Difference between revisions of "Prevention of COVID-19 transmission in the healthcare setting"

 
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{{COVID PPE summary table}}
 
{{COVID PPE summary table}}
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==Aerosol-Generating Procedures==
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''Due to higher risk of aerosolizing droplets; infection itself doesn’t seem to be spread via airborne route''
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===Recommended Provider PPE===
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''Contact (including eye protection) and airborne precautions''
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*N95 mask or higher-level respirator (e.g. PAPR), plus eye protection, gloves, and gown<ref>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#take_precautions</ref>
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**Consider head coverage: sterile disposable cap with gown or bunny suit
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**Consider two pairs gloves, one under sleeves of gown and one over
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**Consider shoe covers
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**Consider buddy system for donning/doffing
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***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
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*Negative pressure room required, if at all possible
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*Limit personnel in room to only those essential for patient care
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====Mask Use Technique====
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* Mask donning (often incorrectly done):
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** Wash hands BEFORE touching mask
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** Grip mask by loops/bands/ties only
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** Coloured portion typically faces outward
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** Mold / pinch the stiff edge to the shape of your nose
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** Pull the bottom of the mask over your mouth AND chin
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** Make sure you are up to date with fit testing
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* Mask removal:
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** Wash hands BEFORE touching mask
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** Only make contact with the loops/bands/ties. DON’T TOUCH THE MASK ITSELF!
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===Aerosol-generating procedures list===
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''Avoid these procedures when possible''
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* [[Bag-valve-mask]] (BVM)
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* CPAP/[[BiPAP]]
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* [[Intubation]]
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* Nebulizer administration (if possible, use MDI instead)
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* Bronchoscopy
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* Chest PT
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*[[Oxygen therapy|High-Flow Nasal Cannula]]
  
 
==See Also==
 
==See Also==

Latest revision as of 12:58, 16 January 2021

COVID-19 PPE Summary Table

Example summary flow chart for determining PPE use














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 airborn precautions, including eye protection Negative-pressure required

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

Avoid these procedures when possible

See Also

External Links

Video

References