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AND PPE, OH MY!

Writer's picture: Deejay, PA-CDeejay, PA-C

𝐂𝐎𝐕𝐈𝐃-𝟏𝟗 𝐌𝐄𝐓𝐇𝐎𝐃 𝐎𝐅 𝐓𝐑𝐀𝐍𝐒𝐌𝐈𝐒𝐒𝐈𝐎𝐍 𝐈𝐒 𝐂𝐎𝐍𝐓𝐑𝐎𝐕𝐄𝐑𝐒𝐈𝐀𝐋: spread via contact and large respiratory droplets; possible airborne transmission is being investigated⁣

The information provided below pertains to healthcare providers. Recommendations were found on the CDC's website and UpToDate. Follow the protocols/policies of your workplace if any discrepancies.⁣

𝐏𝐔𝐈/𝐂𝐎𝐍𝐅𝐈𝐑𝐌𝐄𝐃 𝐂𝐎𝐕𝐈𝐃-𝟏𝟗

▫️PRECAUTIONS: standard, contact, eye protection, droplet, +/- airborne; isolation + facemask for patient⁣

▫️PPE: gloves, gown, eye protection, + surgical mask (or N95 if available)⁣

▫️HIGH RISK/AEROSOLIZING PROCEDURES (intubation, CPR, bag-valve mask ventilation, NIPPV, nebulizer therapy, bronchoscopy): gloves, gown, eye protection, + N95⁣

𝐐𝐔𝐈𝐂𝐊 𝐑𝐄𝐅𝐑𝐄𝐒𝐇𝐄𝐑 𝐎𝐍 𝐈𝐍𝐅𝐄𝐂𝐓𝐈𝐎𝐍 𝐂𝐎𝐍𝐓𝐑𝐎𝐋, 𝐏𝐑𝐄𝐂𝐀𝐔𝐓𝐈𝐎𝐍𝐒, 𝐀𝐍𝐃 𝐏𝐏𝐄⁣

STANDARD PRECAUTIONS: All patients⁣⁣⁣⁣

▫️Hand hygiene before/after contact⁣

▫️Respiratory hygiene/cough etiquette⁣

▫️Safe injection practices/proper disposal of sharps⁣

▫️PPE: gowns, gloves, and eye protection if potential for exposure to blood/body fluids⁣

ISOLATION⁣

CONTACT: Selected MDR bacteria/viruses⁣

▫️Standard precautions⁣

▫️Private room⁣

▫️Dedicated medical equipment for patient⁣

▫️PPE: gloves, and gowns upon entry (removal prior to exit)⁣

DROPLET: Particles of respiratory secretions >/= 5 microns, suspended in the air for limited periods, transmission within 3-6 ft⁣

Examples: N. meningitidis, pertussis, flu, adenovirus, Hib, M. pneumoniae, rubella⁣

▫️Standard precautions⁣

▫️Private room, door can be open⁣

▫️PPE: surgical mask if within 6 feet⁣

AIRBORNE: Particles of respiratory secretions < 5 microns, remain suspended in the air for extended periods, source of inhalation exposure⁣

Examples: TB, measles, varicella, smallpox, SARS⁣

▫️Standard precautions⁣

▫️Private room with negative air pressure and air changes every 6-12 hrs, doors must remain closed⁣

▫️PPE: respirator with filtering capacity of 95% (N95) with tight seal over nose/mouth⁣

If you're working on the frontlines, I'd love to hear more about your facility's protocol.

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