Clinical Operation Must Haves
Based on Escalation of COVID Cases and Supply, Equipment RestraintNecessary changes to PPE supply usage and storage to sustain a level of continued safe patient care with appropriate PPE:
Respiratory Protection For Non-aerosol Producing CareSurgical, procedural, or ear loop masks. One mask per caregiver for all patients for all shift, preferably behind a face shield
Respiratory Protection For Aerosol Producing CareN95 respirator: One per caregiver, across multiple shifts. Save in paper bag until next use. Recommend cohort COVID-19 units
- One gown all shift for multiple patients. Gowns disposed of at end of shift. Best used if cohorted units for multiple positives and PUIs.
- Non-cohorted patients: one gown per patient, hangs outside the room for re use. Gowns disposed at end of shift.
- Alternatives include aprons, lab coats, water-repellent type material on top of the gown that is disposed of when soiled
Eye ProtectionFace shield or splash rated goggles: Leave on, between patients, but do not touch and remove and disinfect for reuse if dirty & at end of shift
- Nitrile gloves
- Rubbermaid® gloves disinfected after use
- NO double-gloving
- Vinyl food service gloves, for all activities outside of direct contact with patients and equipment
EVS Cleaning ProductsProduct: RTU Virex or Oxvir TB, hydrogen Peroxide, Bleach Concentrate to soak dry wipe or microfiber cloth.
Frequency of change: Two cloths in patient room, 1 – 2 in patient restroom. Nursing doing daily high-touch disinfection if caring for COVID patients. Reduce frequency of full cleaning