Mary T Bessesen1, Jill C Adams2, Lewis Radonovich3, Judith Anderson2. 1. Department of Veterans Affairs, Eastern Colorado Healthcare System, Denver, CO; Division of Infectious Diseases, School of Medicine, University of Colorado, Aurora, CO. Electronic address: mary.bessesen@ucdenver.edu. 2. Department of Veterans Affairs, Eastern Colorado Healthcare System, Denver, CO. 3. Department of Veterans Affairs, National Center for Occupational Health and Infection Control, Gainesville, FL; Department of Veterans Affairs, National Center for Occupational Health and Infection Control, Washington, DC.
Abstract
BACKGROUND: This was a feasibility study in a Department of Veterans Affairs Medical Center to develop a standard operating procedure (SOP) to be used by health care workers to disinfect reusable elastomeric respirators under pandemic conditions. Registered and licensed practical nurses, nurse practitioners, aides, clinical technicians, and physicians took part in the study. METHODS: Health care worker volunteers were provided with manufacturers' cleaning and disinfection instructions and all necessary supplies. They were observed and filmed. SOPs were developed, based on these observations, and tested on naïve volunteer health care workers. Error rates using manufacturers' instructions and SOPs were compared. RESULTS: When using respirator manufacturers' cleaning and disinfection instructions, without specific training or supervision, all subjects made multiple errors. When using the SOPs developed in the study, without specific training or guidance, naïve health care workers disinfected respirators with zero errors. CONCLUSION: Reusable facial protective equipment may be disinfected by health care workers with minimal training using SOPs. Published by Elsevier Inc.
BACKGROUND: This was a feasibility study in a Department of Veterans Affairs Medical Center to develop a standard operating procedure (SOP) to be used by health care workers to disinfect reusable elastomeric respirators under pandemic conditions. Registered and licensed practical nurses, nurse practitioners, aides, clinical technicians, and physicians took part in the study. METHODS: Health care worker volunteers were provided with manufacturers' cleaning and disinfection instructions and all necessary supplies. They were observed and filmed. SOPs were developed, based on these observations, and tested on naïve volunteer health care workers. Error rates using manufacturers' instructions and SOPs were compared. RESULTS: When using respirator manufacturers' cleaning and disinfection instructions, without specific training or supervision, all subjects made multiple errors. When using the SOPs developed in the study, without specific training or guidance, naïve health care workers disinfected respirators with zero errors. CONCLUSION: Reusable facial protective equipment may be disinfected by health care workers with minimal training using SOPs. Published by Elsevier Inc.
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