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COVID-19 Personal Protective Equipment Resources
Topic Collection
April 10, 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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Centers for Disease Control and Prevention. (n.d.). Personal Protective Equipment (PPE) Burn Rate Calculator. (Accessed 3/25/2020.) 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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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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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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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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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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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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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-10. 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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