Type |
| General (all persons) | Social distancing; meticulous hygiene; basic mask | NA |
| Undifferentiated patients at risk (e.g. prior to evaluation or testing) | Contact and droplet precautions, including eye protection | Negative-pressure NOT required |
| Persons Under Investigation | Contact and droplet precautions, including eye protection | Negative-pressure NOT required |
| Aerosol-Generating Procedures | Contact and airborne precautions, including eye protection | Negative-pressure required |
See prevention of COVID-19 transmission in the healthcare setting for full PPE recommendations
Aerosol-Generating Procedures
Due to higher risk of aerosolizing droplets; infection itself doesn’t seem to be spread via airborne route
Recommended Provider PPE
Contact (including eye protection) and airborne precautions
- N95 mask or higher-level respirator (e.g. PAPR), plus eye protection, gloves, and gown[1]
- Consider head coverage: sterile disposable cap with gown or bunny suit
- Consider two pairs gloves, one under sleeves of gown and one over
- Consider shoe covers
- Consider buddy system for donning/doffing
- If using PAPR, then need pre-assigned RN outside the room to help decontaminate it by wiping it down with purple wipes before you take it off
- Negative pressure room required, if at all possible
- Limit personnel in room to only those essential for patient care
Mask Use Technique
- Mask donning (often incorrectly done):
- Wash hands BEFORE touching mask
- Grip mask by loops/bands/ties only
- Coloured portion typically faces outward
- Mold / pinch the stiff edge to the shape of your nose
- Pull the bottom of the mask over your mouth AND chin
- Make sure you are up to date with fit testing
- Mask removal:
- Wash hands BEFORE touching mask
- Only make contact with the loops/bands/ties. DON’T TOUCH THE MASK ITSELF!
Aerosol-generating procedures list
Minimize exposure with these procedures when possible
- Bag-valve-mask (BVM)
- CPR
- CPAP/BiPAP
- Intubation
- Nebulizer administration (if possible, use MDI instead)
- Bronchoscopy
- Chest physiotherapy
- High-Flow Nasal Cannula