you mentioned goggles to cover mucosal surface of the orbit prior to visiting any patient room. do we have that available in the ED to the clinician?
There are face shields and eye protection available in limited quantities. Many of our staff are bringing their own goggles to make more available for those who need them.
Ophthalmology does not have the ability to do 6ft exams, as we use the slit lamp which is a face to face examination. Is there a policy so that every patient we see in the ED can be masked as a precaution?
Currently we mask all patients with cough, sore throat, or respiratory symptoms. If the patient does not have those symptoms, we do not have a policy on masking. Ophtho exams are uniquely close to the face, so that is certainly an idea we could bring up with our operations team.
The 6ft assessement that were are using is to make sure that we have not missed anyone in triage with symptoms. We use that assessment to make sure they are not having COVID-like symptoms, if they are having symptoms then they will be masked and you can proceed with your PPE and the actual exam
audio gone for me
Audio and video gone
what is ndi?
MDI with spacer:
Just to clarify, full PPE req, including goggles, for all patients (-CAPRS reserved for PUI/COVID)?
I would use PPE for every ED patient. Triage of the patients as respiratory or not did not work in NYC. So minimum: N95, surgical mask and eye protection.
Any talks about ED consults to be done via Telemed for high risk patients?
For the consultants who may be seeing patients in the ED, is there a central place to find surgical masks, etc? Maybe the doc box? We have had folks go to ED to see patient and report not be able to find any masks, etc.
For PUI that are able to walk, how are they utilizing the restrooms? Should we not share restrooms?
What are the current rules regarding PUI and ancillary testing? (for example stroke alerts going to CT?)
Has there been a request to the community for COVID rule out patients to bring their CPAP with them to the ED, in the event that they need NIPPV? This would be a good idea to keep our resources stocked in the event we are overwhelmed with patients.
NT Room 5190 24/7
Obviously the patient would only use their CPAP
remember CPAP unmodified from home would be an aerosol generating therapy
I understand that but i am speaking as a worst case scenario (out of vents, BiPAP)
Is there a risk of patients using their CPAP or Ventilator during transfer?
what about the HVU area? is there any particular protocol there?
Got it, thanks
I heard something last week about making the whole ED negative pressure. Has there been any further discussion about doing this? I apologize if this has been covered already.
Thank you for putting this together
Thanks for the update