Safety Guidelines for Sterility of Face Shields During COVID 19 Pandemic

Khan, Mubarak Muhamed; Parab, Sapna Ramkrishna

doi:10.1007/s12070-020-01865-2

Cited by 27 publications

(42 citation statements)

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“…Because of the possibility of conjunctival transmission of COVID-19-first reported by a Chinese expert 29 and later confirmed by scientific studies 30 -we strongly recommend using face shields in conjunction with goggles. 31 In addition, applying cleaning or antimist agents on the goggles might also help prevent misting. According to the results of the intergroup comparison, the working time in PPE at designated hospitals and in an ICU should be reduced to approximately 4 hours, whereas in other workplaces and departments, 6 hours could be considered the maximum duration.…”

Section: Discomfort and Inconvenience Owing To Ppementioning

confidence: 99%

The Physical and Psychological Effects of Personal Protective Equipment on Health Care Workers in Wuhan, China: A Cross-Sectional Survey Study

Xia¹,

Fu²,

Liao³

et al. 2020

Journal of Emergency Nursing

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The current literature on health care workers wearing personal protective equipment (PPE) indicates that they experience a wide variety of discomfort, especially for nurses in the emergency department. This article contributes mainly that the discomfort caused by wearing PPE could be classified into 7 categories: (1) dizziness, (2) dyspnea, (3) nausea, (4) micturition desire, (5) retroauricular pain, (6) thirst, and (7) inconvenience at work. More complaints about uncomfortable symptoms and pressure sores were reported by female physicians and nurses and by those working at designated hospitals or in intensive care units and working in PPE for more than 4 hours. Key implications for emergency nursing practice are that shorter time per shift, adequate protective products, and proper psychological interventions may be beneficial to relieve discomfort.

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Section: Discomfort and Inconvenience Owing To Ppementioning

confidence: 99%

The Physical and Psychological Effects of Personal Protective Equipment on Health Care Workers in Wuhan, China: A Cross-Sectional Survey Study

Xia¹,

Fu²,

Liao³

et al. 2020

Journal of Emergency Nursing

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“…Challenges in safely treating patients with tracheostomy in low-resource settings include staff training, inadequate PPE, insufficient functioning ventilators or repairs, lack of medical oxygen, short supply of suction devices, and reliance on nonsterile suction catheters that are washed and reused between patients. [113][114][115][116][117][118] Despite these constraints, remarkable ingenuity by critical care nurses and hospitals allows most evidencebased recommendations presented herein to be tailored for implementation within local protocols, 119 with notable caveats in conventional sterilization techniques, limited testing, and lack of isolation rooms. [120][121][122] Examples of ingenuity include gloves made from plastic materials melted in home-made heated molds, cutting 5-gallon water bottles into vented full-coverage face shields, and evidence-based substitution for infection control (eg, soaking used gloves in special available detergents).…”

Section: Considerations For Low-resource Health Systemsmentioning

confidence: 99%

Critical Care Guidance for Tracheostomy Care During the COVID-19 Pandemic: A Global, Multidisciplinary Approach

Pandian

Morris

Brodsky

et al. 2020

American Journal of Critical Care

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Purpose Critical care nurses caring for patients with a tracheostomy are at high risk because of the predilection of SARS-CoV-2 for respiratory and mucosal surfaces. This review identifies patient-centered practices that ensure safety and reduce risk of infection transmission to health care workers during the coronavirus disease 2019 (COVID-19) pandemic. Methods Consensus statements, guidelines, institutional recommendations, and scientific literature on COVID-19 and previous outbreaks were reviewed. A global interdisciplinary team analyzed and prioritized findings via electronic communications and video conferences to develop consensus recommendations. Results Aerosol-generating procedures are commonly performed by nurses and other health care workers, most notably during suctioning, tracheostomy tube changes, and stoma care. Patient repositioning, readjusting circuits, administering nebulized medications, and patient transport also present risks. Standard personal protective equipment includes an N95/FFP3 mask with or without surgical masks, gloves, goggles, and gown when performing aerosol-generating procedures for patients with known or suspected COVID-19. Viral testing of bronchial aspirate via tracheostomy may inform care providers when determining the protective equipment required. The need for protocols to reduce risk of transmission of infection to nurses and other health care workers is evident. Conclusion Critical care nurses and multidisciplinary teams often care for patients with a tracheostomy who are known or suspected to have COVID-19. Appropriate care of these patients relies on safeguarding the health care team. The practices described in this review may greatly reduce risk of infectious transmission.

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“…• Remove using gloves, then disinfect if reusable. [43] • Employers should provide long sleeve gowns, if not possible, laundry services should be provided. • All skin should be covered.…”

Section: • Attempt To Resolve Issues Remotely Before Submittingmentioning

confidence: 99%

Impact of SARS-CoV-2 on orthodontic education and global practice guidance: A scoping review

Azizollahi

Mohajerani

Kau

et al. 2020

APOS

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The acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as COVID-19, has had unprecedented impact on orthodontic care and education. Dental schools and clinics have stopped their normal educational and clinical activities worldwide, while only accepting emergency cases. It is still unknown when students will return to clinics to resume patient care and receive training. This scoping review aims to examine, summarize, and reference current resources to analyze the impact of SARSCoV-2 on orthodontic practice recommendations and orthodontic education. This review summarizes recommended global guidelines to provide a better understanding of the current consensus for protocols of safe orthodontic care; this scoping review serves to help create concrete guidelines for orthodontists to deal with the current SARS-CoV-2 pandemic, and for future infectious diseases, and assessing the impact on orthodontic education. Using inclusion/exclusion criteria, 456 articles were screened by two independent screeners and data were extracted and charted from 50 relevant sources. These 50 sources conveyed similar guidelines for provider and patient safety in orthodontic practices, with some stressing certain protocols such as personal protective equipment over others. Impacts on orthodontic education conveyed changes in protocols for learning, competency, and clinical skills. As this respiratory illness progresses, the field of orthodontics needs cohesive universal clinical guidelines and further assessment of the impacts of SARS-CoV-2 on orthodontic education.

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Safety Guidelines for Sterility of Face Shields During COVID 19 Pandemic

Cited by 27 publications

References 0 publications

The Physical and Psychological Effects of Personal Protective Equipment on Health Care Workers in Wuhan, China: A Cross-Sectional Survey Study

The Physical and Psychological Effects of Personal Protective Equipment on Health Care Workers in Wuhan, China: A Cross-Sectional Survey Study

Critical Care Guidance for Tracheostomy Care During the COVID-19 Pandemic: A Global, Multidisciplinary Approach

Impact of SARS-CoV-2 on orthodontic education and global practice guidance: A scoping review

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