COVID-19: Resource scarcity - Revision history

Rossdonaldson1: Changed redirect target from COVID to COVID-19

2022-02-02T21:25:26Z

Changed redirect target from COVID to COVID-19

← Older revision		Revision as of 21:25, 2 February 2022
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	#REDIRECT[[COVID]]		#REDIRECT[[COVID-19]]

Rossdonaldson1: Redirected page to COVID

2022-01-18T22:11:13Z

Redirected page to COVID

← Older revision		Revision as of 22:11, 18 January 2022
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	~~''This page is for the location/creation/preservation of resources. For hospital protocols for resource ALLOCATION please see~~ [[~~Hospital preparedness:~~ COVID~~-19]]''~~		#REDIRECT[[COVID]]

	~~==PPE Shortage and Conserving Supplies Guidelines==~~
	~~In case of PPE shortage or in an attempt to save on PPE supplies, the following guidelines were approved by CDC 3/13/20:~~
	* Same respirator can be worn for multiple serial patient contacts (e.g. in between successive COVID/PUI (patients under investigation) without exchanging respirator. Therefore, in between each patient:
	* No need to change mask or eye protection
	* BUT need to change gown and gloves
	* Respirator reuse possible? Higher risk because of having to touch the mask and either self-inoculate or transmit to another patient (e.g. wear it for a patient, then you remove, and then you put it back on)
	* If you must do this because of limited supplies, don and doff properly and perform proper hand hygiene in between
	* CDC / NIOSH will allow certain N95s to be used beyond manufacture-designated shelf life
	** See list of appropriate models here (manufactured between 2003-2013)
	* N95 Reuse? Probably okay to re-use same N95 during an 8 hour shift as long as no tears or visible contamination. Store facedown in labeled re-sealable bag/container.
	** Based on non peer reviewed reports from Washington State

	~~===Respirators/PAPR===~~
	*N95/KN95/P95/P100/Powered Air Purifying Respirator or equivalent to protect against aerosols
	*N95/KN95 respirators- crisis capacity calls for entire shift/multiple day use
	*May be recycled after vaporous hydrogen peroxide treatment (Battelle method)
	*Industrial UV light may be used; light must reach every crevice
	*Do not bake in a home oven/wash/douse in bleach- will degrade the fibers

	~~===Eye Shields/Face Shields/Goggles===~~
	*Clean/disinfect and reuse
	*Face shields- made by 3d printing or affixing acetate sheets to a foam headband and elastic

	~~==Medical Equipment==~~
	~~===Oxygen Delivery===~~
	*Nasal cannula, Venturi mask, high flow nasal cannula
	*Use Y tubing (purchased or 3d printed) to divide oxygen flow to several patients
	*Oxygen from portable tanks/wall setup/concentrators

	~~===Non-invasive ventilation===~~
	*BPAP/CPAP-Negative pressure room preferred https://em.umaryland.edu/educational_pearls/3741/
	*Decreased aerosolization distance if surgical mask applied over face piece/nose and mouth

	~~===Ventilators===~~
	*Consider ventilator splitting to ventilate 2 or more patients of similar size and illness
	*May need to remove a patient from the vent to give it to another https://www.nejm.org/doi/full/10.1056/NEJMsb2005114

	~~===Isolation equipment===~~

	~~===IV pumps===~~
	*Use extended tubing so iv pumps can be placed outside patients’ rooms, decreases need for ppe
	*Use drop count method if no pumps available/for maintenance fluids

	~~==Personnel==~~


	~~==See Also==~~
	~~{{Special:Prefixindex/COVID-19 \|hideredirects=1}}~~

	~~==References==~~


	~~[[Category:COVID-19~~]]

Cherylchangmd: /* Ventilators */

2020-04-21T14:27:38Z

Ventilators

← Older revision		Revision as of 14:27, 21 April 2020
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	===Ventilators===		===Ventilators===
	*~~consider~~ ventilator splitting to ventilate 2 or more patients of similar size and illness		*Consider ventilator splitting to ventilate 2 or more patients of similar size and illness
	*May need to remove from ~~one patient~~ to give it to another ~~patient~~ https://www.nejm.org/doi/full/10.1056/NEJMsb2005114		*May need to remove a patient from the vent to give it to another https://www.nejm.org/doi/full/10.1056/NEJMsb2005114

