Download New Procedure Masks

New Procedure Masks
The Medline Prohibit Series Fluid-Resistant
Procedure Masks, with and without a visor,
are now available through Stores.
These masks were selected based on evidence
for protection against:
• Droplet/contact transmitted organisms
• Droplets transmitted during respiratory procedures
(suctioning, intubation, etc.)
Droplet/Contact Precautions
!Droplet/Contact Precautions apply to patients
known or suspected of having an infection
caused by a droplet transmitted organism (e.g.
bacterial meningitis, respiratory virus).
!Refer to the Droplet/Contact policy online.
Routine Practices
!Based on principles of Routine Practices, staff
need to protect themselves against splashes,
spills, sprays or other exposure to any patient
secretions, excretions, blood, mucous
membranes or non-intact skin.
!This applies to all patients all of the time.
!Refer to the Routine Practices policy online.
Personal Protective Equipment
During routine practices for high-risk respiratory procedures or
when entering the room of a patient isolated for a droplet
transmitted organism, you should wear:
A fluid-resistant procedure mask with
• attached visor; or
• separate goggles or faceshield
Gloves
plus hand hygiene
Gown
Removing PPE
Follow these steps when you are removing the
personal protective equipment:
•
•
•
•
Remove gloves and discard. Wash hands with soap and
water or alcohol hand gel.
Remove gown; place in dirty laundry hamper. Wash
hands. Exit the room.
Remove goggles or splash shield. Discard splash shield
or place goggles in bag for later cleaning. Wash hands.
Remove mask or mask + visor using the straps.
Discard. Wash hands.
Signs
! Post the following signs to remind you of the
personal protective equipment for:
! Droplet/Contact Precautions
! Routine Practices for High-Risk Respiratory Procedures
Droplet/Contact Precautions
Eye Protection: splash goggles, disposable face shield,
or procedure mask with visor
A fluid resistant procedure mask is required.
Gown:
yellow isolation gown,
tied at the back
Gloves:
non-sterile
procedure gloves
Remove items in the following order:
1. Remove gloves and discard. Wash hands
with soap and water or alcohol rinse.
2. Remove gown; place in dirty laundry
hamper. Wash hands. Exit room.
3. Remove eye protection using the
straps. Discard face shield or place
goggles in bag. Later, clean goggles
with disinfectant, rinse, dry, and store.
Wash hands.
4. Remove mask using the straps and
discard. Wash hands.
Droplet/Contact
Precautions
October 2004
Wear fluid resistant
masks and eye
protection when
entering room
Wear gown
when entering
room
Wear gloves
when entering
room
Wash hands
before entering
and after
exiting patient
room
All visitors report to Nursing Station before entering room
These precautions apply to patients
isolated for known or suspected
droplet-transmitted organisms.
Routine Practices for High-Risk Respiratory Procedures
Eye Protection:
splash goggles, face shield or
procedure mask with visor.
Mask:
A fluid-resistant procedure
mask is required.
Staff have the option of using
an N95 respirator.*
Gown:
yellow isolation gown,
tied at the back.
Gloves:
non-sterile
procedure gloves
*Refer to N95 Respiratory Protection Policy to determine when the N95 is mandatory.
High-risk respiratory procedures include:
- nebulized therapies
- aerosol humidification
- non-invasive ventilation (CPAP, BiPAP)
- bag-valve mask ventilation
- endotracheal intubation
- airway suctioning
- sputum induction (without febrile respiratory illness)
- tube or needle thoracostomy
- bronchoscopy or other upper airway endoscopy
- tracheostomy
- open thoracotomy
- disconnecting ventilators & disposing filters
- clean/dispose manual resuscitation bags/filters
- cardio respiratory arrest not related to FRI
Important: Routine Practices apply to all
patient secretions, excretions, non-intact skin
and mucous membranes. Refer to the Routine
Practices policy in Lotus Notes.
Remove items in the following order:
1. Remove gloves and discard. Wash hands
with soap and water or alcohol rinse.
2. Remove gown; place in dirty laundry hamper.
Wash hands. Exit the room.
3. Remove eye protection using the straps.
Discard face shield. Place goggles in bag.
Later, clean goggles with disinfectant, rinse,
dry, and store. Wash hands.
4. Remove mask using the straps and discard.
Wash hands.
October 2004
N95 Respirators
! Staff have the option of wearing the N95 respirator
when performing High-Risk Respiratory Procedures
! Wearing an N95 respirator is mandatory for some
situations – refer to the N95 Respiratory Protection
Policy for details
! Post the attached sign as a reminder
When do you need to wear an N95 respirator?
Airborne precautions required
(patient with active TB; SARS).
If you are caring for a patient
with acute varicella (chicken
pox), disseminated zoster
(shingles), or measles and
you do not have immunity.
Administering aerosolized
medication (e.g. ribavirin or
pentamidine).
During electrocautery or laser
surgery, if smoke evacuators
are not used or are not fully
effective in controlling the
smoke plume.
Handling hazardous drugs,
including chemotherapy, in a
way that may generate
aerosols. (Unless your are
working in a biosafety cabinet).
Cleaning up spills of
hazardous drugs.
Conducting some maintenance
or construction procedures
(e.g. work in Q-fever areas).
Refer to Facilities safe work
procedures for details.
If recommended by an
occupational hygienist to
prevent inhaling a chemical
or biological agent.
Staff with direct patient contact and Facilities staff must be fit tested for an N95 respirator.
Fit testing times: Monday afternoons from 1-4 p.m. in rooms 5320/5321/5322 (5th floor Black Wing).
Contact an occupational hygienist in Occupational Health and Safety Services if you have questions.
An N95 Respirator:
!Prevents the wearer from inhaling airborne particles or
aerosols and provides respiratory protection
!Acts as a barrier to protect the wearer against droplets
!Models without an exhalation valve will prevent the
wearer from exhaling onto another person, patient, or
sterile field
!Forms a tight seal between edge of respirator and the
face
N95 Respirator Fit Testing
! Fit testing for N95 respirators is conducted to confirm
a good facial fit
! The wearer must also conduct a “fit check” each time
the N95 is donned to ensure an adequate facial seal
! All staff with direct patient contact, Facilities staff,
and staff handling hazardous drugs must be fit tested
and prepared to wear an N95 respirator
N95 Respirators
3M 8210
3M 8110S
(stores # 1117)
(stores # 35784)
3M 9210
3M 8511
(stores #35721)
(stores #36300)
3M 9211
Moldex 2201
(stores #35722)
(stores #35723)
Tecnol 46727
Moldex 2301
(stores #16464)
(stores #35777)
Procedure Masks, Eye Protection
Fluid-Resistant
Procedure Mask
with earloops
(stores # 38027)
Fluid-Resistant
Procedure Mask
with earloops
and visor
(stores #38028)
Uvex Stealth
Goggles
(stores #35218)
Uvex Classic
Goggles
(stores #1760)
Disposable
Splash Shield
(stores #1519)
Questions?
!If you have questions on staff health and
safety, contact an occupational hygienist in
Occupational Health and Safety Services.
!If you have questions on infection control for
patient protection, contact an Infection
Control Practitioner in Infection Prevention
and Control.