COVID-19 OBSTETRICS PPE – UNIVERSAL N95Elevated Precautions

EffectiveOctober 12th, 2021

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Universal N95 / Eye Protection – Tier 2 PPE

All staff in Tier 3 PPE• Bypass holding bay• Anaesthetic trolley remains in OT• No room rest time applies unless

GA – note, operation can start if all staff are in Tier 3 PPE.

• +/- COVID staffing• Obstetric time out must state the

COVID pathway to inform neonatal care

• Recover in theatre

For patients at higher risk for COVID-19Patients:SCOVID (Low Risk), ORSCOVID (High Risk), ORCOVID Positive

Full COVID Precautions - Tier 3 PPE

NO COVID symptomsAND

NO COVID epidemiologyOR

A cleared case

NON-COVID

SCOVID (Low Risk)

COVID symptomsWITHOUT

Epidemiological risk factors

i.e., Symptoms and not cleared

SCOVID (High Risk)

In quarantine for any reasonOR

COVID symptoms WITH

Epidemiological risk factors

All staff in N95 with face shield and either gown or apron• No COVID staffing.• Obstetric “Time Out” must state

the COVID pathway to inform neonatal care

• Recover in PACUM

For patients at reduced risk for COVID-19Patients:Non-COVID (no symptoms/epidemiology with a negative test result)

Recover in PACU

Leave ward

In theatre

G

G

Arrive in OT Partner / Support person present

M

Leave ward In theatreArrive

in OT

Partner / Support person:• Partners are permitted in theatre

(unless GA). They must be asymptomatic and have tested negative. They should wear a surgical mask, gown, overshoes, and hat.

Partner / Support person:• Partners are not permitted in

theatre for SCOVID (High Risk) and COVID-positive cases.

COVID-Positive

Positive COVID Test

Recover in OT

A "CODE GREEN" caesarean can occur in a Non-COVID patient with Non-COVID precautions.If a SCOVID patient requires time critical intervention in theatre, DO NOT "prepare" theatre in any manner that may delay patient care. They will be referred to as a Category 1 SCOVID and placed into a SCOVID theatre, or if unavailable, another available theatre, and be managed with COVID precautions.

“CODE GREEN C/S” vs “CATEGORY 1 SCOVID”

Test pending (Emergency)?

Wear Tier 3 PPE in OTand if close contact in PACU