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COVID-19 Personal Protective Equipment Resources
Topic Collection
June 5, 2020

Topic Collection: COVID-19 Personal Protective Equipment Resources

This Topic Collection focuses on plans, tools, templates, and other immediately implementable resources to help with COVID-19 preparedness, response, recovery, and mitigation efforts, focusing on personal protective equipment (PPE).

Please refer to CDC’s Coronavirus Disease 2019 webpage for the most up-to-date clinical guidance on COVID19 outbreak management.

If you have COVID-19 best or promising practices, plans, tools, or templates to share with your peers, please visit the ASPR TRACIE Information Exchange COVID-19 Information Sharing Page (registration required) and place your resources under the relevant topic area. Resources specific to PPE can be placed under the COVID-19 Personal Protective Equipment Resources Topic.

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The Hospital Personal Protective Equipment (PPE) Planning Tool is designed to help hospitals determine approximate PPE needs based on special pathogen category and a number of facility specific variables. Calculators are included for Ebola Virus Disease/Viral Hemorrhagic Fever (EVD/VHF) as well as special respiratory pathogens such as Middle East Respiratory Syndrome/Severe Acute Respiratory Syndrome (MERS/SARS), and for pandemic influenza. The password for this tool is "tr@c13." Access the (compliant) PDF file at: https://files.asprtracie.hhs.gov/documents/aspr-tracie-hospital-ppe-planning-tool.pdf.
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  • Bridget Kanawati Hi Ms. Vedder, The password to unlock the Hospital Personal Protective Equipment Planning Tool is: tr@c13. Thank you. ASPR TRACIE Team
    3/30/2020 12:34:59 PM
  • Rhonda Vedder The document is protected with password, so can't unlock to edit for my facilities use.
    3/30/2020 8:29:03 AM
Battelle. (2020). Battelle CCDS.
This web page describes the Critical Care Decontamination System (CCDS) designed for decontamination of SARS-CoV-2 and other biological contaminants from N95 respirators. The CCDS is authorized for emergency use during the COVID-19 pandemic to enable decontamination and reuse of N95 respirators.
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Baxter, C. and Stull, J. (2020). Balancing the Risk - Strategies for Respiratory Protection During a Pandemic. The Interagency Board for Emergency Preparedness and Response.
This document describes a phased approach to risk management for first responders based on the availability of respiratory personal protective equipment during the COVID-19 pandemic.
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Centers for Disease Control and Prevention. (2020). Personal Protective Equipment (PPE) Burn Rate Calculator. U.S. Department of Health and Human Services.
This Excel-based calculator allows healthcare facilities and other workplaces to enter the quantity of their current stock of various types of personal protective equipment (PPE) and calculate an average consumption rate (burn rate). Based on the burn rate, they can estimate their remaining PPE supply.
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Chung, S.J., Ling, M.L., Seto, W.H. et al. (2014). Debate on MERS-CoV Respiratory Precautions: Surgical Mask or N95 Respirators? Singapore Medical Journal. 55(6):294-7.
The authors summarize a debate among infectious disease practitioners in Singapore regarding whether surgical masks or N-95 respirators should be recommended for health care workers caring for patients with MERS-CoV. They conclude that the evidence supports MERS-CoV being transmitted through droplets, except for aerosol-generating procedures, and so surgical masks are sufficient. They contend that it is more protective for health care workers to consistently wear surgical masks, than inconsistently wear N-95s. N-95 masks have previously been found to be uncomfortable and cause headaches and impaired mental function in health care workers after prolonged use. (Note that the CDC recommends N95s be used for suspect MERS-CoV in the U.S.)
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Colorado Department of Public Health and Environment. (n.d.). Concept of Operations (CONOPS) for Coronavirus Disease (COVID-19) Personal Protective Equipment Shortage. (Accessed 3/25/2020.)
This plan outlines recommendations to reduce use of personal protective equipment (PPE) in the context of expected shortages and outlines the resource request process within the state.
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COVID-19 Healthcare Resilience Task Force. (2020). COVID-19 Hospital Resource Package.
This document lists key COVID-19 guidance and resources for hospital administrators, hospital emergency planners, and infection control practitioners in the following topical areas: hospital surge, crisis standards of care, staffing surge and resilience, workforce protection, regulatory relief, equipment supply surge, and telemedicine. Each section contains links to Federal and non-Federal guidance to help hospitals prepare for and respond to a COVID-19 outbreak.
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This clinical evidence assessment reviewed laboratory studies and found that most supported prioritizing N95 extended use over reuse. The report provides background on N95 respirators including information on their regulation, extended use and reuse and associated risks, complementary conservation measures, alternatives to single-use N95 respirators, and actions taken in response to the N95 respirator shortage during the COVID-19 pandemic; summarizes clinical guidelines and recommendations; reviews clinical literature; and includes links to additional resources and references.
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Emory Healthcare. (2020). COVID-19 for Medical Professionals. (Added 4/30/2020.)
