Your browser doesn't support javascript.
COVID-19: A systematic evaluation of personal protective equipment (PPE) performance during restraint.
Dix, Roland; Straiton, David; Metherall, Peter; Laidlaw, James; McLean, Lisa; Hayward, Andy; Ginger, Gary; Forrester, Louise; O'Rourke, Paul; Jefferies, Rob.
  • Dix R; Gloucestershire Health and Care NHS Foundation Trust, Montpellier Unit, Wotton Lawn Hospital, UK.
  • Straiton D; Gloucestershire Health and Care NHS Foundation Trust, Montpellier Unit, Wotton Lawn Hospital, UK.
  • Metherall P; Sheffield Teaching Hospitals NHS Foundation Trust, Northern General Hospital, UK.
  • Laidlaw J; Gloucestershire Health and Care NHS Foundation Trust, Montpellier Unit, Wotton Lawn Hospital, UK.
  • McLean L; Gloucestershire Health and Care NHS Foundation Trust, Montpellier Unit, Wotton Lawn Hospital, UK.
  • Hayward A; Gloucestershire Health and Care NHS Foundation Trust, Montpellier Unit, Wotton Lawn Hospital, UK.
  • Ginger G; Gloucestershire Health and Care NHS Foundation Trust, Montpellier Unit, Wotton Lawn Hospital, UK.
  • Forrester L; Gloucestershire Health and Care NHS Foundation Trust, Montpellier Unit, Wotton Lawn Hospital, UK.
  • O'Rourke P; Gloucestershire Health and Care NHS Foundation Trust, Montpellier Unit, Wotton Lawn Hospital, UK.
  • Jefferies R; Avon and Wiltshire Mental Health Partnership NHS Trust, UK.
Med Sci Law ; 61(4): 275-285, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1124915
ABSTRACT

BACKGROUND:

Restraint is widely practised within inpatient mental health services and is considered a higher-risk procedure for patients and staff. There is a sparsity of evidence in respect of the efficacy of personal protective equipment (PPE) used during restraint for reducing risk of infection.

METHODS:

A series of choreographed restraint episodes were used to simulate contact contamination in research participants playing the roles of staff members and a patient. For comparison, one episode of simulated recording of physical observations was taken. Ultraviolet (UV) fluorescent material was used to track the simulated contact contamination, with analysis undertaken using established image registration techniques of UV photographs. This was repeated for three separate sets of PPE.

RESULTS:

All three PPE sets showed similar performance in protecting against contamination transfer. For teams not utilising coveralls, this was dependent upon effective cleansing as part of doffing. There were similar patterns of contamination for restraint team members assigned to specific roles, with hands and upper torso appearing to be higher-risk areas. The restraint-related contamination was 23 times higher than that observed for physical observations.

DISCUSSION:

A second layer of clothing that can be removed showed efficacy in reducing contact contamination. PPE fit to individual is important. Post-restraint cleansing procedures are currently inadequate, with new procedures for face and neck cleansing required. These findings leave scope for staff to potentially improve their appearance when donning PPE and engaging with distressed patients.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Restraint, Physical / Infection Control / Health Personnel / Infectious Disease Transmission, Patient-to-Professional / Personal Protective Equipment / Simulation Training / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Systematic review/Meta Analysis Limits: Humans Country/Region as subject: Europa Language: English Journal: Med Sci Law Year: 2021 Document Type: Article Affiliation country: 00258024211000805

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Restraint, Physical / Infection Control / Health Personnel / Infectious Disease Transmission, Patient-to-Professional / Personal Protective Equipment / Simulation Training / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Systematic review/Meta Analysis Limits: Humans Country/Region as subject: Europa Language: English Journal: Med Sci Law Year: 2021 Document Type: Article Affiliation country: 00258024211000805