A GUIDE FOR PPE - The Indus Hospital Korangi Campus...indushospital indus_hospital theindushospital the-indus-hospital The Indus Hospital For any query please contact: Ms. Arifa Khatoon

A GUIDE FOR PPE(PERSONAL PROTECTIVE EQUIPMENT)

FOR HEALTH CARE WORKERS AND STAFF

INFECTION CONTROLDEPARTMENT PRESENTS

indushospital the-indus-hospital The Indus Hospitalindus_hospital theindushospital


CONTRIBUTIONS

The PPE guidelines are developed by

Ms Arifa Khatoon, Head of Infection Control Department, Indus

Hospital with contributions from Dr. Samreen Sarfaraz,

Consultant Adult Infectious Diseases, Indus Hospital. We would like to

acknowledge Ms. Sada Abbas, Assistant Manger - Graphic Designer,

Indus Hospital for her input in designing the guideline.

RATIONAL USE OF PERSONAL PROTECTIVE EQUIPMENTBY HEALTH CARE WORKER

SAFETY FIRST FOR ALLHEALTH CARE WORKER

GENERAL INSTRUCTIONS FOR HEALTH CARE WORKERSDEALING WITH PATIENTS IN CLINICAL AREAS

Wash Hands, Wear Surgical Mask at work anduse any additional PPE only if indicated



RECOMMENDATION FOR CLINICAL AREA

AT IN PATIENTS CARE AREA

ALL HEALTH CARE WORKERS MUST FOLLOW HOSPITAL POLICYABOUT CONTACT, AIRBORN, DROPLET OR STANDARD

PRECAUTIONS DEPENDING ON PATIENT’S REQUIREMENT.

Hand hygiene must follow between patientsWear gloves and disposable gown as part of contact precutionfor MDRO’s or blood body fluid precationWear N95 Mask only in emergecy intubation or whendealing with susptected airbone patientsRemove PPE before leaving the area

••

•

•

Only as part of contact orblood or body fluid precautions


RECOMMENDATION FOR COVID 19 SUSPECTED/POSITIVESCREENING AREA

AT SCREENING AREA

AT EMERGENCY SCREENING/ TRIAGE AREAHEALTH CARE WORKER WEAR PPEs AS FOLLOW:

Wear gloves during direct contact and touching patients.Face shield or face mask with shield can be used when cominin close patient contact

••

If Needed If Needed


RECOMMENDATION FOR COVID 19 EMERGENCYASSESSMENT AREA

SUSPECTED/CONFRIM COVID19 PATIENTS

Wear gloves before touching patientWear Face shield with mask for splash Protection of N95 Maskduring patient encounter

••

Splash resistant Face Mask with Shield


EMERGENCY RESPIRATORY AREA/TESTING CAMP

AEROSOL GENERATING PROCEDURE IN COVID19 PATIENTS e.g. NASOPHARYNGEAL

SWABBING, SUCTION, INTUBATION ETC

MUST FOLLOW AIRBORNE PRECAUTIONS AT ALL THE TIME:

Wear head cover Wear Face shield for splash Protection of N95 MaskWear fluid resistant gownRemove PPEs before leaving area except N95 Mask. Remove N95mask out of covid 19 area

••••

Splash resistant


RECOMMENDATIONS FOR COVID19 ADMITTED AREA

COVID19 PATIENTS UNIT

FOR CARE OF PATIENTS WITH COVID SUSPECTEDOR POSITIVE PATIENTS, AIRBORNE

PRECAUTIONS MUST BE FOLLOWED AT ALL TIMES

Wear Goggles or Face shield as per your convenience Wear head cover and shoe cover in covid patient care area

••

Splash resistant

Tyvek suits should be worn by HCW

instead of gown when dealing with intubated COVID +ve patients or in those requiring

aerosol generating procedures (e.g

suction, nebulization)


