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 patient’s face • Minimize amount of direct contact with patient • Do not go into patient’s 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

5. Protective Barriers: Cap/Hair Cover

6. Protective Barriers: Face Shield

7. Protective Barriers: Gown

8. 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 • Don’t 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

11. 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

26. 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

30. 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