Inventory current amounts of sanitation supplies (especially alcohol based hand gel and bleach wipes), pulse oximeters, masks/PAPRs/Shrouds for PAPR, mirrors for doffing stations, and disposable stethoscopes to anticipate increased needs; we have run short of flu swabs and PPE.
- Consider storing these supplies in ways that prevent hospital personnel and guests from removing them for personal use.
- Establish protocols for handling patient specimens (blood, urine, respiratory viral testing, etc).
- Plan for use of metered dose inhalers with spacers instead of nebulizers to reduce infectivity.
- Assess supplies of key medications including antibiotics, sedation, analgesia, neuromuscular blockade, and crystalloid.
ULTRASOUND MACHINE CLEANING FOR AIRBORNE ISOLATION
Before you enter the room:
- Remove all probes you won’t be using.
- Only take in the items you need for the exam.
- Take everything else off the machine.
- Ensure there are purple wipes inside and outside the room.
- Find a PPE partner to help you.
- Follow the PPE Donning checklist.
- Double glove while scanning.
Inside the room after scan complete (1st cleaning):
- Move the machine as close to the door as possible.
- Remove outer gloves, perform hand hygiene.
- Remain in all other PPE.
- Use a purple wipe on all probes used on patient; discard wipe.
- Use second wipe (more if needed) to clean machine from the top down, avoiding excess moisture on the screen. No need to wipe down the wheels.
- Ensure all surfaces remain wet for at least 2 minutes.
- After PPE partner opens the door, move machine outside as far as possible.
Outside the room (2nd cleaning):
- Follow the PPE Doffing checklist with your PPE partner.
- Perform hand hygiene and put on a new pair of gloves.
- Repeat wipe down procedure as performed inside the room.
If using Butterfly with a cell phone or ipod:
- Before entering the room: Place entire apparatus in a sterile probe cover.
- After scanning: Remove cover while still inside the room and purple wipe entire apparatus. Wait 2 minutes, then hand out to anteroom or warm zone.
- Outside the room: After doffing, repeat purple wipe.
If using a tablet device (freestanding or mounted on a wheeled pole):
- Treat the entire apparatus as you would a cart-based machine using the steps above.
For full COVID-19 POCUS Protocol PDF click here.
For AAMC clinical guidance repository with protocols from multiple institutions and alignment summaries: https://www.aamc.org/coronavirus-covid-19-clinical-guidance-repository#alignment.
NIH Treatment Guidelines: https://www.covid19treatmentguidelines.nih.gov/.
- For COVID-19 EMS resources, including video updates, see EMS Online Infectious Disease Safety Information web page.
PPE Video for Pre-training and “Just in Time” Review
Watching the video does NOT qualify as appropriate refresher training. We recommend that you review the pre-training video before your training session.
CDC Website for Current Literature
National Academy of Medicine: Duty to Plan: Health Care, Crisis Standards of Care, and Novel Coronavirus SARS-CoV-2 outline important concepts in health care systems preparedness.
Hick, J. L., D. Hanfling, M. K. Wynia, and A. T. Pavia. 2020. Duty to Plan: Health Care, Crisis Standards of Care, and Novel Coronavirus SARS-CoV-2. NAM Perspectives. Discussion paper. National Academy of Medicine. Washington, DC. https://doi.org/10.31478/202003b
UW Medicine COVID-19 Resource Site
See UW Medicine COVID-19 Resource Site for more screening and testing algorithms, policy statements, and additional links.
This site is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. All information is meant for use by healthcare workers and not the general public. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. No physician-patient relationship is created by this web site or its use. Neither the University nor its employees, nor any contributor to this web site, makes any representations or warranties, express or implied, with respect to the information provided herein or to its use.
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