Barnet UNISON COVID Update: PPE for care workers.

Recommended PPE for primary, outpatient, community and social care by setting, NHS and independent sector

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/878750/T2_poster_Recommended_PPE_for_primary__outpatient__community_and_social_care_by_setting.pdf

Date: 14 April 2020.

The PPE guidance takes you to a table showing the types of PPE you need depending on your workplace.

For staff working in care homes you need to read to look at the fourth column down on the left entitled:

“Community and social care, care home, mental health inpatients and other overnight care facilities e.g. learning disability, hospices, prison healthcare.”

If you look at the guidance it states:

  1. Disposable gloves : Single use

 

  1. Disposable plastic apron: Single use.

 

  1. Fluid-resistant (Type IIR) surgical mask: Sessional use.

 

  1. Eye/face protection: Risk assess sessional use.

What do they mean by eye/face protection?

  1. This may be single or reusable face/eye protection/full face visor or goggles

What do they mean by Single Use?

“4.Single use refers to disposal of PPE or decontamination of reusable items e.g. eye protection or respirator, after each patient and/or following completion of a procedure, task, or session; dispose or decontaminate reusable items after each patient contact as per Standard Infection Control Precautions (SICPs).”

What do they mean by Sessional use?

“5.A single session refers to a period of time where a health care worker is undertaking duties in a specific care setting/exposure environment e.g. on a ward round; providing ongoing care for inpatients. A session ends when the health care worker leaves the care setting/exposure environment. Sessional use should always be risk assessed and considered where there are high rates of hospital cases. PPE should be disposed of after each session or earlier if damaged, soiled, or uncomfortable.”

What do they mean by risk assess?

“8. Risk assessed use refers to utilising PPE when there is an anticipated/likely risk of contamination with splashes, droplets or blood or body fluids.”

For more details click on link to Government web site below

(Source: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/878750/T2_poster_Recommended_PPE_for_primary__outpatient__community_and_social_care_by_setting.pdf )

 

COVID-19 Update: Personal Protective Equipment (PPE) Training.

It is really important that all staff have training as to how to put on PPE and to take it off.

This is a training video produced by Public Health England as to how to put on and take off your PPE. It is less than 7 minutes long. Watching it and following the guidance will keep you and the people you are caring for safe.

Please watch COVID-19: Donning and doffing of Personal Protective Equipment in Health and Social Care Settings

https://youtu.be/-GncQ_ed-9w

 

If you have not had training please speak to your manager. If you do not get training please contact Barnet UNISON 0208 359 2088 or email us at contactus@barnetunison.org.uk

What happens if I take a break e.g. to have a drink of tea or water or go to the toilet?

You need to remove and dispose of your PPE safely, including the face mask. When you start work again you need to put on your fresh PPE for when you are carrying out personal care. You must not continue to use the same mask, apron or gloves.

Care workers:“What protection is in place for workers in care settings?”

1. What are Public Health advising should be in place in care settings where a resident has COVID-19?

The link below provides details of what types of mask you should be wearing if working with someone with COVID-19

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874411/When_to_use_face_mask_or_FFP3.pdf

 

2. Public Health England advice for standard infection control principles that should be in place in all health and care settings.

If you work in a care setting and you have residents with COVID-19 make sure you read this guidance as it provides details of what type of PPE you need to wear.

https://www.barnetunison.me.uk/wp/wp-content/uploads/2020/04/Interim-IPC-advice-for-care-homes_v1.2_20200318.pdf

 

Public Health England are stating that if residents or staff are not showing symptoms there is no risk of sharing or contracting the virus, therefore staff do not need to wear the PPE that is required when working with residents with COVID-19.

OUTBREAKS OF COVID-19 IN CARE HOMES: INFECTION CONTROL MEASURES

Barnet UNISON has received a large number of concerns from careworkers who, now, like NHS staff are caring for individuals who have become infected with Coronavirus.

All care settings MUST comply with the advice set out by Public Health England. Please contact us if you are working in a setting where these minimal standards are not being adhered to.

Contact us on 0208 359 2088 (leave a message)

or email us at

contactus@barnetunison.org.uk

if you have any further concerns.

“Droplet precautions, isolation and personal protective equipment (PPE):

  • Care homes are not expected to have dedicated isolation facilities for people living in the home.
  • Isolation precautions should be implemented in the same way care homes operate for influenza.
  • A resident’s own room can be used if isolation is needed, ideally a single bedroom with en-suite.
  • If this is not possible, discuss the option of cohorting with your local PHE health protection team.

Staff should use PPE for close personal contact with a symptomatic resident or bodily fluids.

  • Aprons, gloves and fluid repellent surgical masks should be used in these situations.
  • If there is a risk of splashing, then eye protection will minimise risk.
  • New PPE must be used for each episode of care.
  • On leaving the resident’s room, PPE should be removed, and hand hygiene performed immediately, as per standard infection control precautions.
  • Isolation may end after 7 days from illness onset, so long as the case feels better and has no fever.”

Read full guidance by click link below.

Interim IPC advice for care homes_v1.2_20200318

When to use a surgical face mask or FFP3 respirator: Government Guidance

© Crown copyright 2020. Public Health England Gateway number 2019 271

“When caring for patients with suspected or confirmed COVID-19, all healthcare workers need to – prior to any patient interaction – assess the infectious risk posed to themselves and wear the appropriate personal protective equipment (PPE) to minimise that risk.”

Click on the link for full advice

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874411/When_to_use_face_mask_or_FFP3.pdf

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