scholarly journals Patient-Worn Enhanced Protection Face Shield for Flexible Endoscopy

2020 ◽  
Vol 163 (2) ◽  
pp. 280-283 ◽  
Author(s):  
Jack B. Anon ◽  
Carter Denne ◽  
Darcy Rees
Keyword(s):  
Personal Protective Equipment ◽  
Health Care Professionals ◽  
Medical Personnel ◽  
Flexible Endoscopy ◽  
Primary Objective ◽  
Protective Equipment ◽  
Fiberoptic Endoscopy ◽  
Institutional Review ◽  
Inferior Aspect ◽  
Fluorescein Dye

Objectives The primary objective of this study was to compare the protection afforded by a standard face shield design with a new enhanced design in a controlled setting. Methods This study was exempted from review by institutional review board waiver. A flexible fiberoptic endoscopy was placed through stellate openings in the standard face shield and the enhanced face shield. A series of simulated coughs were created with bursts of fluorescein dye through an atomizer tip placed within the test participant’s mouth. Ultraviolet lighting illuminated the test area, and areas of dye splatter were noted. Results Fluorescein dye is easily aerosolized along the lateral inferior aspect of a standard shield with significant contamination of the surrounds. The enhanced face shield maintained a barrier to the aerosolized dye. Discussion Face shields, rather than face masks, should be considered a preferred alternative for the public and for health care professionals alike, as they address many of the personal protective equipment concerns especially during the COVID-19 pandemic. Otolaryngologists are at high risk from aerosol-generating procedures, such as flexible fiberoptic endoscopy, even when wearing personal protective equipment. Here we describe a uniquely designed face shield to be worn by the patient as another layer of protection for the environment and for medical personnel. Implications for Practice During the course of a flexible fiberoptic endoscopy, medical personnel are safely isolated from potential infectious particles with a newly designed face shield.

Infectious safety of nursing staff in departments (offices) functional diagnostics in the context of the COVID-19 pandemic

2020 ◽  
pp. 30-33
Author(s):  
E. V. Panina ◽  
M. V. Pugachev ◽  
A. G. Shchesiu
Keyword(s):  
Medical Care ◽  
Nursing Staff ◽  
Personal Protective Equipment ◽  
Medical Personnel ◽  
Medical Waste ◽  
Daily Activities ◽  
Protective Equipment ◽  
Functional Diagnostics ◽  
Prevention Of Infections ◽  
Epidemiological Situation

The article shows that in the daily activities of nursing staff of functional diagnostics departments (offices), it is necessary to strictly observe the requirements and rules for the prevention of infections associated with medical care, especially during the COVID-19 pandemic. The types of personal protective equipment (PPE) of medical personnel (MP), as well as current effective methods of disinfection, rules for collecting medical waste in a complex epidemiological situation are presented.

scholarly journals Scientific Collaboration During the COVID-19 Pandemic: N95DECON.org

2020 ◽  
Vol 64 (8) ◽  
pp. 775-777
Author(s):  
David Rempel
Keyword(s):  
Health Care ◽  
Personal Protective Equipment ◽  
Health Care Professionals ◽  
Scientific Collaboration ◽  
Protective Equipment ◽  
Collaborative Groups ◽  
Spontaneous Formation ◽  
Prevention And Treatment ◽  
On Line ◽  
Scientific Questions

Abstract Many academics and researchers have responded to the COVID-19 pandemic by forming on-line national and international collaborative groups to rapidly investigate issues of prevention and treatment. This commentary describes the spontaneous formation of an international team of 115 researchers who summarized the literature on safe methods for decontaminating N95 filtering facepiece respirators in response to the supply crisis. The summary reports and fact sheets on the (www.n95decon.org) website have had more than 200 000 unique visits and the organization’s webinars have reached health care professionals from more than 50 countries. The team is extending its mission to cover other personal protective equipment. The success of these collaborations may alter how scientific questions are tackled in the future.

scholarly journals Practices of Midwives in the Use of Personal Protective Equipment when Aid Labor during the COVID-19 Pandemic

