Updated: Mar 27, 2020

Effective Mar 23 2020, all those coming to work, regardless of role, are to wear a procedure mask (droplet mask, ear loop) throughout their day/shift. If staff are to provide care to a patient and/or resident on droplet precautions, the staff member shall remove gown and gloves on exit and perform hand hygiene. If the mask was protected from surface contamination (e.g. visor), then the mask does not need to be change.

For more information, see Mask FAQs.


Protected exposure (with proper PPE and hand hygiene) to COVID+ve patients are not considered high risk.


If you experience URI symptoms (even mild) speak with Occ Health, decisions to be made on a case by case basis regarding eligibility to work.

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Updated: Apr 21, 2020

AEROSOL GENERATING PROCEDURES


Based on a systematic review of aerosol-generating procedures and the risk of transmitting SARS to healthcare workers, the following procedures were identified as presenting the highest risk:


  • Tracheal intubation

  • Non-invasive ventilation

  • Tracheotomy

  • Manual ventilation before intubation (bag-valve mask ventilation)


Other potentially aerosol-generating procedures include:

  • High-flow oxygenation

  • Nebulized medications

  • Airway suctioning

  • Extubation

  • Circuit changes

  • Bronchoscopy

  • Chest compressions

  • Defibrillation

  • Manipulation of an oxygen mask, and

  • Nasogastric or orogastric tube insertion

Reference:

https://first10em.com/aerosol-generating-procedures/


http://www.emdocs.net/personal-protective-equipment-ppe-pearls-covid-19/

https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Frespirators-strategy%2Fcrisis-alternate-strategies.html

https://www.emrap.org/corependium/chapter/rec906m1mD6SRH9np/Novel-Coronavirus-2019-COVID-19?MainSearch=%22Novel+Coronavirus+2019+(COVID-19)%22&SearchType=%22text%22#h.12hspcfhqx52


Aerosol & Surface distribution of COVID-19 virus in hospital wards

DONNING/DOFFING PERSONAL PROTECTIVE EQUIPMENT


CAEP Position on PPE


Click on the videos below:




COVID-19 ED SHIFT DECONTAMINATION CHECKLIST

Before Work

  1. Obtain clean scrubs from machine and jacket to work in bag

  2. Remove watch and rings

After Work

  1. Wash arms with soap

  2. Place dirty scrubs in scrub machine

  3. Change into clean scrubs (jacket if needed)

  4. Wash hands

  5. Sanitize badge and phone on way out

  6. Sanitize hands

Arrive Home

  1. Shoes/work bag in garage

  2. Water bottle/lunch container in dishwasher

  3. Bag in washing machine (hot water and detergent)

  4. Shower with soap and water


CHECK YOUR OWN COVID-19 SWAB RESULTS

Click here to check your results from North York General Hospital

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North York General Hospital Emergency Department

4001 Leslie Street, North York, ON, M2K 1E1

(416) 756-6000