AGPs

[Jude Searles]

Hi Folks

I need to consult the hive mind. I work in a very small rural hospital (12 acute beds, L&D, minor surgery and haemodialysis), whilst we have one single room with its own (non-shared) bathroom, we do not have the capacity for real respiratory isolation and usually just nurse them in full PPE with the room door closed etc. Since the advent of COVID we have stopped all aerosol generating procedures, this includes nebulisers, AIRVO, BIPAP etc. Last year this wasn’t a problem as we only had one case of influenza and a couple of infective exacerbations of COPD. Unfortunately, I expect that will change this year due to pandemic fatigue. The fact we have had no cases of COVID in our community, means that most people are mask less now and not necessarily social distancing.
We have a VMO who is already agitating to bring back the use of the AIRVO, and I have just reiterated to him our policy on AGPs because he wanted to prescribe nebulised Ventolin for a patient in a room where we can’t isolate the patient by closing the door. What are other facilities doing in this type of situation?

Cheers

Jude Searles RN
Infection Prevention & Control
Co-ordinator Undergraduate Education
Dialysis Clinical Lead
Cohuna District Hospital
Committed to Excellence in Rural Healthcare
148-155 King George Street, Cohuna, Victoria, 3568
T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627
E: jsearles@cdh.vic.gov.au W: http://www.cdh.vic.gov.au

I am an LGBTQIA+ ally.

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