WLAVA:COVID-19 PPE: Difference between revisions
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[[File:PAPR Hood.jpg|thumb|center|PAPR w/Hood]]
[[File:PAPR Hood.jpg|thumb|center|PAPR w/Hood]]


====BUNNY SUIT====
====Bunny Suit====
* We are not re-using these, '''discard''' after each use.  
* We are not re-using these, '''discard''' after each use.  
* Come in 3 sizes (located in Med Room).
* Come in 3 sizes (located in Med Room).

Revision as of 23:13, 26 April 2020

Last Updated 4/26/20

Mask Guidance

    • 1860 and 1870 N95 respirators are being distributed only to the OR and Procedure Center.
    • ED is receiving only 3M 8000 N95 respirators.
    • We have very very few 1860/1870 left for the entire ED (MDs, RNs, ICTs, etc).
      • We will not be resupplied with 1860/1870s.
    • Remind consultants that 8000s are N95 respirators and this is an ID guideline.
      • They can request an 1860s/1870s is if they failed formal fit test for 8000s.

What Mask Should I Wear?

  • PAPR:
    • Provider intubating. Nursing as per their leadership recommendations.
  • 3M 8000 N95 Respirator:
    • All providers working in the ED who passed fit testing.
      • Airway buddy.
      • Personnel seeing PUIs.
      • Nurse performing NP swab.
      • CODES or intubations.
    • No need to wear a surgical mask over these.
      • Can discard with every PUI. Can continue to wear between non-PUI to non-PUI.
  • 3M 1860/1870 N95 Respirator:
    • Providers that failed formal 8000 N95 fit testing.
    • Wear a surgical mask over this and discard surgical mask with every PUI.
    • If used for a CODE or Intubation, discard the N95.
    • If used daily because you failed 8000 N95 fit test, consider saving these using paper bag method.

3M 8000 N95 Fit Testing

  • EVERYONE needs to be fit tested for the N95 8000s as these will be the ones handed out. Next fit test dates are:

Mask Decontamination Suspended

  • SPS is no longer collecting masks.
  • Discard the 8000 N95 respirators.
  • Save 1860s/1870s for future use as long as they weren't used for code/intubation.
    • Use paper bag method x wait 5 days, 5x max.

♦♦♦UV Sterilization Technique 4/24/20

  • Not institutionally advised and use at your own risk.
  • The UVC machine on the top shelf in the med room would require 9 min 30 secs to sterilize anything that is put inside if you choose to use it. (Thanks to Miguel for figuring this out)

♦♦♦PAPR Cleaning 4/24/20

  • After an intubation or CODE with PAPR use, remind the charge nurse to call SPS to pick it up for cleaning.
  • Placing PAPR in the dirty utility room, on the cart instead of the floor. It may be assumed to be trash if on the ground.
  • If SPS is not called, PAPR may not be cleaned for days and has a high chance of getting lost.
  • If restocking Airway carts and there are no more PAPRs left in the Med Room, notify the ED Nurse Managers or COVID Team.]

Guidance On Donning & Doffing For Ed Patient Encounters

Patient Encounter Scenarios & Detailed PPPE

Patient Encounter Scenarios and Detailed PPE

For Patients W/ COVID Isolation Precautions

Donning and Doffing Guidance for Patients w/COVID-19 Isolation Precautions

For Patients W/O COVID Isolation Precautions

Donning and Doffing Guidance for Patients w/o COVID-19 Isolation Precautions

Airway/Code Donning & Doffing Checklist

  • Latest laminated version included in the Airway Cart (PAPR Drawer)

N95

PAPR


PPE PAPR DONNING VIDEO

{{#widget:YouTube|id=w253AxiuFzk}}

PPE PAPR DOFFING VIDEO

{{#widget:YouTube|id=vKnZaTdhRQs}}

PPE BUDDY DOFFING VIDEO

{{#widget:YouTube|id=sl78L2DtloY}}

More info on GLA PPE

Donated 3D Printed Face Shields

  • These may not be completely splash proof because of the holes in the front.
  • It's best to use goggles to protect your eyes. Please keep the headbands.
  • You may discard the clear plastic sheets but they can also be cleaned and reused.

Length of Time for Face shield Usage

  • CDC stated, "Eye protection should be discarded if damaged (e.g., face shield can no longer fasten securely to the provider, if visibility is obscured and reprocessing does not restore visibility)."
    • A way to optimize the face shield and minimize staff exposure is to have one or two designated person each shift for PUI.

PAPR Hoodx

  • PAPR hoods are reusable SHARED supply, please send to SPS for decontamination.
  • Please do not mars PAPR hoods with your name. We are going to be using them indiscriminately based on your size.
  • We secured a limited supply of Inner Hoods with neck covering for use with PAPR.
Inner Hood for PAPR
  • We secured a limited supply of special PAPRS with Hood with neck covering.
    • There is only one in the airway cart and one in the Med Room.
PAPR w/Hood

Bunny Suit

  • We are not re-using these, discard after each use.
  • Come in 3 sizes (located in Med Room).

GOGGLES

  • ED staff will be given safety googles
    • Come see Jonie/Kian/Manny/TBlair to get one if you need it

REUSING PPE

  • PAPR hoods - Used PAPR hoods are now community property amongst ED staff since they are being cleaned by SPS (will be labeled ER).
  • Cleaning Eye Protection:

GLA Contact For Official PPE Purchasing (Not Donations)

  • Terry Wolgamott: Terry.Wolgamott@va.gov

GLA Contacts for PPE Donations

  • If you know someone who is interested in donating masks, or other items, to our medical center please have them contact our Voluntary Service dept.
    • Alexia Lunningham, Chief of Voluntary Service: Alexia.Lunningham@va.gov or 310-286-3994
    • Shirley Bearden, Voluntary Service Specialist: Shirley.Bearden@va.gov or 310-268-3194

OTHER WLA VA PAGES


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