Recommended of PPE in different setting for suspected/ confirmed COVID-19 (for Supporting department)

Escort Security
Terminal
Top-up decontamination
Task Lift Holding Temperature Checking of a confirmed
(Isolation Ward)
<3 ft. >3 ft. >3 ft. COVID-19

Extended use of N95 Extended use of N95 Surgical mask Surgical mask Surgical mask Surgical mask N95
Mask

AAMI Level 1/ AAMI Level 1/ AAMI Level 1/ AAMI Level 1/ AAMI Level 1/ Over coat AAMI Level 1/
Premium Premium Premium Premium Premium Fluid resistant

Gown / / / / / /

Change after Change after Change after Change after Change after
Gloves procedure procedure procedure NIL procedure NIL procedure
Goggles Goggles Visor/ Spectacles Visor/ Spectacles Visor/ Spectacles Visor/ Spectacles Goggles
Eye
protection*

PPE removal /
change Each shift/ break / contamination

* After each shift

• Spectacles should be self- cleaned
• Visor /goggles should be sent out for central cleaning QEH ICT 14th Feb 2020
 Procedure based risk stratification for suspected and confirmed case in Isolation wards
Risk Caring Procedures PPE required
N95# / Surgical mask /
No patient contact Minimal Clerical works
± spectacles$/ visor^ /
No face-to-face contact Placing meal tray on bedside table N95# + goggle^
Low AAMI level 1 gown
Very brief Brief Medication distribution
Temperature check N95# + goggle^
AAMI level 1 gown
Close contact Measuring BP
Medium Bundling if possible Add apron if anticipated splash
Brief procedures IV administration
Blood transfusion
NPA N95# + face shield
AAMI level 1 gown
Blood taking
Add apron if anticipated splash
Close contact X-ray
Medium to high
procedures Elimination round
Chest physio with AGP Degown and remove face shield only
Can keep N95
N95 + goggle^
AAMI level 3 gown / AAMI level 1 gown + apron
Close contact
High Resuscitation
High risk procedures
Change all gears including N95 after procedure
/

# extended use ^ central cleaning $

Self Cleaning
QEH ICT 18th Feb 2020
Recommended PPE in extended lab surveillance ward/ AED observation room
Task General Patient Care Elimination round NPS Resuscitation

Mask Surgical Mask Surgical Mask Extend use of N95 N95

AAMI Level 1 AAMI Level 1 AAMI Level 3/

Gown Follow (When anticipated (When anticipated /
Standard precautions + AAMI Level 1+ Apron
splashing, + Apron) splashing, + Apron)
transmission based
precautions
Change & Hand hygiene Change & Hand hygiene
Gloves
between patient between patient Gloves

Eye Protection Spectacles# Spectacles# Face Shield$ Goggles*

/ Visor* / Visor*

Remove gown after Remove gown after

PPE Removal/ Each shift /break/ procedure(s)/ leave the procedure(s)/ leave the Remove all PPE after
change contamination procedure
cubicle cubicle
Bundling caring activities is advised
#
Self Cleaning
*Sent for Central Cleaning
$
use of a cleanable face shield to reduce surface contamination of N95, discard face shield if soiled or contaminated QEH ICT 14th Feb 2020
Recommended PPE in AED
Task Triage station / NPS Urgent cubicles Other areas
Glass Contingency Area

Extended use of Extended use of N95

Mask N95 / Extended use of N95 / Surgical mask
Surgical mask Surgical mask

AAMI Level 1
Gown AAMI Level 1 (When anticipated
splashing, + Apron) Follow
Standard precautions + transmission based
Follow precautions
Change & Hand hygiene
Gloves Standard precautions +
transmission based precautions between patient

Eye protection Spectacles# Face Shield$ Spectacles# Spectacles#

/ Visor* / Visor* / Visor*

PPE Removal/ Each shift /break/ Remove gown after Each shift /break/ Each shift /break/
procedure(s)/ leave the
change contamination cubicle contamination contamination

Bundling care activities to minimize room entries, and bundling may occur across Heath Care Professional (HCP) types (e.g., food trays are delivered by HCP
performing other care)
#
Self Cleaning
*Sent for Central Cleaning
$
use of a cleanable face shield to reduce surface contamination of N95, discard face shield if soiled or contaminated
QEH ICT 14th Feb 2020
 Recommended PPE in General ward / GOPCs/ Allied Health
Escort suspect case to Chest physio with
Task General Patient Care isolation ward NPS AGP Resuscitation
on ward
Mask Surgical Mask Surgical Mask Extended use of N95 N95

Gown AAMI Level 1 AAMI Level 3/

Follow
AAMI Level 1 AAMI Level 1 + Apron/
Standard precautions +
transmission based
precautions Change & Hand hygiene
Gloves Gloves between patient care
Gloves

Spectacles# Spectacles# Face Shield$ Goggles*/

Eye protection
/ Visor* / Visor* Face Shield

Remove gown after

Remove gown & face procedure(s)/ leave
PPE removal / Each shift /break/ Remove gown & gloves shield after the cubicle/ ward Remove all PPE after
change contamination after procedure procedure(s)/ leave the
(remove face shield procedure
cubicle/ ward
if contaminated)

Bundling caring activities to minimize room entries, and bundling may occur across Heath Care Professional (HCP) types (e.g., food trays are delivered by HCP
performing other care)
#
Self Cleaning
*Sent for Central Cleaning
$
use of a cleanable face shield to reduce surface contamination of N95, discard face shield if soiled or contaminated QEH ICT 14th Feb 2020
 Recommended PPE in DR&I
X-ray department / Portable AED-XR & Glass Contingency Area/ Procedures for confirmed case outside
Task Services (General ward) CT at E ground isolation ward

Extended use of N95 /

Mask Surgical mask Extended use of N95
Surgical mask

AAMI Level 1 + Apron

AAMI Level 1
Gown (When anticipated
Follow (Glass Contingency Area Only)
splashing, + Apron)
Standard precautions +
transmission based
precautions Follow
Gloves Standard precautions + transmission Gloves
based precautions

Spectacles# Spectacles# Goggles*/

Eye protection
/ Visor* / Visor* Face Shield

PPE Removal/ Each shift /break/ Each shift /break/ Remove gown & goggles after
change contamination contamination procedure(s)/ leave the areas

Bundling caring activities

#
Self Cleaning
*Sent for Central Cleaning QEH ICT 17th Feb 2020
 Extended use of N95 (CDC)- COVID-19
Discard N95 respirators in the following situations:
1. After aerosol generating procedures#.

2. N95 respirators contaminated with blood, respiratory or nasal secretions, or other bodily fluids from
patients.

3. Following close contact with, or exit from, the care area of any patient co-infected with an infectious
disease requiring contact precautions

#
use of a cleanable face shield to reduce surface contamination of N95
**Discard N95 respirators before leaving isolation ward

Footnote:
4. Practice hand hygiene before and after touching or adjusting the respirator (if necessary for comfort or to maintain fit)
5. Extended use alone is unlikely to degrade respiratory protection.
6. Discard any respirator that is obviously damaged or becomes hard to breathe through.
  https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html
QEH ICT 14th Feb 2020