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