Triage, Source Control and Additional Control Measures Dr Purva Mathur md all India Institute of Medical Sciences New Delhi


Protecting our employees' health (3 of 3)



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Protecting our employees' health (3 of 3)

3. Protect healthcare personnel

    • Emphasize hand hygiene
    • Install barriers to limit contact with patients at triage
    • Cohort COVID-19 patients
    • Limit the numbers of staff providing their care
    • Cohort staff working in isolation wards
    • Prioritize respirators and AIIRs for aerosol-generating procedures, and implement PPE optimization strategies to extend supplies

https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html

How to ensure surgeons / staff are safe when doing surgery?

  • Elective surgeries should be postponed
  • Standard infection control practices should be in place
  • Take precautions when performing Aerosol-Generating Procedures (AGPs)
  • Operating rooms should be allocated and signs posted on the doors to minimize staff exposure
  • If no general anesthesia:
    • Patient should continue to wear the surgical mask
  • If general anesthesia used:
    • Place a HEPA filter between the Y-piece of the breathing circuit and the patient's mask, endotracheal tube or laryngeal mask airway
    • If available, use a closed suction system during airway suctioning

https://journals.lww.com/annalsofsurgery/Documents/Managing%20COVID%20in%20Surgical%20Systems%20v2.pdf
https://www.asahq.org/about-asa/governance-and-committees/asa-committees/committee-on-occupational-health/coronavirus
https://doi.org/10.1007/s12630-020-01617-4

Recommendations for planned surgeries

  • Postpone unless essential for patient outcome
  • Prepare OT for possible COVID-19 cases

https://journals.lww.com/annalsofsurgery/Documents/Managing%20COVID%20in%20Surgical%20Systems%20v2.pdf
https://doi.org/10.1007/s12630-020-01617-4

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