2021 ◽  
Vol 1 (2) ◽  
pp. 173-179
Author(s):  
Shinta Novelia ◽  
Rosmawati Lubis ◽  
Reni Murniati ◽  
Bunga Tiara Carolin
Keyword(s):  
Personal Protective Equipment ◽  
Sampling Technique ◽  
Medical Personnel ◽  
Average Score ◽  
Protective Equipment ◽  
Validity And Reliability ◽  
Chi Square ◽  
Cross Sectional ◽  
Personal Protection Equipment ◽  
Average Value

Background: In the era of the COVID-19 pandemic, the use of personal protective equipment (PPE) is very important to reduce the risk of transmitting infectious diseases to medical personnel because it can prevent contact with pathogens. This shows that midwives as first-line managers of pregnancy, childbirth and postpartum cases must be vigilant by wearing complete Personal Protection Equipment (PPE) so that there is no transmission of the virus from the patient to the midwife. Objective: To determine the analysis of midwives' practices in using PPE when assisting labor during the COVID-19 pandemic at the Banten Regional General Hospital 2020-2021. Methodology: A quantitative analytic study using a cross sectional approach. The sample in this study was 102 respondents with purposive sampling technique. Data were analyzed using SPSS with Chi Square, which previously tested the validity and reliability. Results: The use of PPE in midwives in Banten Hospital obtained an average value of 84.3. Based on age, the average value was 53.9. Based on the length of service, the average score was 96.1. Based on education, the average score is 55.9. The results of the chi-square test showed that all independent variables had no relationship with the use of PPE including knowledge (p = 0.323), attitude (p = 0.665), availability of PPE (p = 0.740), and supervision (p = 0.603). Conclusions and Suggestions: The use of PPE in midwives has no relationship with knowledge, attitudes, availability of PPE and supervision. There is a need for socialization about the importance of using PPE to midwives in order to maintain the quality of expected care services. There is a need for an K3 unit in Banten Hospital which is one of the authorities. There needs to be special attention from the Hospital Management regarding the supervision of the use of PPE in midwives.

scholarly journals Overview of Current International Recommendations for Echocardiography Exams During the Covid-19 Pandemic and Its Local Implementation in Austria

2021 ◽  
Vol 8 ◽  
Author(s):  
Michael Lichtenauer ◽  
Erika Prinz ◽  
Christina Granitz ◽  
Bernhard Wernly ◽  
Kristen Kopp ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Medical Personnel ◽  
Professional Associations ◽  
Physical Contact ◽  
Protective Equipment ◽  
Local Implementation ◽  
Chinese Province ◽  
Rapid Pace ◽  
Novel Coronavirus ◽  
Medical Examinations

Since its first appearance in December 2019, the novel Coronavirus SARS-CoV-2 (Severe acute respiratory syndrome coronavirus 2) has spread throughout the world at rapid pace causing the coronavirus disease 2019 (Covid-19). Originating in the Chinese province Hubei, more than 91.8 million people globally have now been infected with the coronavirus and more than 1.966.000 patients have died thus far from Covid-19 (as of January 13th 2021). The virus spreads primarily by droplet infection as well as via aerosols during close physical contact. Particularly in medical examinations with close physical contact between examiner and patient, like echocardiography, the risk of contracting the virus is increased. Therefore, the use of personal protective equipment is recommended for the protection of patients and medical personnel alike. In this article, the current recommendations of international professional associations on the use of personal protective equipment and their local implementation are presented.

scholarly journals The use of Personal Protective Equipment in Hazmat Incidents

2002 ◽  
Vol 9 (3) ◽  
pp. 171-176 ◽  
Author(s):  
RSD Yeung ◽  
JTS Chan ◽  
LLY Lee ◽  
YL Chan
Keyword(s):  
At Risk ◽  
Personal Protective Equipment ◽  
Hazardous Materials ◽  
Medical Personnel ◽  
Single Type ◽  
Protective Equipment ◽  
Dermal Contact ◽  
Adequate Level ◽  
Toxic Materials ◽  
The One

