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HI everyone
Just wanting some clarity regarding the use of eye protection PP for COVID-19. Do housekeeping and catering staff required eye protection when they enter a room with COVID-19 transmission based precautions? Should t be the following :* Airborne TBC for COVID-19 PPE includes;
* Long sleeved gown
* P2/N95 respirator (duck bill mask) – must be fit checked with each use
* Face shield or goggles if-Taking respiratory specimens
-Patient has excessive coughing
-Patient has pneumonia
* Gloves (Hand hygiene before donning and after removing gloves)
See below from SoNg.
Coronavirus Disease 2019 (COVID-19)
CDNA National Guidelines for Public Health Units
StatesFor most inpatient contacts between healthcare staff and patients the following PPE is safe and appropriate and should be put on before entering the patient’s room:
o long-sleeved gown
o surgical mask
o face shield or goggles
o disposable nonsterile gloves when in contact with patient (hand hygiene before donning and after removing gloves)
Cate Coffey
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
http://www.health.nt.gov.auThe Central Australia Health Service would like to acknowledge Aboriginal and Torres Strait Islander peoples as Australia’s First People and Traditional Custodians. We pay our respects to Elders past, present and emerging.
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Hi Cate
Two things.
1. PPE required is about risk. So, wearing of eye protection is about what is anticipated, and what is known about transmission of the pathogen. For most respiratory viruses, including as I currently understand what we know about SARS-Cov-2, routine patient contact does not require protection of eyes. It will depend on what activities and procedures are being performed when providing care as to whether or not eye protection is required. You could argue that you dont always know what you are going to do or be exposed to when entering a room (I could also argue I dont know if a plane will fall onto my desk right now), so you should always wear eye protection, but I would argue its a clinical determination, and I will maintain my flame-resistant suit whilst awaiting responses on that.
2. The current interim SoNG for COVID-19 was developed directly from the Ebola guidelines. For Ebola, the level of protection required for even casual contact was extreme, and thus eye protection was always worn. It may be that has just remained from that guideline. Im surmising here, and its my own opinion, but its possible that its not actually there as a mandatory requirement for COVID-19.
Also, as an aside, most hospital staff will care for milder cases of COVID-19 on general wards, where droplet rather than airborne precautions is required. For critically ill patients in ICU, the need for eye protection routinely may be much higher, based on procedures and treatments undertaken.
My thoughts, anyway.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[cid:image005.png@01D5C601.F77FEA40]
HI everyone
Just wanting some clarity regarding the use of eye protection PP for COVID-19. Do housekeeping and catering staff required eye protection when they enter a room with COVID-19 transmission based precautions? Should t be the following :* Airborne TBC for COVID-19 PPE includes;
* Long sleeved gown
* P2/N95 respirator (duck bill mask) must be fit checked with each use
* Face shield or goggles if-Taking respiratory specimens
-Patient has excessive coughing
-Patient has pneumonia
* Gloves (Hand hygiene before donning and after removing gloves)
See below from SoNg.
Coronavirus Disease 2019 (COVID-19)
CDNA National Guidelines for Public Health Units
StatesFor most inpatient contacts between healthcare staff and patients the following PPE is safe and appropriate and should be put on before entering the patients room:
o long-sleeved gown
o surgical mask
o face shield or goggles
o disposable nonsterile gloves when in contact with patient (hand hygiene before donning and after removing gloves)
Cate Coffey
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
http://www.health.nt.gov.auThe Central Australia Health Service would like to acknowledge Aboriginal and Torres Strait Islander peoples as Australias First People and Traditional Custodians. We pay our respects to Elders past, present and emerging.
Use or transmittal of the information in this email other than for authorised NT Government business purposes may constitute misconduct under the NT Public Sector Code of Conduct and could potentially be an offence under the NT Criminal Code. If you are not the intended recipient, any use, disclosure or copying of this message or any attachments is unauthorised. If you have received this document in error, please advise the sender. No representation is given that attached files are free from viruses or other defects. Scanning for viruses is recommended.
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Michael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
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______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Hi Cate,
Droplet and contact precautions, which includes use of eye protection, are recommended for routine care of COVID-19 patients as outlined in both the CDNA SoNG and Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus disease (COVID-19). The use of droplet and contact precautions is also recommended for cleaners when cleaning in COVID-19 patient rooms (which I assume is what housekeeping staff are?). I haven’t seen any guidance to suggest different PPE for different staff or when undertaking different activities in the rooms of patients with COVID-19, except for using P2 respirators for aerosol generating procedures or when there may be prolonged close contact.
Many facilities have a guideline/policy that catering staff don’t enter patient rooms when in transmission-based precautions or restrict which rooms they can enter (e.g. only enter contact transmission rooms, not droplet or airborne) so that they don’t have to don and doff PPE. Meals may be left outside the room and nursing staff take the meals into the patient.
Unless you can adequately train staff to don/doff their use of PPE may be more hazardous that not using any, particularly when removing PPE.
Regards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.au
Microbiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.auHI everyone
Just wanting some clarity regarding the use of eye protection PP for COVID-19. Do housekeeping and catering staff required eye protection when they enter a room with COVID-19 transmission based precautions? Should t be the following :* Airborne TBC for COVID-19 PPE includes;
* Long sleeved gown
* P2/N95 respirator (duck bill mask) – must be fit checked with each use
* Face shield or goggles if-Taking respiratory specimens
-Patient has excessive coughing
-Patient has pneumonia
* Gloves (Hand hygiene before donning and after removing gloves)
See below from SoNg.
Coronavirus Disease 2019 (COVID-19)
CDNA National Guidelines for Public Health Units
StatesFor most inpatient contacts between healthcare staff and patients the following PPE is safe and appropriate and should be put on before entering the patient’s room:
o long-sleeved gown
o surgical mask
o face shield or goggles
o disposable nonsterile gloves when in contact with patient (hand hygiene before donning and after removing gloves)
Cate Coffey
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
http://www.health.nt.gov.auThe Central Australia Health Service would like to acknowledge Aboriginal and Torres Strait Islander peoples as Australia’s First People and Traditional Custodians. We pay our respects to Elders past, present and emerging.
Use or transmittal of the information in this email other than for authorised NT Government business purposes may constitute misconduct under the NT Public Sector Code of Conduct and could potentially be an offence under the NT Criminal Code. If you are not the intended recipient, any use, disclosure or copying of this message or any attachments is unauthorised. If you have received this document in error, please advise the sender. No representation is given that attached files are free from viruses or other defects. Scanning for viruses is recommended.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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