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Development of a Sterile Personal Protective Equipment Donning and Doffing Procedure to Protect Surgical Teams from SARS-CoV-2 Exposure during the COVID-19 Pandemic.
Surg Infect (Larchmt). 2020 Oct; 21(8):671-676.SI

Abstract

Background:

The coronavirus disease 2019 (COVID-19) pandemic has become an increasingly challenging problem throughout the world. Because of the numerous potential modes of transmission, surgeons and all procedural staff represent a unique population that requires standardized procedures to protect themselves and their patients. Although several protocols have been implemented during other infectious disease outbreaks, such as Ebola virus, no standardized protocol has been published in regard to the COVID-19 pandemic.

Methods:

A multidisciplinary team of two surgeons, an anesthesiologist, and an infection preventionist was assembled to create a process with sterile attire adapted from the National Emerging Special Pathogen Training and Education Center (NETEC) donning and doffing process. After editing, a donning procedure and doffing procedure was created and made into checklists. The procedures were simulated in an empty operating room (OR) with simulation of all personnel roles. A "dofficer" role was established to ensure real-time adherence to the procedures.

Results:

The donning and doffing procedures were printed as one-page documents for easy posting in ORs and procedural areas. Pictures from the simulation were also obtained and made into flow chart-style diagrams that were also posted in the ORs.

Conclusions:

Coronavirus disease 2019 (COVID-19) is a quickly evolving pandemic that has spread all over the globe. With the rapid increase of infections and the increasing number of severely ill individuals, healthcare providers need easy-to-follow guidelines to keep themselves and patients as safe as possible. The processes for donning and doffing personal protective equipment (PPE) presented here provide an added measure of safety to surgeons and support staff to provide quality surgical care to positive and suspected COVID-19-positive patients.

Authors+Show Affiliations

Department of Surgery, Division of General and Acute Care Surgery, Division of Infectious Diseases, Medical University of South Carolina, Charleston, South Carolina, USA.Department of Surgery, Division of Infectious Diseases, Medical University of South Carolina, Charleston, South Carolina, USA.Department of Anesthesia and Perioperative Medicine, Division of Infectious Diseases, Medical University of South Carolina, Charleston, South Carolina, USA.Department of Surgery, Division of General and Acute Care Surgery, Division of Infectious Diseases, Medical University of South Carolina, Charleston, South Carolina, USA.Department of Medicine, Division of Infectious Diseases, Medical University of South Carolina, Charleston, South Carolina, USA.Department of Anesthesia and Perioperative Medicine, Division of Infectious Diseases, Medical University of South Carolina, Charleston, South Carolina, USA.Department of Medicine, Division of Infectious Diseases, Medical University of South Carolina, Charleston, South Carolina, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32628871

Citation

Evans, Heather L., et al. "Development of a Sterile Personal Protective Equipment Donning and Doffing Procedure to Protect Surgical Teams From SARS-CoV-2 Exposure During the COVID-19 Pandemic." Surgical Infections, vol. 21, no. 8, 2020, pp. 671-676.
Evans HL, Thomas CS, Bell LH, et al. Development of a Sterile Personal Protective Equipment Donning and Doffing Procedure to Protect Surgical Teams from SARS-CoV-2 Exposure during the COVID-19 Pandemic. Surg Infect (Larchmt). 2020;21(8):671-676.
Evans, H. L., Thomas, C. S., Bell, L. H., Hink, A. B., O'Driscoll, S., Tobin, C. D., & Salgado, C. D. (2020). Development of a Sterile Personal Protective Equipment Donning and Doffing Procedure to Protect Surgical Teams from SARS-CoV-2 Exposure during the COVID-19 Pandemic. Surgical Infections, 21(8), 671-676. https://doi.org/10.1089/sur.2020.140
Evans HL, et al. Development of a Sterile Personal Protective Equipment Donning and Doffing Procedure to Protect Surgical Teams From SARS-CoV-2 Exposure During the COVID-19 Pandemic. Surg Infect (Larchmt). 2020;21(8):671-676. PubMed PMID: 32628871.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Development of a Sterile Personal Protective Equipment Donning and Doffing Procedure to Protect Surgical Teams from SARS-CoV-2 Exposure during the COVID-19 Pandemic. AU - Evans,Heather L, AU - Thomas,Christopher S, AU - Bell,L Hannah, AU - Hink,Ashley B, AU - O'Driscoll,Stephanie, AU - Tobin,Catherine D, AU - Salgado,Cassandra D, Y1 - 2020/07/06/ PY - 2020/7/7/pubmed PY - 2020/10/21/medline PY - 2020/7/7/entrez KW - COVID-19 KW - coronavirus KW - operating room KW - personal protective equipment KW - surgery SP - 671 EP - 676 JF - Surgical infections JO - Surg Infect (Larchmt) VL - 21 IS - 8 N2 - Background: The coronavirus disease 2019 (COVID-19) pandemic has become an increasingly challenging problem throughout the world. Because of the numerous potential modes of transmission, surgeons and all procedural staff represent a unique population that requires standardized procedures to protect themselves and their patients. Although several protocols have been implemented during other infectious disease outbreaks, such as Ebola virus, no standardized protocol has been published in regard to the COVID-19 pandemic. Methods: A multidisciplinary team of two surgeons, an anesthesiologist, and an infection preventionist was assembled to create a process with sterile attire adapted from the National Emerging Special Pathogen Training and Education Center (NETEC) donning and doffing process. After editing, a donning procedure and doffing procedure was created and made into checklists. The procedures were simulated in an empty operating room (OR) with simulation of all personnel roles. A "dofficer" role was established to ensure real-time adherence to the procedures. Results: The donning and doffing procedures were printed as one-page documents for easy posting in ORs and procedural areas. Pictures from the simulation were also obtained and made into flow chart-style diagrams that were also posted in the ORs. Conclusions: Coronavirus disease 2019 (COVID-19) is a quickly evolving pandemic that has spread all over the globe. With the rapid increase of infections and the increasing number of severely ill individuals, healthcare providers need easy-to-follow guidelines to keep themselves and patients as safe as possible. The processes for donning and doffing personal protective equipment (PPE) presented here provide an added measure of safety to surgeons and support staff to provide quality surgical care to positive and suspected COVID-19-positive patients. SN - 1557-8674 UR - https://www.unboundmedicine.com/medline/citation/32628871/Development_of_a_Sterile_Personal_Protective_Equipment_Donning_and_Doffing_Procedure_to_Protect_Surgical_Teams_from_SARS_CoV_2_Exposure_during_the_COVID_19_Pandemic_ L2 - https://www.liebertpub.com/doi/10.1089/sur.2020.140?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -