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Related Concept Videos

Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

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Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
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Standard Precaution01:26

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
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Suctioning the Oropharyngeal Airway01:25

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
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Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

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Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
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PPE Use in Healthcare Settings II: Doffing01:10

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The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
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Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
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Pediatric otolaryngology workflow changes in a community hospital setting to decrease exposure to novel coronavirus.

Shraddha Siddharth Mukerji1, Yi-Chun Carol Liu1, Mary Frances Musso1

  • 1Baylor College of Medicine, Texas Children's Hospital, 6701 Fannin Street, Houston, TX, 77030, USA.

International Journal of Pediatric Otorhinolaryngology
|June 12, 2020
PubMed
Summary
This summary is machine-generated.

Pediatric otolaryngology workflows were updated to reduce Coronavirus Disease -19 (COVID-19) exposure for staff and patients. These guidelines help protect healthcare providers and minimize viral transmission in clinical settings.

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Area of Science:

  • Pediatric Otolaryngology
  • Infectious Disease Control
  • Healthcare Workflow Optimization

Background:

  • The Coronavirus Disease -19 (COVID-19) pandemic presents unique challenges to healthcare settings.
  • Subspecialties like pediatric otolaryngology face increased risks of viral exposure for providers and staff.
  • Maintaining patient care while ensuring safety is paramount.

Purpose of the Study:

  • To develop a workflow algorithm for physicians and staff in pediatric otolaryngology.
  • To decrease cross-contamination and minimize exposure to COVID-19.
  • To protect patients, families, and healthcare personnel.

Main Methods:

  • Conducted literature searches using PubMed and Google Scholar.
  • Reviewed clinical information from journals, Texas Medical Board, and institutional guidelines.
  • Incorporated updated information from the Centers for Disease Control and Prevention (CDC).

Main Results:

  • Developed safety measures and clinical workflow protocols.
  • Implemented provider and staff rotation schedules.
  • Modified in-clinic visit guidelines, surgical block, and case cadence.

Conclusions:

  • Modification of clinical workflows is imperative for otolaryngologists to minimize COVID-19 exposure risk.
  • Developed guidelines and workflow algorithms serve as essential tools for protection.
  • These strategies aid pediatric otolaryngologists in safeguarding themselves, staff, and patients during the COVID-19 pandemic.