In: Nursing
1) ans )
Most personal protective equipment (PPE) is designed for single
use, but in situations where supply is limited, extended use
(continued use between patients without doffing when
providing
care to patients infected with the same pathogen) and reuse may be
considered.
✓Gowns are recommended for the care of suspected or confirmed
COVID-19 patients by the CDC20 , the World Health Organization
(WHO), and Public Health Agency of Canada (PHAC) for contact
precautions. Reprocessing of disposable gowns is impractical due to
the inability to launder, remove contamination and maintain
integrity, prevent cross contamination also.
These recommends cloth gowns be laundered after each use. A
combination of mechanical,thermal, and chemical factors results in
the antimicrobial action of the laundering process –protocols may
vary.
The CDC cites easy breakage of disposable gown ties and
fasteners, making them less amenable
to washing and reuse than reusable gowns. When disposable gowns are
in short supply, they
suggest a number of alternatives, e.g., extended use of gowns;
using reusable (washable)
patient gowns and laboratory coats.
PPE designed for reuse (e.g. elastomeric respirators) is a safe
alternative to single-use PPE.
Cleaning and disinfection of the product must follow the
manufacturer’s instructions for use.
Expired stockpiles of single-use PPE (e.g. masks, N95
respirators), if available and intact, are
preferable to decontaminating single-use PPE.
If reuse is considered, it should not occur without adequate
disinfection processes.
Contamination of respirator surfaces is common, and doffing or
re-donning of the same
respirator without adequate disinfection may result in infection
transmission.
Disinfection and reuse of disposable PPE for reuse (N95
respirators) may be possible, but the
processes used may compromise the integrity of the product and
impact its effectiveness.
Considerable logistical issues need to be considered for this
approach to be feasible.
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