emerging Severe Acute Respiratory
Infection(eSARI)-including MERS and
Covid-2019 (Wuhan)
Personal Protective Equipment (PPE) training
Infection Prevention and Control Team
Infection prevention and Control Team February 2020
Examples eSARI
Previously SARs – CoV
Avian Flu
MERS- CoV
2019- nCoV (Wuhan)
Future emerging Respiratory Viruses
Common clinical Features 2019-nCoV (Wuhan)
Recent relevant 14 day Travel History to mainland China
Contact with a known infectious person
Incubation period usually 2-14 days.
Clinical features can range from asymptomatic, fever, cough/coryza shortness of breath to severe Pneumonia (N.B. fever not always present).
Transmission
Droplet transmission occurs
when the virus travel large
respiratory droplets that people
sneeze, cough, drip, or exhale.
They travel short distances before
settling, usually less than 2m.
These droplets are loaded with
infectious particles.
Mainly transmitted by respiratory droplets or indirect contacts with secretions
Environment
There is evidence for widespread environmental contamination of patient rooms so effective cleaning and decontamination is essential.
Coronaviruses and Influenza are fairly fragile, surviving outside the body 24/48 hours.
They are easily destroyed by detergents and cleaning agents.
Cleaning environmental surfaces with water and detergent and applying commonly used disinfectants (such pericitic acid/DiffX) is effective.
When the patient is discharged a UV clean is recommended.
Waste and linen to follow the clinical infectious waste/linen streams
eSARI PPE
The following slides will cover the safe Donning and Doffing – safety check lists
The process has been kept similar to the VHF/HCID with limited changes which will
be discussed
PPE with FFP3 mask
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• Scrubs to be worn
underneath (ease of
laundering).
• FFP3 mask
• Face Visor
• Fluid repellent gown
• Gloves
• Tape
Preparing the area - gather all equipment needed
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Preparing the area; ensure donning/doffing
checklist and staff log sheet available
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Donning
Ensure staff are fit tested/ remove
jewellery/ tie hair back/ hydrated/wearing
scrubs
1. Hand hygiene- wash and
alcohol gel hands.
2. Put on mask criss-cross band
+ fit check.
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Donning
3. Put on visor and gloves
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4. Put on gown - ensure gown is secured
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Donning
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Donning
5. Put on second pair of gloves and tape to gown
Ensure you are safe
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Donning summary
Get yourself ready – remove jewellery, tie hair
Staff member entering the patients room must wear scrubs
underneath the PPE
Prepare the area: PPE, staff log sheet,
Wash and gel hands
Put on the mask & visor
Put on first pair of gloves
Put on long sleeved gown
Put on 2nd pair of gloves and tape to gown
Check this is correct
Complete log sheet
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1. Unfasten and pull away the gown inside the isolation room and
dispose of it in the clinical waste bin
By doing this, pull away removing the top pair of gloves – gel
remaining gloved hands.
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2. Remove the visor inside the isolation room pulling it
away from you and placing it in the bin, gel gloved hands
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3. Remove the remaining pair of gloves inside the
room – Keep your facemask on
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4. Remove the FFP3 mask outside the isolation room with top band
followed by bottom, bin mask in clinical waste and gel hands. (This can
be removed in the ante- room if there is demarcation but this is not
required for eSARI.
Gel hands and the wash hands with soap
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Doffing summary
Avoid touching face, eyes, mouth with contaminated
hands/gloves
Gel gloved hands
Remove gown and top gloves, gel gloves hands –
in isolation room
Remove visor and remaining gloves in isolation room
Remove mask, gel hands outside isolation room
Remove bottom gloves- wash hands and follow with
alcohol gel
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PPE with respirator
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• Scrubs to be worn
underneath (ease of
laundering).
• Respirator
• Fluid repellent gown
• Gloves
• Tape
Preparing the area - gather all equipment needed
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Preparing the area; ensure donning/doffing
checklist and staff log sheet available
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Donning
Ensure staff are fit tested/ remove
jewellery/ tie hair back/ hydrated/wearing
scrubs
1. Hand hygiene- wash and
alcohol gel hands.
2. Continue as per FFP3
protocol regarding gowns and
gloves
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Donning
Ensure your:
Respirator has a fully
charge battery
Has a filter attached
3. Put on respirator.
Attached the filter and battery
pack using the waist belt.
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Donning summary
Get yourself ready – remove jewellery, tie hair
Staff member entering the patients room must wear scrubs
underneath the PPE
Prepare the area: PPE, staff log sheet,
Wash and gel hands
Put on first pair of gloves
Put on long sleeved gown
Put on 2nd pair of gloves and tape to gown
Put on the respirator
Check this is correct
Complete log sheet
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Doffing (you will need a buddy system) 1. Apply hand sanitizer over gloved hands
2. Detach the hood from the battery pack
3. Unfasten the battery pack belt and remove the battery pack
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Doffing
3. Place the battery pack in a orange clinical waste bag held by the
buddy outside of the door
(The buddy needs to be wearing apron and gloves)
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4. Unfasten and pull away the gown inside the isolation room and
dispose of it in the clinical waste bin
By doing this, pull away removing the top pair of gloves – gel
remaining gloved hands.
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5. Clean the respirator tubing with green clinell wipes
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6. Remove the remaining pair of gloves inside the
room – Keep your respirator on
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7. Gel hands outside of the room
8. Remove the respirator (from the back away from the face)
9. Place in orange clinical waste bag
10. Gel hands and then wash hands with soap
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Decontamination of respirator hood
The respirator must be taken in the clinical waste bag to
the sluice and clean with green Clinell® wipes.
For the cleaning process staff must wear apron, gloves and
surgical mask to avoid touching their face whilst cleaning.
After cleaning and removal of PPE staff must wash their
hands with soap and water.
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Doffing summary
Avoid touching face, eyes, mouth with contaminated
hands/gloves
Gel gloved hands
Remove battery pack in isolation room
Remove gown and top gloves, gel gloves hands –
in isolation room
Clean the Respirator tubing in isolation room
Remove gloves and gels hands in isolation room
Remove respirator, gel hands outside isolation room
Clean respirator in the sluice after use.
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Don’t panic
If it doesn’t happen in this order, don’t panic.
Remember:
Protect your mucus membranes (eyes, nose and mouth)
Clean your hands
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Any questions?
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