PERSONAL PROTECTIVE EQUIPMENT & DECONTAMINATION

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:

• How to take off PPE

• How to put on PPE

• PPE Conservation Strategies

• Covid Scrub

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

COVID-19 LITERATURE

General Information

Emergency Medicine Cases

Airway Management

Imaging

Treatment/Specific Populations

WELLNESS RESOURCES

UPDATE:

LOOKING FOR SOME TEMPORARY LODGING?

Pan Pacific hotel (6 min drive to NYGH)

900 York Mills Rd, Toronto, ON M3B 3H2

Deal: $69/night instead of usual $200+. 2 queen beds or 1 king, with mini fridge. Stocked with extra supplies, service 1/week to minimize contact. Hotel is currently closed to outsiders, but able to open up within 24 hours to any staff requiring accommodations. They will have a floor and elevators dedicated to NYGH employees. Contact: anne.papadimitriou@panpacific.com, 647-267-9975 Willowdale Hotel (7 min drive to NYGH)

170 Willowdale Ave, North York, ON M2N 4Y6

Deal: $60/night (bachelor/1bdroom) $80/night (double occupancy, family suites) – valid until April 15, 2020 (I suspect this end date can be negotiated) Contact: 416 221 7236, or book at front desk (open 24 hours) **present NYGH ID at check-in** Note that the availability of the deal may change as the global situation evolves (i.e. if hotels have to shut down altogether), but I encourage staff to call and ask about the up to date situation if they need a place to stay.

*Consider tracking all expenses as some discussion MOH may reimburse later

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WELLNESS RESOURCES

Click on the links below to find documents with multiple links/resources.

HOME EDUCATION RESOURCES

STAYING CONNECTED THROUGH THE ARTS

#SOCIALFITNESSING

MINDFULNESS

Other Useful Resources