PPE USE WITH CLOSE CONTACTS

PPE Algorithm for Columbia Memorial Hospital

09/09/2021

PPE USE WITH CLOSE CONTACTS:

Patients reporting as close contacts (known exposure to COVID+ person >15 minutes within 6 feet) place in Airborne Contact Precautions. DO NOT admit to COVID Unit.

WHAT PPE DO I NEED?

This algorithm should be initiated upon "rooming" or entering the patient's room.

COVID-19 symptoms:

Does my patient have clinical symptoms concerning for COVID-19?

Medical Decision Making:

YES

NO

Testing: Test Status:

In progress

Test for COVID-19

Detected

Not detected

HIGH suspicion RETEST 24h

Not detected

LOW suspicion

In progress or not tested

Negative

PPE during routine care:

Airborne Plus

Airborne Plus

Airborne Plus

Droplet Plus

Droplet Plus

Droplet Plus

PPE for aerosol-generating procedure:

Airborne Plus

Airborne Plus

Airborne Plus

Airborne Plus

Airborne Plus

Airborne Plus

**If patient has previous (+) test, see CMH Discontinuation of Isolation Precautions. DROPLET PLUS vs. AIRBORNE CONTACT

PPE LEVEL

DESCRIPTION

VISUAL

Droplet Plus

Mask AND appropriate eyewear. * Use gown/gloves with direct patient contact (i.e., toilet/transfer).

*see CMH Eyewear Protection ? COVID Related Strategies

Airborne Contact

PAPR or N95 AND full-face shield or gasket goggles AND gown/gloves.

* Gown and gloves are required when adequate distance cannot be maintained AND during the implementation of an aerosol-generating procedure.

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