COVID-19 OBSTETRICS PPE – UNIVERSAL N95Elevated Precautions
EffectiveOctober 12th, 2021
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Universal N95 / Eye Protection – Tier 2 PPE
All staff in Tier 3 PPE• Bypass holding bay• Anaesthetic trolley remains in OT• No room rest time applies unless
GA – note, operation can start if all staff are in Tier 3 PPE.
• +/- COVID staffing• Obstetric time out must state the
COVID pathway to inform neonatal care
• Recover in theatre
For patients at higher risk for COVID-19Patients:SCOVID (Low Risk), ORSCOVID (High Risk), ORCOVID Positive
Full COVID Precautions - Tier 3 PPE
NO COVID symptomsAND
NO COVID epidemiologyOR
A cleared case
NON-COVID
SCOVID (Low Risk)
COVID symptomsWITHOUT
Epidemiological risk factors
i.e., Symptoms and not cleared
SCOVID (High Risk)
In quarantine for any reasonOR
COVID symptoms WITH
Epidemiological risk factors
All staff in N95 with face shield and either gown or apron• No COVID staffing.• Obstetric “Time Out” must state
the COVID pathway to inform neonatal care
• Recover in PACUM
For patients at reduced risk for COVID-19Patients:Non-COVID (no symptoms/epidemiology with a negative test result)
Recover in PACU
Leave ward
In theatre
G
G
Arrive in OT Partner / Support person present
M
Leave ward In theatreArrive
in OT
Partner / Support person:• Partners are permitted in theatre
(unless GA). They must be asymptomatic and have tested negative. They should wear a surgical mask, gown, overshoes, and hat.
Partner / Support person:• Partners are not permitted in
theatre for SCOVID (High Risk) and COVID-positive cases.
COVID-Positive
Positive COVID Test
Recover in OT
A "CODE GREEN" caesarean can occur in a Non-COVID patient with Non-COVID precautions.If a SCOVID patient requires time critical intervention in theatre, DO NOT "prepare" theatre in any manner that may delay patient care. They will be referred to as a Category 1 SCOVID and placed into a SCOVID theatre, or if unavailable, another available theatre, and be managed with COVID precautions.
“CODE GREEN C/S” vs “CATEGORY 1 SCOVID”
Test pending (Emergency)?
Wear Tier 3 PPE in OTand if close contact in PACU