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Precautions for SARS
Room Placement / Entry
• Airborne isolation rooms or SARS unit (negative pressure, at least 6 air exchanges per hour)
• Only essential staff enter room/unit• Minimize time in room • Minimize time within six feet of patient
– HCW position to avoid droplets in front of patient’s face
• Minimize amount of direct contact with patient• Do not go into patient’s bathroom unless
essential for patient care
Reducing Droplets
• Medical management to reduce cough• Medical management to reduce nausea and
prevent vomiting• No nebulizer treatments• Supply oxygen dry; by nasal prongs if possible• Patient to wear surgical mask at all times when
HCW are in the room• Handle bed linens to avoid creating aerosols
Protective Barriers: N95 Mask
- Ensure mask fits on face- Comfortable enough so that does not need adjustment while garbed
Protective Barriers: Cap/Hair Cover
Protective Barriers: Face Shield
Protective Barriers: Gown
Protective Barriers: Gloves
• Ensure overlap between gloves and gown cuff• Double glove
– Wear first pair for direct contact with patient, then remove
– If top pair of gloves contaminated (eg. cleaning vomit), remove and replace
Protective Barriers
• Protect face– Consciously keep hands away from face/head/neck
while in room– Ensure hair is tied or clipped back so that hands do
not move to adjust• Don’t be afraid to ask for help with procedures
– Iv starts etc more difficult to perform garbed– Most experienced person should be performing
• Do not check pager, or answer phone while in room
• Do not wear rings or watch (to allow adequate disinfection of hands)
Removing Barriers
At door to room, remove gloves, then gown
Removing Barriers
At door to room, remove gloves, then gown
Removing Barriers
At door to room, remove gloves, then gown
Removing Barriers
Disinfect hands with alcohol handwash in the room
Removing Barriers
Leave the room
Removing Barriers
Leave the room
Removing Barriers
Disinfect hands
Removing Barriers
Disinfect hands
Removing Barriers
Hold the face shield by the edge of the face shield and lift it up over your head
Removing Barriers
Hold the face shield by the edge of the face shield and lift it up over your head
Removing Barriers
Remove N95 mask, by holding at the bottom and lifting it up over your head
Removing Barriers
Remove N95 mask, by holding at the bottom and lifting it up over your head
Removing Barriers
Remove hair cover
Removing Barriers
Disinfect hands
Removing Barriers
Disinfect hands
Protective Barriers
Put on a clean N95 mask, a clean gown, and hair cover
Protective Barriers
Put on a clean N95 mask, a clean gown, and hair cover
Protective Barriers
Put on a clean N95 mask, a clean gown, and hair cover
Protective Barriers
Put on a clean N95 mask, a clean gown, and hair cover
Protective Barriers
If you feel sick
• Early infection can present with low grade fever and chills only, or only aching and headache
• Check with occupational health if you are worried
• Report fever immediately; assessment will be arranged same day
• Self-isolate at home until assessment has been done, or until you feel better