	===Isolation equipment===		===Isolation equipment===

Cherylchangmd: /* Non-invasive ventilation */

2020-04-21T14:26:16Z

Non-invasive ventilation

← Older revision		Revision as of 14:26, 21 April 2020
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	===Non-invasive ventilation===		===Non-invasive ventilation===
	*~~bpap~~/~~cpap~~-Negative pressure room preferred https://em.umaryland.edu/educational_pearls/3741/		*BPAP/CPAP-Negative pressure room preferred https://em.umaryland.edu/educational_pearls/3741/
	*Decreased aerosolization distance if surgical mask ~~used~~		*Decreased aerosolization distance if surgical mask applied over face piece/nose and mouth

	===Ventilators===		===Ventilators===

Cherylchangmd: /* Respirators/PAPR */

2020-04-21T14:11:28Z

Respirators/PAPR

← Older revision		Revision as of 14:11, 21 April 2020
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	===Respirators/PAPR===		===Respirators/PAPR===
	*N95/KN95/P95/P100/Powered Air Purifying Respirator or equivalent to protect against aerosols		*N95/KN95/P95/P100/Powered Air Purifying Respirator or equivalent to protect against aerosols
	*N95/KN95 respirators- crisis capacity calls for ~~full day~~/multiple day use		*N95/KN95 respirators- crisis capacity calls for entire shift/multiple day use
	*May be recycled after vaporous hydrogen peroxide treatment		*May be recycled after vaporous hydrogen peroxide treatment (Battelle method)
	*UV light may be used		*Industrial UV light may be used; light must reach every crevice
	*Do not bake in a home oven/~~use liquids~~/~~wash~~		*Do not bake in a home oven/wash/douse in bleach- will degrade the fibers

	===Eye Shields/Face Shields/Goggles===		===Eye Shields/Face Shields/Goggles===

Rossdonaldson1: /* PPE Shortage and Conserving Supplies Guidelines */

2020-04-19T15:06:49Z

PPE Shortage and Conserving Supplies Guidelines

← Older revision		Revision as of 15:06, 19 April 2020
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	** Based on non peer reviewed reports from Washington State		** Based on non peer reviewed reports from Washington State

	===~~Surgical Masks~~===		===Respirators/PAPR===
	~~considered the minimum required~~ for ~~droplet isolation (besides gloves)~~		*N95/KN95/P95/P100/Powered Air Purifying Respirator or equivalent to protect against aerosols
			*N95/KN95 respirators- crisis capacity calls for full day/multiple day use
			*May be recycled after vaporous hydrogen peroxide treatment
			*UV light may be used
			*Do not bake in a home oven/use liquids/wash

	===~~Respirators~~/~~PAPR~~===		===Eye Shields/Face Shields/Goggles===
	~~N95~~/~~KN95/P95/P100/Powered Air Purifying Respirator~~ or ~~equivalent for aerosols~~		*Clean/disinfect and reuse
			*Face shields- made by 3d printing or affixing acetate sheets to a foam headband and elastic

	==Medical Equipment==		==Medical Equipment==

Rossdonaldson1: /* Medical Equipment */

2020-04-19T15:05:47Z

Medical Equipment

← Older revision		Revision as of 15:05, 19 April 2020
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	==Medical Equipment==		==Medical Equipment==

	===Oxygen Delivery===		===Oxygen Delivery===
			*Nasal cannula, Venturi mask, high flow nasal cannula
			*Use Y tubing (purchased or 3d printed) to divide oxygen flow to several patients
			*Oxygen from portable tanks/wall setup/concentrators

	===Non-invasive ~~Ventilation~~===		===Non-invasive ventilation===
			*bpap/cpap-Negative pressure room preferred https://em.umaryland.edu/educational_pearls/3741/
			*Decreased aerosolization distance if surgical mask used