Medical personnel are at risk when handling victims of Hazmat incidents. Special clothing and respiratory equipment are required to protect them from absorbing these toxic materials through inhalation or through dermal contact. Personal Protective Equipment (PPE) refer to both clothing and equipment used to shield or isolate individuals from chemical, physical and biological hazards that may be encountered at a hazardous materials incident.1,2 No single type of PPE can protect all hazards and incorrect use can cause harm to the wearer. In general, the greater the protection, the greater the associated risks.2 Therefore, the level of PPE selected should be the one that can provide adequate level of protection.

scholarly journals The obedience of medical personnel to using personal protective equipment in preventing the transmission of COVID-19 at a private hospital in Indonesia

2021 ◽  
Vol 7 (2) ◽  
pp. 67-74
Author(s):  
Eka Putri Hartuti ◽  
Dyah Suryani ◽  
Vebby Amellia Edwin ◽  
Maretalinia Maretalinia ◽  
Suyitno Suyitno
Keyword(s):  
Personal Protective Equipment ◽  
Medical Personnel ◽  
Cross Sectional Study ◽  
Vulnerable Groups ◽  
Protective Equipment ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Work Level ◽  
Level Of Motivation

Background: As one of the vulnerable groups to be infected by COVID-19, healthcare workers are required to obey the hospital rules and protocols. However, it may remain challenging for them, especially related to the provision of using personal protective equipment.Objective: This study examined the obedience of medical personnel to personal protective equipment in preventing the transmission of COVID-19 at PKU Muhammadiyah Hospital Yogyakarta, Indonesia.Methods: This cross-sectional study examined 259 medical personnel (medical doctors, nurses, and midwives) in the hospital. Descriptive statistics, Chi-Square test, and multiple logistic regression were used for data analysis.Results: The majority of respondents were nurses (80.3%) and female (63.3%). Those who had a poor attitude would be three times more likely to have poor obedience to using personal protective equipment (Adj. OR: 2.81, 95% CI: 1.52 - 5.19). Sex, age, length of work, level of knowledge, level of motivation, and facility support were not correlated with obedience to using personal protective equipment.Conclusion: The finding reported that many medical personnel were not obedient to using personal protective equipment because their response to disease prevention was poor. The results can be used for further intervention and education or training programs for medical personnel.

scholarly journals Relationship of Nurse's Knowledge AndAttitude With Compliance the Use of Personal Protection Tools in The Pandemic Period COVID-19

2021 ◽  
Vol 8 (1) ◽  
pp. 46-54
Author(s):  
Esti Nur Janah ◽  
Eva Diana Sari
Keyword(s):  
Health Center ◽  
Personal Protective Equipment ◽  
Significant Relationship ◽  
Community Health Center ◽  
Medical Personnel ◽  
Protective Equipment ◽  
Length Of Service ◽  
Cross Sectional ◽  
Relationship Of ◽  
The Relationship

The first COVID-19 case in South Brebes was in the Paguyangan Community Health Center area, which originated from the Gowa cluster. One of the efforts that can be used to stop the transmission of COVID-19 is to use PPE (Personal Protective Equipment). The knowledge of medical personnel regarding the use of PPE when handling COVID-19 is important as a way to prevent transmission from COVID-19 patients to medical personnel. This study aims to determine the relationship between knowledge and attitudes of nurses and compliance with the use of personal protective equipment (PPE) during the coronavirus disease pandemic at Paguyangan Public Health Center in 2020. The design of this study is a correlation analysis with a cross sectional approach using total sampling method and 32 nurses were obtained as a sample. Data collection began in October-December 2020. The questionnaire used consisted of a questionnaire about Covid-19 knowledge and a questionnaire about nurses' attitudes in using PPE, each with 20 question items. To assess the adherence of nurses using the WHO adherence checklist for use of PPE adaptation. The results of the analysis showed that there was a significant relationship between knowledge of nurses and adherence to the use of PPE with a value of p = 0.021 (p <0.05) and a significant value of the relationship between nurses' attitudes and compliance with the use of PPE during the Covid-19 pandemic at the Paguyangan Health Center in 2020. p = 0.017 (p <0.05). So it can be concluded that there is a significant relationship between attitudes and compliance with nurses at Paguyangan Health Center. The results of this study can be used as a reference for nurse credentialing in the use of ADP and for further research, research can be carried out by adding variables such as length of service, availability of facilities, level of nurse education and supervision of the use of PPE.

