Purpose: This information is intended to help healthcare providers reduce the risk for SARS-CoV-2 (the virus that causes COVID-19) transmission, especially with regards to resuscitation care. The information here is drawn primarily from U.S. Centers for Disease Control (CDC) recommendations. Please note that guidance may vary based on location. Outside of the U.S., consult the World Health Organization (WHO) and local health resources for the most up-to-date information about risk control in your area.
Please note that the following guidance is intended specifically for when patients have known or suspected COVID-19. In all other cases, follow your standard protocols.
When caring for patients with known or suspected COVID-19:
1. Use Standard and Transmission-Based Precautions during the care of patients with suspected or confirmed COVID-19
a. Aerosol-generating procedures (e.g., CPR, endotracheal intubation, non-invasive ventilation) expose providers to a greater risk of disease transmission. These procedures should be performed in Airborne Infection Isolation Rooms (AIIRs) and personnel should use respiratory protection. Limit the number of providers present during the procedure to only those essential for patient care and procedural support. The room should be cleaned and disinfected following the procedure
b. Patients with known or suspected COVID-19 should be cared for in a single-person room with the door closed. AIIRs should be reserved for patients undergoing aerosolgenerating procedures.
c. Hand hygiene d. Personal Protective Equipment (PPE)
• Respiratory protection: Put on a respirator or facemask (if a respirator is not available) before entry into the patient room or care area. N95 respirators or respirators that offer a higher level of protection should be used instead of a facemask when performing or present for an aerosol-generating procedure. When the supply chain is restored, facilities with a respiratory protection program should return to use of respirators for patients with known or suspected COVID-19.
• Eye protection
• Gloves
• Gowns: If there are shortages of gowns, they should be prioritized for aerosolgenerating procedures, care activities where splashes and sprays are anticipated, and high-contact patient care activities that provide opportunities for transfer of pathogens to the hands and clothing of providers.