This frequently updated page hosts patient management protocols and resources for medical professionals caring for COVID-19 patients. Topics include care protocols and guidelines (general, venous thromboembolism, renal replacement therapy, radiology and imaging, and ethics, palliative, and end-of-life care), personal protective equipment, and telemedicine (training, policy and implementation guides, and technology support).
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Federal Emergency Management Agency. (2020). Coronavirus (COVID-19) Pandemic: Addressing PPE Needs in Non-Healthcare Setting. U.S. Department of Homeland Security.
This fact sheet highlights personal protective equipment (PPE) preservation strategies in non-healthcare settings and how to acquire PPE for essential critical infrastructure workers. It also provides key questions and answers for those making PPE requests.
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This guidance summarizes best practices for national implementation to sustain personal protective equipment while ensuring the protection of workers during the COVID-19 pandemic response.
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Federal Emergency Management Agency. (2020). Using the Critical Care Decontamination System. (Added 5/4/2020.) U.S. Department of Homeland Security.
This fact sheet provides information on the Critical Care Decontamination System (CCDS), which may be used to decontaminate N95 respirators for reuse during the COVID-19 pandemic. The fact sheet also specifies site requirements, including a diagram showing the site layout.
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Under this Emergency Use Authorization, the STERIS V-PRO 1 Plus, maX and maX2 Low Temperature Sterilization Systems may be used to decontaminate compatible N95 or N95 equivalent respirators for reuse by healthcare personnel while there are product shortages during the COVID-19 pandemic.
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Kentucky Department for Public Health. (2020). Guideline for Conservation of Respiratory Protection Resources.
These guidelines describe strategies for optimizing the supply of N95 respirators and provide recommendations for extended use and limited reuse of N95 respirators in healthcare settings.
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Klompas, M., Morris, C., Sinclair, J., et al. (2020). Universal Masking in Hospitals in the COVID-19 Era. The New England Journal of Medicine
The authors of this article suggest that universal masking of healthcare workers should be considered. They identify care of patients with unrecognized COVID-19 and asymptomatic or minimally symptomatic healthcare workers with COVID-19 as two potential disease transmission scenarios that may be addressed by universal use of masks by all healthcare workers in conjunction with appropriate use of other personal protective equipment and infection prevention measures.
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Lowe, J., Paladino, K., Farke, J., et al. (n.d.). N95 Filtering Facepiece Respirator Ultraviolet Germicidal Irradiation (UVGI) Process for Decontamination and Reuse. (Accessed 3/26/2020.) Nebraska Medicine.
The authors describe Nebraska Medicine’s evidence-based procedure to decontaminate N95 filtering facepiece respirators via ultraviolet germicidal irradiation (UVGI) to enable their re-use and extend the institution’s stockpile. The document includes a diagram depicting the room setup where UVGI takes place, a process map detailing the decontamination steps, roles and responsibilities, and an appendix with photos depicting the process.
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These online guidelines systematically review the evidence related to eight COVID-19 infection prevention practices and grade recommendations as strong, conditional, or a knowledge gap. Related guidelines are available for treatment and management and diagnostics.
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Massachusetts General Hospital. (2020). Strict Isolation PPE Doffing.
This video demonstrates the personal protective equipment doffing process under Massachusetts General Hospital's strict isolation policy. It uses a combination of airborne isolation, contact isolation, and eye protection to protect healthcare workers caring for patients known or suspected to be infected with highly pathogenic organisms transmitted by the airborne route or direct or indirect contact with the patient, environmental surfaces, or contaminated equipment. Diseases covered under this policy include SARS, MERS, avian influenza, and 2019 Novel Coronavirus.
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Massachusetts General Hospital. (2020). Strict Isolation PPE Donning.
This video demonstrates the personal protective equipment donning process under Massachusetts General Hospital's strict isolation policy. It uses a combination of airborne isolation, contact isolation, and eye protection to protect healthcare workers caring for patients known or suspected to be infected with highly pathogenic organisms transmitted by the airborne route or direct or indirect contact with the patient, environmental surfaces, or contaminated equipment. Diseases covered under this policy include SARS, MERS, avian influenza, and 2019 Novel Coronavirus.
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This one-page grid indicates the types of personal protective equipment that should be worn by residents, visitors, and various staffing roles in long term care facilities under contingency standards of care for COVID-19.
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National Academies of Sciences, Engineering, and Medicine. (2018). Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. The National Academies Press.
This report examines strategies for and pros and cons related to stockpiling and reusing elastomeric respirators during an influenza pandemic or other large aerosol-transmissible outbreak.