scholarly journals The Relationship between Knowledge with Doctors and Nurses’ Compliance Level to Use PPE in Hospital Surgery Room during Pandemic Era

2021 ◽  
Vol 7 (3) ◽  
pp. 162
Author(s):  
Ardi Artanto ◽  
Ratih Pratiwi ◽  
Hilma Tri Ayu Rizda
Keyword(s):  
Operating Room ◽  
Personal Protective Equipment ◽  
Health Workers ◽  
Medical Personnel ◽  
P Value ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Compliance Level ◽  
The Relationship ◽  
Doctors And Nurses

Hospitals are not only as a place of treatment, but also as a health service facility that can be a source of infection for other people. Doctors, nurses and other medical personnel are often exposed to potential hazards in hospitals, thus requiring protection in the form of personal protective equipment (PPE). However, compliance with the use of PPE is not always high, which makes doctors and nurses more vulnerable to risk of occupational diseases in hospitals. In one of conducted studies, the conditions that were less compliant in using PPE for health workers were 30%. One of the things that might affect this level of compliance is knowledge about PPE. The purpose of this study was to determine the relationship between knowledge and compliance level to use personal protective equipment among doctors and nurses in operating room installation from a private hospital in 2020. Analytic observational by using cross sectional research design was used in this study. The population were all doctors and nurses at operating room installation of mentioned hospital above. Sampling was taken by total sampling method and 26 samples met the inclusion criteria. In this study, there were 23 respondents (88.5%) obeyed the use of personal protective equipment, meanwhile 3 respondents (11.5%) who did not. The 3 respondents were on loop or circular nurses. So, there was a significant relationship between the level of knowledge and compliance in the use of personal protective equipment with p-value = 0.027and OR=44. Keywords: personal protective equipment, knowledge level, compliance level

scholarly journals Modified full-face snorkel masks as reusable personal protective equipment for hospital personnel

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0244422
Author(s):  
Laurel Kroo ◽  
Anesta Kothari ◽  
Melanie Hannebelle ◽  
George Herring ◽  
Thibaut Pollina ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Medical Personnel ◽  
Protective Equipment ◽  
Noisy Environments ◽  
Filter Performance ◽  
Usability Tests ◽  
Care Workers ◽  
Full Face ◽  
N95 Respirators

Here we adapt and evaluate a full-face snorkel mask for use as personal protective equipment (PPE) for health care workers, who lack appropriate alternatives during the COVID-19 crisis in the spring of 2020. The design (referred to as Pneumask) consists of a custom snorkel-specific adapter that couples the snorkel-port of the mask to a rated filter (either a medical-grade ventilator inline filter or an industrial filter). This design has been tested for the sealing capability of the mask, filter performance, CO2 buildup and clinical usability. These tests found the Pneumask capable of forming a seal that exceeds the standards required for half-face respirators or N95 respirators. Filter testing indicates a range of options with varying performance depending on the quality of filter selected, but with typical filter performance exceeding or comparable to the N95 standard. CO2 buildup was found to be roughly equivalent to levels found in half-face elastomeric respirators in literature. Clinical usability tests indicate sufficient visibility and, while speaking is somewhat muffled, this can be addressed via amplification (Bluetooth voice relay to cell phone speakers through an app) in noisy environments. We present guidance on the assembly, usage (donning and doffing) and decontamination protocols. The benefit of the Pneumask as PPE is that it is reusable for longer periods than typical disposable N95 respirators, as the snorkel mask can withstand rigorous decontamination protocols (that are standard to regular elastomeric respirators). With the dire worldwide shortage of PPE for medical personnel, our conclusions on the performance and efficacy of Pneumask as an N95-alternative technology are cautiously optimistic.

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