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NON-COVID-19 PPE USE & EDUCATION

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Non-COVID Patient Special Precautions PPE GRID- What personal protective equipment to wear and when?

  • We have chosen to use special precautions for Negative or COVID History patients in very specific clinical situations.
  • It is critical for all of us to apply critical thinking skills in using Standard Precautions, essentially donning PPE that is appropriate for situations in which we anticipate exposure to body fluids and respiratory secretions.
  • This does not replace any increased precautions per other isolation orders.

Use the grid to determine appropriate PPE and signage to use for identified situations. Please contact command center 624-5000 with any questions.

DOWNLOAD NON COVID-19 PPE GRID
PDF Version 7 (as of 12-11-2020)

Instructions on Mask, Gown, and Eyewear use:

Instructions for N95 respirator mask Limited Reuse:
  • N95 masks can be obtained at the unit if not previously received from leadership. Follow the steps below to maintain your N95 respirator mask
  • Label the N95 respirator with your name.
  • Prior to any patient contact within 6 feet, any time eye exposure is anticipated from light mist to splash apply a face shield over the N95 mask.
    • The face shield is cleaned after actual contact with the patient or their direct environment, when suspected or actually soiled, or upon removal. Clean with a Covid-19 approved disinfectant, if eye irritation exists the face shield can be rinsed with water. After cleaning, store in bag labeled with your name and keep with you.
    • Clean hands before donning and immediately after doffing a mask. Also, clean hands each time the N95 respirator is touched or adjusted.
    • Use a pair of clean gloves when donning a used N95 respirator and performing a user seal check.
  • When to replace N95 respirator mask: Discard the N95 respirator as outlined by the most current replacement guidelines and when moist, concerned about contamination, or damaged or contaminated with blood, respiratory or nasal secretions, or other bodily fluids.
Instructions for gown Single use:
  • Gowns are obtained at the unit, use a new gown for each patient interaction.
  • FABRIC isolation gowns: Positive COVID-19 patient, PUI, special precautions, MRSA nares colonization, Metapneumovirus. Place in laundry hamper after use. If fabric gown is unavailable, use a disposable gown.
  • DISPOSABLE isolation gowns: when bodily fluids are expected, required for a procedure, receiving wound care, open lesions, weeping abscesses, active infection (i.e. MRSA) in a wound or on skin, diarrheal disease (i.e. Clostridium difficile)
Instructions for eyewear Single Person Reuse:
  • A face shield must be worn. May wear goggles if unable to tolerate a face shield.
  • A face shield or goggles can be obtained at the unit if staff member does not already have one
  • These items are to be kept by the staff member and reused for themselves until they are damaged, can no longer be cleaned easily or visibility is impaired due to haze.
    • If using face shields: Face shields are single staff, multi-use items. The face shield is cleaned after actual contact with the patient or their direct environment, when suspected or actually soiled, or upon removal. Clean with a Covid-19 approved disinfectant, if eye irritation exists the face shield can be rinsed with water. After cleaning, store in bag labeled with your name and keep with you. Save the face shield, replace only when damaged.
    • If using goggles: Goggles are single staff, multi-use items. The goggles are cleaned after actual contact with the patient or their direct environment, when suspected or actually soiled, or upon removal. Clean with a Covid-19 approved disinfectant, if eye irritation exists the face shield can be rinsed with water. After cleaning, store in bag labeled with your name and keep with you. Save these goggles, replace only when damaged.