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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
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 [email protected]
