Donning and doffing of personal protective equipment (PPE) for angiography during the COVID-19 crisis

Abstract

is recommended for the first operator and the individual who will be managing the airway. These are institutional recommendations as there are no official position statements regarding the above.

Evaluation of the effects of Covid 19 on the mental health of staff in a private hospital for coronary patients

“…Structures that are skeptical based on the circumstances of the crisis, the values and goals of the dependent community [27]show the impact of these conditions on the community, different and dual consequences and effects. On the other hand, they cause confusion in society and weaken the rules of society, and increase the difference between society and sel shness and individualism.…”

Response of an Obstetric Unit during the Coronavirus Disease of 2019 (COVID-19) Pandemic: Experiences from a Tertiary Care Center

“…We prioritized education using live instructor-led training with small group demonstrations and video-based instructions for learning donning and doffing PPE. 10 11 Face-to-face training may reduce errors but increases staff exposure risk. Video training involves less time and may be a more resource-efficient method.…”

Identifying and Implementing Strategies to Reduce the Risk of Self-Contamination of Health Care Workers Caused by Doffing of Personal Protective Equipment During the COVID-19 Pandemic

“…Adequate training and frequent monitoring of HCW during donning and doffing, can limit the transmission of infection, by reducing deviations from ideal techniques. 8,9,11 Also, it is necessary to obtain frequent data regarding the facilitators (like fit with PPE) for improving the compliance, along with barriers like fogging, perspiration as evaluated in a recent questionnaire based study. 25 Doffing zone needs extra monitoring by "dofficer" in real time, in order to ensure appropriate disposal of used PPE in compliance with the established standard operating procedures (SOPs) in that particular facility.…”

“…7 This could be ensured with the help of audible alarms or music for a requisite duration (20 seconds) after pressing the foot operated sanitizer systems. 9 Use of computer simulations ensuring proper sequence of removal of PPE, incorporation of alarm systems in case the sequence is failed and also the use of telecommunication (a supervisor giving instructions to the HCW through audio-visual interface) can ensure safe passage of the HCWs through the doffing zone, with minimal self-and crosscontamination risks. 10,19…”

“…4,7 There are several factors which influence the rate of self-contamination of HCWs during doffing, like compliance of HCW in adhering to the checklists and standardized operating procedures (SOPs), poor fitting of PPE, damage to PPE during work either due to poor quality or due to shear stress or friction from various activities. 8,9 This perspective provides available evidence of interventions and advancements to achieve the goal of least possible self-contamination during doffing of PPE. These can be categorized into: Table 1).…”