Emergency department impaired adherence to personal protective equipment donning and doffing protocols during the COVID-19 pandemic.
Isr J Health Policy Res
; 10(1): 41, 2021 07 19.
Article
in English
| MEDLINE | ID: covidwho-1317128
ABSTRACT
OBJECTIVES:
Coronavirus Disease 2019 (COVID-19) is a highly infectious viral pandemic that has claimed the lives of millions. Personal protective equipment (PPE) may reduce the risk of transmission for health care workers (HCWs), especially in the emergency setting. This study aimed to compare the adherence to PPE donning and doffing protocols in the Emergency Department (ED) vs designated COVID-19 wards and score adherence according to the steps in our protocol.DESIGN:
Prior to managing COVID-19 patients, mandatory PPE training was undertaken for all HCWs. HCWs were observed donning or doffing COVID-19 restricted areas.SETTING:
Donning and doffing was observed in COVID-19 designated Emergency department and compared to COVID-19 positive wards.PARTICIPANTS:
All HCWs working in the aforementioned wards during the time of observation.RESULTS:
We observed 107 donning and doffing procedures (30 were observed in the ED). 50% HCWs observed donned PPE correctly and 37% doffed correctly. The ED had a significantly lower mean donning score (ED 78%, Internal 95% ICU 96%, p < 0.001); and a significantly lower mean doffing score (ED 72%, Internal 85% ICU 91%, p = 0.02).CONCLUSIONS:
As hypothesized, HCWs assigned to the designated ED wing made more protocol deviations compared with HCWs positive COVID-19 wards. Time management, acuity, lack of personnel, stress and known COVID-19 status may explain the lesser adherence to donning and doffing protocols. Further studies to assess the correlation between protocol deviations in use of PPE and morbidity as well as improvement implementations are required. Resources should be invested to ensure PPE is properly used.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Health Personnel
/
Infectious Disease Transmission, Patient-to-Professional
/
Emergency Service, Hospital
/
Personal Protective Equipment
/
COVID-19
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Isr J Health Policy Res
Year:
2021
Document Type:
Article
Affiliation country:
S13584-021-00477-7
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