QB PPE

 

https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-personal-protective-equipment-ppe

https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control

https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-use-for-non-aerosol-generating-procedures

https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-use-for-aerosol-generating-procedures

 

Safe ways for working for all health and care workers

  • staff should be trained on donning and doffing PPE. Videos are available showing how to don and doff PPE for AGPs and how to don and doff PPE for non-AGPs
  • staff should know what PPE they should wear for each setting and context
  • staff should have access to the PPE that protects them for the appropriate setting and context
  • gloves and aprons are subject to single use as per SICPs with disposal after each patient or resident contact
  • fluid repellent surgical mask and eye protection can be used for a session of work rather than a single patient or resident contact
  • gowns or coveralls can be worn for a session of work in higher risk areas (needed for CPR)
  • hand hygiene should be practiced and extended to exposed forearms, after removing any element of PPE
  • all staff should adhere to social distancing (2 metres) wherever possible, particularly if not wearing PPE and in non-clinical areas, for example during work breaks and when in communal areas
  • PPE should be disposed of in the clinical waste bin when in the surgery

This video shows how to safely don (put on) and doff (take off) the personal protective equipment (PPE) for non-aerosol generating procedures (AGPs), specific to COVID-19. This guidance outlines infection control for health and social care settings involving possible cases of COVID-19.

 

 

CPR is considered and AGP/ Giving someone a nebuliser is not

Video 1 shows how to safely don (put on) PPE specific to COVID-19 for AGPs and should be used in conjunction with the quick guide to donning PPE and local policies. This video features a long-sleeved fluid repellent gown. See video 3 for donning and doffing coveralls if a long-sleeved fluid repellent gown is not available.

Video 2 shows how to safely doff (take off) PPE specific to COVID-19 for AGPs and should be used in conjunction with the quick guide to doffing PPE and local policies. This video features a long sleeved fluid repellent gown.

Video 3 shows how to safely don (put on) and doff (take off) PPE specific to COVID-19 for AGPs using a coverall as an alternative when a long sleeved fluid repellent gown is not available. It should be used in conjunction with the quick guides to donning and doffing PPE (coverall versions) and local policies.

 

 

  • Note glasses are not sufficient for aerosol generating procedures

 

 

 

Best practice hand wash

Best practice management of blood and body fluid spills

Aerosol generating procedures ** In General Practice This is Most Likely With CPR

 

Gowns, MAsks, Visors, Gloves, Alcohol Gel  are present with the resusitation equipment in the treatment room

The highest risk of transmission of respiratory viruses is during AGPs of the respiratory tract, and use of enhanced respiratory protective equipment is indicated for health and social care workers performing or assisting in such procedures. The evidence review will continue to be updated in light of emerging evidence for this new pathogen.

A long-sleeved disposable fluid repellent gown (covering the arms and body) or disposable fluid repellent coveralls, a filtering face piece class 3 (FFP3) respirator, a full-face shield or visor and gloves are recommended during AGPs on possible and confirmed cases, regardless of the clinical setting. Subject to local risk assessment, the same precautions apply for all patients regardless of case status in contexts of sustained COVID-19 transmission. Where an AGP is a single procedure, PPE is subject to single use with disposal after each patient contact or procedure as appropriate.

 

Disposal

Aprons and gloves are subject to single use as per Standard Infection Control Precautions (SICPs), with disposal and hand hygiene after each patient contact. Respirators, fluid-resistant (Type IIR) surgical masks (FRSM), eye protection and disposable fluid repellent coveralls or long-sleeved disposable fluid repellent gowns can be subject to single sessional use in circumstances outlined in Table 1 and section 7.

Other sources of info

https://www.ouh.nhs.uk/working-for-us/staff/covid-staff-faqs-ppe.aspx

https://www.bsuh.nhs.uk/library/wp-content/uploads/sites/8/2020/05/Covid31.2_FAQs-for-PPE-BSUH-1.pdf

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