COVID-19: Resource scarcity: Difference between revisions

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''This page is for the location/creation/preservation of resources. For hospital protocols for resource ALLOCATION please see [[Hospital preparedness: COVID-19]]''
''This page is for the location/creation/preservation of resources. For hospital protocols for resource ALLOCATION please see [[Hospital preparedness: COVID-19]]''


==Personal Protective Equipment (PPE)== Runs the gamut from full head to toe coverage or somewhere in between
==PPE Shortage and Conserving Supplies Guidelines==
In case of PPE shortage or in an attempt to save on PPE supplies, the following guidelines were approved by CDC 3/13/20:
* Same respirator can be worn for multiple serial patient contacts (e.g. in between successive COVID/PUI (patients under investigation) without exchanging respirator. Therefore, in between each patient:
* No need to change mask or eye protection
* BUT need to change gown and gloves
* Respirator reuse possible? Higher risk because of having to touch the mask and either self-inoculate or transmit to another patient (e.g. wear it for a patient, then you remove, and then you put it back on)
* If you must do this because of limited supplies, don and doff properly and perform proper hand hygiene in between
* CDC / NIOSH will allow certain N95s to be used beyond manufacture-designated shelf life
** See list of appropriate models here (manufactured between 2003-2013)
* N95 Reuse? Probably okay to re-use same N95 during an 8 hour shift as long as no tears or visible contamination. Store facedown in labeled re-sealable bag/container.
** Based on non peer reviewed reports from Washington State


===Surgical Masks=== considered the minimum required for droplet isolation (besides gloves)  
===Surgical Masks===  
considered the minimum required for droplet isolation (besides gloves)  


===Respirators/PAPR=== N95/KN95/P95/P100/Powered Air Purifying Respirator or equivalent for aerosols
===Respirators/PAPR===  
N95/KN95/P95/P100/Powered Air Purifying Respirator or equivalent for aerosols


==Medical Equipment==
==Medical Equipment==

Revision as of 15:03, 19 April 2020

This page is for the location/creation/preservation of resources. For hospital protocols for resource ALLOCATION please see Hospital preparedness: COVID-19

PPE Shortage and Conserving Supplies Guidelines

In case of PPE shortage or in an attempt to save on PPE supplies, the following guidelines were approved by CDC 3/13/20:

  • Same respirator can be worn for multiple serial patient contacts (e.g. in between successive COVID/PUI (patients under investigation) without exchanging respirator. Therefore, in between each patient:
  • No need to change mask or eye protection
  • BUT need to change gown and gloves
  • Respirator reuse possible? Higher risk because of having to touch the mask and either self-inoculate or transmit to another patient (e.g. wear it for a patient, then you remove, and then you put it back on)
  • If you must do this because of limited supplies, don and doff properly and perform proper hand hygiene in between
  • CDC / NIOSH will allow certain N95s to be used beyond manufacture-designated shelf life
    • See list of appropriate models here (manufactured between 2003-2013)
  • N95 Reuse? Probably okay to re-use same N95 during an 8 hour shift as long as no tears or visible contamination. Store facedown in labeled re-sealable bag/container.
    • Based on non peer reviewed reports from Washington State

Surgical Masks

considered the minimum required for droplet isolation (besides gloves)

Respirators/PAPR

N95/KN95/P95/P100/Powered Air Purifying Respirator or equivalent for aerosols

Medical Equipment

Oxygen Delivery

Non-invasive Ventilation

Ventilators

Isolation Equipment

IV pumps

Personnel

See Also

References