COVID-19 PPE Tiered Approach and Alternate Options for Work Contracts
This comprehensive guide outlines a tiered approach for Personal Protective Equipment (PPE) and alternate options for individuals suspected or confirmed with COVID-19 in work contract settings. It includes detailed instructions for different scenarios, such as immediate entry, time delay entry, and locations with suspected cases. The guide emphasizes social distancing, disinfection practices, and proper PPE usage to ensure the safety of both patients and emergency responders. Additionally, it provides information on cleaning protocols, safety glasses, gloves, gowns, masks, and aerosol management.
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Decision Tree PPE Tiered Approach and Alternate Options Work Contract Location with Sick Individual Individual Suspected for COVID-19 TIME DELAY ENTRY LEVEL 2 Suspected for COVID-19 IMMEDIATE ENTRY LEVEL 3 Confirmed for COVID-19 Confirmed for COVID-19 Suspected for COVID-19 Healthy Gloves Disposable gowns Surgical Mask; N95 as alternate Patient: gloves and mask Emergency Responder: 1. Social distancing 2. Disinfect shared contact item in between use 3. PPE (see separate slide) Patient: no gloves and no mask Emergency Responder: 1. Social distancing 2.Handwashing cleaning touch point 3. PPE (see separate slide) Patient: gloves and mask Emergency Responder: 1. Social distancing 2. Disinfect shared contact item in between use 3. PPE (see separate slide) 4 hours or 24 hours (LEVEL 2) Contractor 4 hours Gloves Safety Glasses Aerosol Mgt. cleaning Work clothes - use laundry service; Do not take home 24 hours Gloves Safety Glasses
DECISION TREE PPE TIERED APPROACH AND ALTERNATE OPTIONS WORK CONTRACT: PPE FOR CONFIRMED AND SUSPECTED COVID-19 INDIVIDUALS Gloves Additional Precautions: Social distancing Disinfect shared contact item in between use. Patient Confirmed COVID-19 Individuals Mask Suspected for COVID-19 Individuals Gown/Tyvek Double Gloves Booties Emergency Responder Face Shield N95 or greater Decision point Set up Task point Result point
PPE TIERED APPROACH AND ALTERNATE OPTIONS WORK CONTRACT: PPE FOR LOCATIONS WITH SUSPECTED COVID-19 INDIVIDUALS IMMEDIATE ENTRY Locations previously occupied by confirmed COVID-19 Individuals will be cleaned by a Contractor (outside vendor) Gloves Disposable Gown LEVEL 3 IMMEDIATE ENTRY Suspected for COVID-19 IMMEDIATE ENTRY LEVEL 3 Safety Glasses N95 as alternate SURGICAL MASK Decision point Set up Task point Result point
PPE TIERED APPROACH AND ALTERNATE OPTIONS WORK CONTRACT: PPE FOR LOCATIONS WITH SUSPECTED COVID-19 INDIVIDUALS TIME DELAY ENTRY Gloves and Safety Glasses LEVEL 2 4 hours Aerosol Management cleaning Suspected for COVID-19 TIME DELAY ENTRY LEVEL 2 Entry to locations with Single Pass Air e.g. Research Laboratories will be less than 1 hour (around 20 min) Work clothes - use laundry service; Do not take home Gloves LEVEL 2 24 hours Safety Glasses Decision point Set up Task point Result point
PPE Consolidate/Alternates: GOWNS Alternates Re-Use Options Lab coat with laundry service cleaning /laundry Bleach per CDC Disposable lab coat none Chemical disinfection (wipe) Disposable Gowns Hazmat Suit Chemical Disinfection exterior surface Tyvek 730 hydrogen peroxide (wipe) CaviWipes
PPE Consolidate/Alternates: Gloves, Safety Glasses and Face Shield Alternates Re-Use Options No double glove Re-use Interior glove Disposable Gloves Re-usable Rubber/neoprene Disinfect and re-use Safety glasses Face Shield Sunglasses Personal Eyewear
PPE Consolidate/Alternates: Respirator Re-Use Options Alternates Not wet Surgical mask or N95 Worn with full face shield Expired N95 Triage Surgical Mask (Droplet precaution) P100; N100; N99 Decon Half face; full face; PAPR * Cartridge- for life of unit (HEPA) * Requires Training and Respiratory Medical Clearance
Supply Needs Gowns: S (10); M (10); L (20); XL (20) Boxes Tyvek: S (10); M (10); L (20); XL (20) Boxes Gloves: S (1); M (1); L (2); XL (2) Cases Booties:10 boxes (25/box) Surgical Mask: N95 Face Shields Safety Glasses Disinfectant o Wipes o Spray o Towel
