COVID-19 CRITICAL CARE: WHAT PROVIDERS NEED …1 COVID-19 CRITICAL CARE: WHAT PROVIDERS NEED TO KNOW...

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COVID-19 CRITICAL CARE: WHAT

PROVIDERS NEED TO KNOW

MAY 15, 2020 UPDATESue Hansen, MSN, RN

Trauma/Surgery Critical CareClinical Nurse Specialist

Harborview Medical CenterSeattle, WA

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COVID-19 Keeping Up With A Moving Target

Every Wednesday Evening

Every Friday Morning

Now, Twice Every Week @ COVID19.DKBmed.com

CME Information

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Jointly provided by Postgraduate Institute for Medicine, DKBmed, and the Institute

for Johns Hopkins Nursing.

Disclosure of Conflicts of InterestPostgraduate Institute for Medicine (PIM) requires instructors, planners, managers, and other individuals who are in a

position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as

related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM i s

committed to providing its learners with high quality activities and related materials that promote improvements or quality

in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty reported the following financial relationships or relationships they or their spouse/life partner have with

commercial interests related to the content of this continuing education activity:

Name of Faculty or Presenter Reported Financial Relationship

Sue Hansen, MSN, RN None

There will be no references to the unlabeled/unapproved uses of any drugs or products in today’s discussion. All activity,

content, and materials have been developed solely by the activity directors, planning committee members, and faculty

presenters, and are free of influence from a commercial entity. All activity, content, and materials have been developed

solely by the activity directors, planning committee members, and faculty presenters, and are free of influence from a

commercial entity.

CME Information

To attest for CME/CE credit, please visit

COVID19.DKBmed.com

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Learning Objectives

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• Define PPE

• Distinguish between airborne/respirator/contact

precautions and droplet/contact precautions

• List three aerosol-generating procedures

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Sue Hansen, MSN, RNTrauma/Surgery Critical Care

Clinical Nurse SpecialistHarborview Medical Center

Seattle, WA

This program is brought to you through the

generous support of DKBmed, Postgraduate

Institute for Medicine, and the Institute for

Johns Hopkins Nursing.

Please see COVID19.DKBmed.com for

additional resources and educational

activities

Thank You

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Personal Protective Equipment (PPE)

• Agendao PPE- What? When?

and Where?

o Airborne vs droplet transmission & COVID-19

o Aerosol-generating procedures (AGPs)

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“Specialized clothing or equipment worn by an

employee for protection against infectious materials”

PPE

OSHA

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?

Gowns

Respirators

Face Shields

Masks

Gloves

Goggles

Types of PPE Used in Healthcare Settings

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Gloves

Vinyl Nitrile Latex

✓ Natural

✓ Durable

✓ Great sensitivity &

elasticity

✓ Better fitting

× Allergenic

✓ Synthetic

✓ Excellent strength &

chemical protection

× More expensive

× Poor elasticity &

sensitivity

✓ Synthetic

✓ Less allergenic

✓ Loose fitting

✓ Economical

× Non-aseptic tasks

× Not as strong

× Prone to leaking

CLH Group, 2017

Medical

ExaminationSurgical

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• Disposable • Reusable

Gowns

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Face Protection - Masks

Cloth

Mask

Surgical

Mask

Respirator

Mask

CDC recommended for general

public

Necessary for medical facilities

and first responders

Protects against droplets

Protects against aerosols

Custom fit

Loose fit

Alba G, MGRI, 2020

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Face Protection - Google, Shields and Eye Wear

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PAPR-Powered Air Purifying Respirators

CAPR- Controlled Air Purifying Respirator

Respirators…Air Purifying Systems

MaxAir

What to Wear and When?

• PPE selection

oType of exposure anticipated

▪ Splash/Spray versus touch

oDurability and appropriateness for the task

oFit

oCategory of isolation precautions

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Transmission

Airborne

Contact

Droplet

Bahl P, et al. JID, 2020

WHO. March 29, 202017

COVID-19 Transmission

Froum S, et al. Peri. Imp. Adv., 202018

Aerosol-Generating Procedures (AGPs)

• Intubation

• Extubation

• Bronchoscopy

• Endoscopy

• Trans-esophageal echocardiography (TEE)

• (CPAP) - Continuous positive airway pressure

• (BiPAP) - Pressure support/Positive end expiratory pressure

• Nebulized treatments

• Sputum induction

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• Droplet/Contact • Airborne/Respirator/Contact

Precautions

To submit your own question, please email

QA@dkbmed.com

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Can we use gowns and surgical masks that have exceeded the manufacturer's expiration date?

Do they offer the protection needed?

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What PPE would you recommend to someone as a minimum for taking care of a COVID-19 patient

at home?

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To receive CME/CE credit:

• Complete the evaluation on at COVID19.DKBmed.com

• Upon registering and successfully completing the activity

evaluation, you will have immediate access to your

certificate.

To access more resources related to COVID-19:

• Access our resource hub at COVID19.DKBmed.com

To ask your own question:

• Email QA@dkbmed.com