RECOMMENDATION FOR ICUS, CCU, OPERATION ROOM, LABOUR ROOM AND DIAGNOSTIC AREA

ICU, CCU,HDU, PICU, ONCOLOGY, OR, LR AND DIAGNOSITIC AREA

Follow protocol as per specialized area e.g. OR, LR, Lab and Blood centerUse disposable or splash resistant gown as per requirement of PICUand peads oncology unitUse head cover as per requirement of PICU, ICU, HDU, Oncologyor COVID19 area

••

•

If splash anticipated If splash anticipated

If needed

WEAR PPE AS ACCORDING TO NEED BASE REQUIREMENT


PRECAUTION WHEN INTERACTING WITHYOUR FELLOW WORKER

•••

•

Keep distance also when sitting in staff roomAvoid touching your faceWash hands after touching high touch surfaces e.g. door handles,equipments etc Wash hands frequently

1.5 m


SEQUENCE FOR PUTTING ONPERSONAL PROTECTIVE EQUIPMENT (PPE)

PERFORM HAND HYGIENE BETWEEN STEPS IF HANDS BECOME CONTAMINATED IMMEDIATELY AFTER REMOVING ALL PPE

PROCEDURE FOR PUTTING ON PPE

•

•••••••

Fully cover torso from neck to knees, arms to end of wrists, and wrap around the back Fastening back of neck and waistSecure ties or elastic bands at middle of head and neckFit flexible band to nose bridgeFit snug to face and below chinFit-check respiratorPlace over face and eyes and adjust to fitExtend to cover wrist of isolation gown


HOW TO SAFELY REMOVE PERSONALPROTECTIVE EQUIPMENT (PPE) EXAMPLE 1


REMOVE PPE IN THE FOLLOWING SEQUENCE

OR

•

••

••••

•

Using a gloved hand, grasp the palm area of the other gloved hand andpeel off first gloveRemove goggles or face shield from the back by lifting head band or ear piecesUnfasten gown ties, taking care that sleeves don’t contact your body whenreaching for tiesPull gown away from neck and shoulders, touching inside of gown onlyTurn gown inside outFold or roll into a bundle and discard in a waste containerGrasp bottom ties or elastics of the mask/respirator, then the ones at thetop, and remove without touching the frontWash hands or use an alcohol-based hand sanitizer immediately afterremoving all ppe


HOW TO SAFELY REMOVE PERSONALPROTECTIVE EQUIPMENT (PPE) EXAMPLE 1


REMOVE PPE IN THE FOLLOWING SEQUENCE

OR

A B D EC

•

••

•••

•

Grasp the gown in the front and pull away from your body so thatthe ties break, touching outside of gown only with gloved handsWhile removing the gown, fold or roll the gown inside-out into a bundleAs you are removing the gown, peel off your gloves at the same time, onlytouching the inside of the gloves and gown with your bare hands.Place the gown and gloves into a waste containerRemove goggles or face shield from the back by lifting head band or ear piecesGrasp bottom ties or elastics of the mask/respirator, then the ones at thetop, and remove without touching the frontWash hands or use an alcohol-based hand sanitizer immediately afterremoving all ppe

HEALTH CARE WORKERS ARE PRECIOUS.

PERSONAL PROTECTIVE EQUIPMENT HAS TO BE USED ACCORDING TO RISK INVOLVED AND NOT TO BE ABUSED. FOR THE SAFETY OF YOURSELF AND YOUR COLLEAGUES PLEASE USE PERSONAL PROTECTIVE EQUIPMENT WISELY.


For any query please contact:

Ms. Arifa KhatoonManager ICD Cell# 03222420694 [email protected]

Ms. Shabnam BilalDM ICD Cell# 03072798375

Documents

A GUIDE FOR PPE - The Indus Hospital Korangi Campus...indushospital indus_hospital theindushospital the-indus-hospital The Indus Hospital For any query please contact: Ms. Arifa Khatoon