local induction to ppe - nets
TRANSCRIPT
Local Induction to PPEUpdated focus - COVID 19
Developed by the
Infection Prevention and Control Team
April 2020
Rational use of personal protective equipment for
coronavirus disease (COVID-19) – WHO
COVID-19 is a respiratory disease that is different from Ebola virus disease,
which is transmitted through infected bodily fluids.
Due to these differences in transmission, the PPE requirements for COVID-19
are different from those required for Ebola virus disease. Specifically, coveralls
(sometimes called Ebola PPE) are not required when managing COVID-19
patients.https://apps.who.int/iris/bitstream/handle/10665/331215/WHO-2019-nCov-IPCPPE_use-2020.1-eng.pdf
Mark Rudd – Chief ID Medical Director at University of Nebraska
“ the biggest challenge is getting people to pay attention and take the necessary
precautions to protect themselves. There is no medications, no vaccines yet, so
we will have to depend on basic infection control practices”.
Mitigating Risk
Work Health and Safety Regulation 2011 – NSW Legislation The employer has a legal obligation to provide a safe workplace, without risks &
The Work Health Safety Regulations 2001 obligations of the employer –
to identify, assess, eliminate/reduce risks.
The SafeWork NSW stipulates that an employee is to:
Provide employees with information, education, equipment and training for staff to protect
them and others.
The WH&S regulations also state that it’s the employee’s responsibility to
adhere to the recommendations of wearing PPE to protect self and others.
By implementing a consistent approach across the Network
ensures confidence and safety for Staff.
5 Moments for Hand Hygiene
Remember when entering a room, perform hand
hygiene before touching a patient (i.e. after touching
the door handle or positioning equipment).
Infection Prevention & Control Precautions
+
Transmission Based
Precautions: Contact
Droplet
Airborne
WHAT THIS MEANS
Aim: To prevent transmission of infection
(HCW and Patients)
ALL bodily fluids are regarded as
potentially infectious
o e.g. respiratory secretions, excretions
(except sweat), blood – whether or not
visible
HAND HYGIENE (“5 Moments”)
PERSONAL PROTECTIVE EQUIPMENT
(PPE)
o Use if contact with bodily fluids expected
Appropriate handling and disposal of sharps and
clinical wastes
Aseptic techniques
Environmental cleaning
ISOLATION REQUIREMENTS - None
General Principles of Infection Prevention and Control to Prevent
or Limit Transmission Of nCoV – from the CEC
1. Early recognition and source control
2. Application of Standard Precautions for all patients
3. Cough etiquette and respiratory hygiene
4. Implement Transmission Based Precautions
• Contact and Droplet Precautions (except for aerosol generating procedures
or critically ill patients with high volume/high frequency, prolonged care)
• Airborne Precautions for aerosol generating procedures (critically ill patients
with high volume/high frequency, prolonged care)
5. Hand Hygiene (5 moments)
6. Environmental Cleaning
http://www.cec.health.nsw.gov.au/__data/assets/pdf_file/0006/567987/Infection-
control-nCoV-2019-Hospital-Setting-V2-.pdf
WHAT THIS MEANS
Aim: To prevent spread of infectious
agents transmitted via direct and
indirect contact
Perform hand hygiene
(PPE)
o Use if contact with bodily fluids expected
WHAT THIS MEANS
Aim: To prevent spread of infectious
agents transmitted in droplets from
respiratory secretions (1 m)
HAND HYGIENE
PERSONAL PROTECTIVE EQUIPMENT
(PPE)
o Use within 1 m of patient
o Protect mucosa (eyes/nasal) –
Mask and eye protection
ISOLATION REQUIREMENTS
o Single room or cohort
WHAT THIS MEANS
Aim: To prevent spread of infectious agents
small enough to be transmitted in air space
Examples
o Varicella
o Measles
o Pulmonary tuberculosis
o Aerosol generating procedures for
suspected or confirmed COVID19
HAND HYGIENE
PERSONAL PROTECTIVE EQUIPMENT (PPE)
o Particulate N95 or P2 mask. Remove
outside room (untie, discard using ties)
ISOLATION REQUIREMENTS
o Negative pressure, single room
Let’s talk about Masks -
How to Apply a P2/N95 Mask and Perform a Fit Check
1. Open
mask and
shape
2. Bend nose
piece to
conform to
nose
3. Separate
the two
elastic straps
4. Position lower strap at
base of neck (under ears)
and upper strap on the
crown of head
5. Mould the nose piece to ensure a secure fit
Perform a Fit Check Before Entering Room
Check the negative pressure seal by gently inhaling
Check for air leaks, by exhaling
Readjust mask until the mask fits and there is no air leakageRPA Infection Prevention and Control Unit 2017
How to Apply a P2/N95 Mask and Perform a Fit Check
Remember your equipment
As part of Standard Precautions: Cleaning all shared equipment (including your
own personal equipment before and after use – it protects you & your pts.
Extra Information / resources
IPC Novel Coronavirus 2019 - Infection Prevention and Control Novel Coronavirus 2019
(2019-nCoV) – Hospital setting
Videos
Tasmanian donning and doffing PPE videos - to go on SCHN intranet soon
https://www.dhhs.tas.gov.au/publichealth/tasmanian_infection_prevention_and_control_unit
/healthcare_worker_education/proper_use_of_personal_protective_equipment
National Hand Hygiene Initiative
http://www.cec.health.nsw.gov.au/keep-patients-safe/infection-prevention-and-
control/healthcare-associated-infections/hand-hygiene
HETI/My Heath Learning
• Infection Prevention – Enhance Precautions
• Infection Prevention - Enhance Precautions for
Pandemic Flu
• Infection Prevention – Transmission- based Precautions
• Infection Prevention & Control Practices