Cardiac Arrest
Airborne +Contact/Droplet

Airborne +Contact/Droplet

Personal Protective Equipment (PPE) Donning and Doffing in Setting of AGMP

IH Memo April 16 regarding Personal Protective Equipment Recommendations for Endotracheal Intubation of COVID-19 Suspect or Infected Patients

Donning PPE if performing non-intubation AGMP

  • Includes: N95 mask, full face shield, gown, gloves, bouffant

Doffing PPE if after performing non-intubation AGMP Donning for intubation in the OR

  • Includes: N95 mask, full face shield, gown, gloves, bouffant, drape

Donning for intubation outside the OR

Donning for intubation video from IH

The team member intubating the patient should don PPE for AGMP with the addition of double gloves with longer cuffs and some form of anterior neck coverage. In the absence of hoods or the ability to use them safely, a disposable surgical drape with the adhesive edge attached to the lower edge of the face shield will provide neck protection.

Doffing after intubation in the OR

Doffing after intubation outside the OR

Doffing for intubation video from IH

Memo April 23, 2020:Optimal Use of Extended Cuff Non-sterile Nitrile Gloves

Leave the signage on the door and keep room door closed for the minimum time to allow airborne particles to be removed, based on the number of air exchanges per hour

  • For Airborne Infection Isolation Room (negative pressure room): 45 minutes based on min 12 air changes per hour
  • For regular private rooms: up to 2 hours based on 3-4 air changes per hour in a private room
  • If specific air changes are known, refer to the air clearance rates in Table below* to determine clearance times

  • For OR setting: due to positive pressure, OR doors must remain closed for the appropriate number of air changes after AGMP to avoid contamination into hallways surrounding the OR

*Number of air exchanges: Table

Signage for intermittent vs continuous AGMP - touch image to expand

AGMPs in Long Term Care Settings