PROTOCOLOS COVID-19

MINIMIZING EXPOSURE AND APPROPRIATE PPE DURING ACLS-CARDIC ARREST GUIDE

 

In order to minimize exposure during Codes and RRT we will be implementing some modifications to the current ACLS protocol. The key points are as follows...

MASS GENERAL ICU IV ACCESS PICC COVID-19

Infection statuses are maintained by infection control staff at Partners facilities. We provide guidance on the use of three infection statuses related to SARS-CoV-2: COVID-19, CoV-Risk, and CoV-Exposed...

MASS GENERAL QM GUIDANCE ON RESPIRATORY PROTECTION DURING AEROSOL GENERATING PROCEDURES

Aerosol generating procedures as defined by the Partners Infection Control List of Aerosol Generating Procedures (see procedures in Policy Central under Covid-19 Domain) increase the risk of disease transmission from patients with respiratory viral infections. In order to minimize risk to peri-procedural personnel Partners Infection Control, Anesthesia, Surgical, and Peri-Procedural Leaders recommend the following...

MASS GENERAL QM GUIDANCE ON TRANSPORT AND MOVEMENT OF PATIENTS WITH VIRAL RESPIRATORY ILLNESS WITHIN THE HOSPITAL

Transport and movement of patients with suspected viral respiratory illness, including suspect and confirmed COVID-19, can result in opportunities for transmission. This guidance aims to limit those opportunities...

MASS GENERAL QM LIST OF AEROSOL GENERATING PROCEDURES

This guidance replaces the Partners Infection Control List of Aerosol Generating Procedures and provides additional guidance on use of Airborne Infection Isolation Rooms...

 MASS GENERAL QM PARTNERS HEALTHCARE RETURN TO WORK CRITERIA FOR HEALTH CARE WORKERS

 

All employees, regardless of evaluation for return to work, must do the following: (1) Follow mask policy at all times while in the healthcare facility, and (2) Adhere to hand hygiene, respiratory hygiene, and cough etiquette (e.g., cover nose and mouth when coughing or sneezing, dispose of tissues in waste receptacles), and (3) Self-monitor for symptoms and seek re-evaluation from Occupational Health if symptoms develop...

MASS GENERAL QM PARTNERS INFECTION CONTROL GUIDANCE FOR PATIENTS WITH CONFIRMED COVID-19

 

This guidance is for patients with confirmed COVID-19 who remain hospitalized or are being considered for discharge to rehab and indicates when COVID-19 Infection Status be resolved, and isolation discontinued. These recommendations are based on interim CDC guidance...

SHARP COVID-19 TESTING FOR SURGICAL PROCEDURAL PATIENTS

 

Identification of asymptomatic surgical/procedural patients with COVID-19 infection allows for facilitating the early initiation of infection control precautions including isolation, since it is known that asymptomatic people can shed the virus. Patients with COVID-19 are considered infections 48 hours prior to symptom onset as per the Centers of Disease Control and Prevention (CDC). A: Sharp HealthCare has expanded their COVID-19 testing proced...

PPE

MASS GENERAL QM GUIDANCE ON SCREENING BEFORE HOME VISITS AND HOME VISIT PPE

 

All patients receiving an in-person home visit will be asked to wear a mask during the whole visit 2. Updated screening questions to ask if patients have a mask at home....

MASS GENERAL QM GUIDANCE ON FIT CHECK AND FIT TEST OF N95 RESPIRATORS

 

Due to shortages and challenges in the supply chain, following implementation of extended use and reuse guidelines for N95 respirators, it may be necessary to transition to alternative models. The selection of alternative N95 products will be guided by the principles of (1) staff safety, (2) patient safety, and (3) compliance with regulatory guidelines...

SMASS GENERAL QM GUIDANCE ON EXTENDED USE AND REUSE OF N95 RESPIRATORS SURGICAL MASKS

 

Clarified that N95 respirators only need to be used during aerosol generating procedures on patients with suspected viral respiratory syndromes. Clarified that extended use of N95s worn during aerosol generating procedures in patients with suspected viral respiratory syndromes is permitted but the mask should be discarded when removed...

MASS GENERAL QM FOR PATIENTS WITH SUSPECTED VIRAL RESPIRATORY ILLNES

 

Included provision of surgical or procedural mask to all patients. Clarified institutional requirements for approval of COVID-19 testing. Noted reference to Partners Guidance on Infection Statuses and Resolution for COVID-19, CoV-Risk, and CoV-Exposed...

EXAMPLE OF EXTERIOR MARKINGS

 

Approval for NIOSH...