Precautions for SARS

1
Precautions for SARS
2
Room Placement / Entry

• Airborne isolation rooms or SARS unit (negative
  pressure, at least 6 air exchanges per hour)
• Only essential staff enter room/unit
• Minimize time in room
• Minimize time within six feet of patient
• HCW position to avoid droplets in front of
  patients face
• Minimize amount of direct contact with patient
• Do not go into patients bathroom unless
  essential for patient care

3
Reducing Droplets

• Medical management to reduce cough
• Medical management to reduce nausea and prevent
  vomiting
• No nebulizer treatments
• Supply oxygen dry by nasal prongs if possible
• Patient to wear surgical mask at all times when
  HCW are in the room
• Handle bed linens to avoid creating aerosols

4
Protective Barriers N95 Mask
- Ensure mask fits on face - Comfortable enough
so that does not need adjustment while garbed
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Protective Barriers Cap/Hair Cover
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Protective Barriers Face Shield
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Protective Barriers Gown
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Protective Barriers Gloves

• Ensure overlap between gloves and gown cuff
• Double glove
• Wear first pair for direct contact with patient,
  then remove
• If top pair of gloves contaminated (eg. cleaning
  vomit), remove and replace

9
Protective Barriers

• Protect face
• Consciously keep hands away from face/head/neck
  while in room
• Ensure hair is tied or clipped back so that hands
  do not move to adjust
• Dont be afraid to ask for help with procedures
• Iv starts etc more difficult to perform garbed
• Most experienced person should be performing
• Do not check pager, or answer phone while in room
• Do not wear rings or watch (to allow adequate
  disinfection of hands)

10
Removing Barriers

• At door to room, remove gloves, then gown

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Removing Barriers

• At door to room, remove gloves, then gown

12
Removing Barriers

• At door to room, remove gloves, then gown

13
Removing Barriers

• Disinfect hands with alcohol handwash in the room

14
Removing Barriers

• Leave the room

15
Removing Barriers

• Leave the room

16
Removing Barriers

• Disinfect hands

17
Removing Barriers

• Disinfect hands

18
Removing Barriers

• Hold the face shield by the edge of the face
  shield and lift it up over your head

19
Removing Barriers

• Hold the face shield by the edge of the face
  shield and lift it up over your head

20
Removing Barriers

• Remove N95 mask, by holding at the bottom and
  lifting it up over your head

21
Removing Barriers

• Remove N95 mask, by holding at the bottom and
  lifting it up over your head

22
Removing Barriers

• Remove hair cover

23
Removing Barriers

• Disinfect hands

24
Removing Barriers

• Disinfect hands

25
Protective Barriers

• Put on a clean N95 mask, a clean gown, and hair
  cover

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Protective Barriers

• Put on a clean N95 mask, a clean gown, and hair
  cover

27
Protective Barriers

• Put on a clean N95 mask, a clean gown, and hair
  cover

28
Protective Barriers

• Put on a clean N95 mask, a clean gown, and hair
  cover

29
Protective Barriers
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If you feel sick

• Early infection can present with low grade fever
  and chills only, or only aching and headache
• Check with occupational health if you are worried
• Report fever immediately assessment will be
  arranged same day
• Self-isolate at home until assessment has been
  done, or until you feel better