Section: Module 2: Lesson 1: Physical Protection for Healthcare Workers | COVID-19 Orientation for Frontline Healthcare Providers in the Acute Care Setting | NextGenU.org

  • Learning objectives:
    • Apply conceptual aspects of physical protective practices, disinfection, and personal protective equipment.
    Approximate time required for the readings for this lesson (at 144 words/minute):  110 mins

    Click here to start this lesson

    • The following contains some information from the field.

      The information surrounding personal protective equipment (PPE) is varied and ever-changing as knowledge of the virus evolves. PPE recommendations will also vary based on job function, location, facility policy, and available supply. Ideally, healthcare workers will wear a fit-tested N95 mask or powered, air-purifying respirator (PAPR) when they are working within a 6-foot radius of COVID-19-positive patients. Additional PPE, as indicated, includes face shields, shoe covers, and hair covers/bouffant caps, fluid-resistant gowns, and gloves (NIH, 2020). 

      Even the N95 respirator mask is not 100% protective (the N95 filters out particles >0.3 microns, whereas COVID-19 is a 0.125-micron virus size), so it is important to utilize both engineering and administrative protection to the greatest extent possible. Surgical masks are indicated as PPE against COVID-19 as they offer some protection against the virus; the application of a surgical mask over an N95 mask reduces the risk of N95 mask soiling (NIH, 2020). 

      Extension and reuse practices should be implemented to combat the shortage of this protective equipment. N95 respirator masks can safely be disinfected using low-temperature sterilization methods. (Jatta et al., 2020).

      References

      Jatta, M., Kiefer, C., Patolia, H., Pan, J., Harb, C., Marr, L. C., & Baffoe-Bonnie, A. (2020). N95 Reprocessing by Low-Temperature Sterilization with 59% Vaporized Hydrogen Peroxide during the 2020 COVID-19 Pandemic. American journal of infection control, S0196-6553(20)30576-9. Advance online publication. https://doi.org/10.1016/j.ajic.2020.06.194   

      National Institutes of Health. (2020). COVID-19 Treatment Guidelines Panel. Coronavirus Disease 2019 (COVID-19) Treatment Guidelines. Retrieved from:  https://www.covid19treatmentguidelines.nih.gov/

    • Required Learning Resources and Activities
    • Identify recommendations and risks regarding reuse and extended use of facepiece respirators

    • Read the entire article.

    • The article recommends practices for extending the use and reuse of N-95 respirator masks.

      Read the entire article. 

    • Summarize surface disinfection measures based on evidence about coronavirus persistence on inanimate surfaces

    • This article communicates the importance of and methods for surface decontamination of coronaviruses.

      Read the entire document.

    • Implement the five prevention and control strategies when COVID-19 is suspected in clinical cases.

    • This document, produced by the World Health Organization, discusses infection prevention and control strategies for COVID-19. 

      Read the entire document.

    • Read the entire article.

    • To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.
    • Additional Resources for Optional Learning
    • OSHA's guidelines on workplace practices for front-facing workers caring for both confirmed and suspected COVID-19 patients.

      Read the entire document.