WLAVA:COVID-19 PPE: Difference between revisions
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===GLA Donning & Doffing Checklist=== | ===GLA Donning & Doffing Checklist=== | ||
'''N95''' | '''N95''' | ||
* N95 Donning & Doffing ([[:File:PPE Donning | * CODE Scenario: N95 Donning & Doffing ([[:File:PPE Donning Checklist ER 2020 N95 for CODE - 4.4.pdf]]) | ||
* N95 | * Airway Buddy: N95 Donning & Doffing ([[:File:PPE Donning Checklist ER 2020 N95 buddy - 4.4.pdf]]) | ||
'''PAPR''' | '''PAPR''' | ||
* PAPR Donning & Doffing ([[:File:PPE | * PAPR Donning & Doffing ([[:File:PPE Checklist ER 2020 airway PAPR 4.4.pdf]]) | ||
====PPE PAPR Donning Video==== | ====PPE PAPR Donning Video==== |
Revision as of 22:13, 5 April 2020
Official GLA PPE Recommendations
Last Updated 4.3.20
PPE for Suspected COVID-19 Patients: Critically Ill or Aerosolizing Procedures
- Airborne
- 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
- Standard
- Droplet
- Contact precautions (with eye protection)
- Eye protection (face shield or goggles)
GLA Donning & Doffing Checklist
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
- PAPR Donning & Doffing (File:PPE Checklist ER 2020 airway PAPR 4.4.pdf)
PPE PAPR Donning Video
{{#widget:YouTube|id=w253AxiuFzk}}
PPE PAPR Doffing Video
{{#widget:YouTube|id=vKnZaTdhRQs}}
PPE Buddy Doffing Video
{{#widget:YouTube|id=sl78L2DtloY}}
Radiology COVID-19 and PPE
- 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.
Updates on GLA ED Supply of PPE
- 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.
- 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.
- 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, $13.00 on Amazon.
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:
- 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:
GLA Main 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
- WLAVA: COVID19 ED Operational Updates
- WLAVA: COVID-19 ED Airway Main
- WLAVA: Enhanced Screening Tent
- EST Provider Orientation