1. The World Health Organization (WHO) has released guidelines for the rational use of personal protective equipment (PPE) for COVID-19 in community and healthcare settings. Preventive and mitigation practices are key to hindering transmission, with the appropriate selection, use, removal and disposal of PPE an additional precautionary measure. If PPE is breached or damaged, the wearer should perform hand hygiene, remove the damaged PPE item, perform hand hygiene again and replace with new PPE. In the event of body fluid contact such as droplet exposure to the eyes or mouth, these safety protocols should be followed: Perform hand hygiene frequently using soap and water or an alcohol- based rub. Avoid touching potential infection entry points including the eyes nose and mouth. Practice respiratory hygiene by coughing or sneezing into a bent elbow or tissue and then immediately disposing of the tissue. Wear a medical mask if respiratory symptoms present and perform hand hygiene after removal. Maintain a social distance of at least 1 meter from people with respiratory symptoms. Transmission Risk Equipment damage or breaches COVID-19 & USE OF PERSONAL PROTECTIVE EQUIPMENT Preventive Measures in the Community Based on available evidence COVID-19 is transmitted through close contact and droplets from infected persons or touching a contaminated surface. The people most at risk are those in close contact with a COVID-19 patient or who care for COVID-19 patients. Preventive and mitigation measures are key to hindering transmission. Immediately stop what you are doing. 1 Perform hand hygiene. 2 Flush the affected area with plenty of water. 3 Follow the established reporting practices and procedures of your workplace or healthcare institution. 4 WHO cautions against the overuse of PPE, which could have an impact on future supply. Observance of these guidelines should ensure rationalized use of PPE, safeguarding continuity of supply throughout this continually evolving international public health emergency.
2. Based on WHO guidance issued on February 27, 2020 found on https://apps.who.int/iris/bitstream/handle/10665/331215/WHO-2019-nCov-IPCPPE_use-2020.1-eng.pdf ?sequence=1&isAllowed=y Ansell, ® and ™ are trademarks owned by Ansell Limited or one of its affiliates. © 2020 Ansell Limi ted. All Rights Reserved. * Recommended eye protection is goggles or a face shield. † Due to international shortages on face masks, recommendations are evolving and readers should check for the latest recommendations from their countries. www.ansell.com COVID-19 & USE OF PERSONAL PROTECTIVE EQUIPMENT User Application Proper PPE to Use Health Care Workers Preliminary screening not involving direct contact No PPE required. Minimum distance of at least 1 meter Physical examination of patient with respiratory symptoms Medical Mask, Gown, Gloves, Eye Protection* Providing direct care to COVID-19 patients Medical Mask, Gown, Gloves, Eye Protection* Aerosol-generating procedures performed on COVID-19 patients N95 or FFP2 standard or equivalent respirators, Gown, Gloves, Eye Protetction, Apron Providing direct care to a COVID-19 patient at home Medical Mask, Gown, Gloves, Eye Protection Transporting suspected COVID-19 patients to the referral health care facility Medical Mask, Gown, Gloves, Eye Protection Patients with Respiratory Symptoms Any area of an inpatient facility Minimum distance of at least 1 meter. Medical Mask (if tolerated) Outpatient consultation rooms Medical Mask (if tolerated) Waiting rooms Medical Mask (if tolerated). Immediately move patient to an isolation room or separate area away from others. If this is not possible, spatial distance of at least 1 meter from other patients Home Spatial distance of at least 1 meter. Medical Mask (if tolerated) except while sleeping Home Caregivers Entering the patient's room, but not providing direct care or assistance Medical Mask † Providing direct care or when handling stool, urine, or waste from COVID-19 patient Gloves, Medical Mask, Apron (if risk of splash) Cleaners Entering the room of COVID-19 patients Medical Mask, Gown, Heavy-duty Gloves, Eye Protection (if risk of splash from organic materials or chemicals), Boots or Closed Work Shoes Entering a room after and between consultations with patients with respiratory symptoms Medical Mask, Gown, Heavy-duty Gloves, Eye Protection (if risk of splash from organic materials or chemicals), Boots or Closed Work Shoes Cleaning areas where people with fevers are being screened or isolated Medical Mask, Gown, Heavy-duty Gloves, Eye Protection (if risk of splash from organic materials or chemicals), Boots or Closed Work Shoes When and How to Use PPE The right type of PPE to use will vary based on the risk of exposure, the setting, the type of personnel and the activity they are doing. Below is a chart based on WHO guidelines that shows the proper PPE for users in various applications. For additional details or for local guidance, please refer to the full document.
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