	===Ventilators===		===Ventilators===
			*consider ventilator splitting to ventilate 2 or more patients of similar size and illness
			*May need to remove from one patient to give it to another patient https://www.nejm.org/doi/full/10.1056/NEJMsb2005114

	===Isolation ~~Equipment~~===		===Isolation equipment===

	===IV pumps===		===IV pumps===
			*Use extended tubing so iv pumps can be placed outside patients’ rooms, decreases need for ppe
			*Use drop count method if no pumps available/for maintenance fluids

	==Personnel==		==Personnel==

Rossdonaldson1 at 15:03, 19 April 2020

2020-04-19T15:03:16Z

← Older revision		Revision as of 15:03, 19 April 2020
Line 1:		Line 1:
	''This page is for the location/creation/preservation of resources. For hospital protocols for resource ALLOCATION please see [[Hospital preparedness: COVID-19]]''		''This page is for the location/creation/preservation of resources. For hospital protocols for resource ALLOCATION please see [[Hospital preparedness: COVID-19]]''

	==~~Personal Protective Equipment (~~PPE)== ~~Runs~~ the ~~gamut from full head~~ to ~~toe coverage~~ or ~~somewhere~~ in between		==PPE Shortage and Conserving Supplies Guidelines==
			In case of PPE shortage or in an attempt to save on PPE supplies, the following guidelines were approved by CDC 3/13/20:
			* Same respirator can be worn for multiple serial patient contacts (e.g. in between successive COVID/PUI (patients under investigation) without exchanging respirator. Therefore, in between each patient:
			* No need to change mask or eye protection
			* BUT need to change gown and gloves
			* Respirator reuse possible? Higher risk because of having to touch the mask and either self-inoculate or transmit to another patient (e.g. wear it for a patient, then you remove, and then you put it back on)
			* If you must do this because of limited supplies, don and doff properly and perform proper hand hygiene in between
			* CDC / NIOSH will allow certain N95s to be used beyond manufacture-designated shelf life
			** See list of appropriate models here (manufactured between 2003-2013)
			* N95 Reuse? Probably okay to re-use same N95 during an 8 hour shift as long as no tears or visible contamination. Store facedown in labeled re-sealable bag/container.
			** Based on non peer reviewed reports from Washington State

	===Surgical Masks=== considered the minimum required for droplet isolation (besides gloves)		===Surgical Masks===
			considered the minimum required for droplet isolation (besides gloves)

	===Respirators/PAPR=== N95/KN95/P95/P100/Powered Air Purifying Respirator or equivalent for aerosols		===Respirators/PAPR===
			N95/KN95/P95/P100/Powered Air Purifying Respirator or equivalent for aerosols

	==Medical Equipment==		==Medical Equipment==

Cherylchangmd: /* Personal Protective Equipment (PPE) */

2020-04-14T20:39:37Z

Personal Protective Equipment (PPE)

← Older revision		Revision as of 20:39, 14 April 2020
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	''This page is for the location/creation/preservation of resources. For hospital protocols for resource ALLOCATION please see [[Hospital preparedness: COVID-19]]''		''This page is for the location/creation/preservation of resources. For hospital protocols for resource ALLOCATION please see [[Hospital preparedness: COVID-19]]''

	==Personal Protective Equipment (PPE)==		==Personal Protective Equipment (PPE)== Runs the gamut from full head to toe coverage or somewhere in between

	===Surgical Masks===		===Surgical Masks=== considered the minimum required for droplet isolation (besides gloves)

	~~===Respirators/PAPR===~~

			===Respirators/PAPR=== N95/KN95/P95/P100/Powered Air Purifying Respirator or equivalent for aerosols

	==Medical Equipment==		==Medical Equipment==

Ostermayer: /* See Also */

2020-04-13T00:04:46Z

← Older revision		Revision as of 00:04, 13 April 2020
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	==See Also==		==See Also==
	{{COVID ~~see also~~}}		{{Special:Prefixindex/COVID-19 \|hideredirects=1}}

	==References==		==References==