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National Ebola Training and Education Center. (n.d.). COVID-19 PPE Guidance. (Accessed 3/25/2020.)
This COVID-19 resource includes a link to a just-in-time training video describing infection prevention guidelines, recommended personal protective equipment (PPE) and its proper use, and donning and doffing procedures; a three-page flyer showing donning and doffing procedures; a PPE competency validation checklist; PPE checklist instructor guide; and contaminated glove removal instructions.
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National Ebola Training and Education Center. (n.d.). PPE (COVID-19) Use and Conservation. (Accessed 3/25/2020.)
This page offers several personal protective equipment (PPE) conservation flyers and guides, videos, and checklists.
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National Institute for Occupational Safety and Health. (2020). PPE Tracker App. (Added 5/29/2020.) Centers for Disease Control and Prevention.
This mobile application - based on the Centers for Disease Control and Prevention's PPE Burn Rate Calculator - allows healthcare facilities to calculate their remaining supply of personal protective equipment based on current inventory levels and their burn rate.
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Nebraska Medicine. (2020). COVID-19 Resources for Providers*.
This frequently updated page includes: information on use, donning and doffing, and decontamination of personal protective equipment; protocols and checklists; inpatient, ambulatory, surgical, special patient populations, treatment, and patient transport guidance; and other related resources for healthcare providers.
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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Innovative PPE Preservation Strategies (5/8/2020.). (Added 5/12/2020.) U.S. Department of Health and Human Services.
This webinar is part of the COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This webinar shared innovative personal protective equipment preservations strategies from Mount Sinai Hospital and the University of Nebraska Medical Center.
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This research letter describes surface environmental sampling in airborne infection isolation rooms (AIIR) with anterooms and personal protective equipment (PPE) of physicians exiting patients’ rooms, and air sampling in a dedicated COVID-19 treatment center in Singapore. Only one of the PPE swabs was positive and all air samples were negative. Environmental samples from AIIRs after routine cleaning were negative. Extensive environmental contamination was found prior to routine cleaning in 13 of 15 AIIR room sites and 3 (toilet bowl, sink, door handle) of 5 bathroom sites, but samples from the anteroom and corridor were negative.
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Providence Health System. (2020). Personal Protective Equipment (PPE) Resources.
This resource page includes job aid and videos demonstrating donning and doffing procedures for: a simple mask with single or double gloves, an N95 respirator with single or double gloves, a CAPR hood with single or double gloves, a PAPR hood with single or double gloves, and a personal protective equipment visual guide. It also includes information on making masks.
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This document details personal protective equipment (PPE) considerations for first responders to protect against inhalation, ocular, and dermal exposures to SARS-CoV-2; donning, use, and doffing considerations; cleaning, sanitizing, and disinfecting considerations; decontamination and disinfection procedures and considerations for vehicles, apparatus, and fire stations; and waste management considerations.
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University of Washington Medicine. (2020). UW Medicine COVID-19 Resource Site.
This page includes policies and protocols developed by the University of Washington health system and its partners to address COVID-19. Frequently updated, the page includes: 1) patient care protocols and algorithms, 2) other inpatient clinical guidance, 3) neonatal care protocols, 4) policy statements on personal protective equipment, patient care, post-acute and long term care, operations and facilities, staff, and other (autopsy, information technology, and vendor and delivery driver access).
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Washington State Department of Health. (2020). Special Droplet/Contact Precautions.
This door sign and accompanying instructions describe precautions to be taken when caring for a patient with COVID-19.
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This video demonstrates donning and doffing techniques for personal protective equipment appropriate for use with COVID-19.
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Agencies and Organizations


Association for Professionals in Infection Control and Epidemiology. COVID-19.
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Centers for Disease Control and Prevention. Strategies to Optimize the Supply of PPE and Equipment.
This site has multiple links to help healthcare facilities and staff optimize their personal protective equipment (PPE), with specific guidance on the usage of gowns, masks, eye protection, and N95 respirators, PPE decontamination procedures, and responses to frequently asked questions.
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Occupational Safety and Health Administration. COVID-19.
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The National Institute for Occupational Safety and Health. Coronavirus Disease - 2019.
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U.S. Food and Drug Administration. Coronavirus Disease 2019 (COVID-19).
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