Personal Protective Equipment (PPE)
Please note that as things change rapidly, Q&As and guidelines will be updated. Review this website often to ensure you have the most up to date information or consult your leader if you have concerns or identify discrepencies.
Personal Protective Equipment (PPE) Allocation Framework Documents
- Comprehensive PPE Recommendations – Acute - April 9, 2020
- MoH/BCCDC PPE Bulletin #2 - April 8, 2020
- Sequence for Donning & Doffing Personal Protective Equipment (PPE)
- Donning Personal Protective Equipment (PPE) - video
- Doffing Personal Protective Equipment (PPE) - video
- Droplet & Contact Sign
- Aerosol Generating Medical Procedures (AGMP) Best Practice Guideline
- IPAC: Cleaning and Disinfection of Eye Protection
PHC PPE Demonstration Videos:
- Droplet and contact precautions
- Airborne and contact precautions
- Intubating/Extubating PPE Type I
- Intubating/Extubating PPE Type II
As direction to health authorities and Providence Health Care, the Ministry of Health has provided the "COVID-19: Emergency Prioritization in a Pandemic: Personal Protective Equipment (PPE) Allocation Framework (March 2020)."
Situation Update (March 25): The Ministry of Health now requires that all staff, medical staff and contracted staff who have direct contact with patients, clients and residents wear surgical/procedural masks, eye protection and gloves when providing direct care to patients, clients and residents across Providence Health Care. Read the full situation update.
- Please don (put on) your mask at the beginning of your shift.
- You do not need to change your mask between patients.
- Change your mask if it is visibly soiled, damp, damaged for safe use and immediately perform hand hygiene.
- Avoid touching your mask unnecessarily. If you must touch or adjust your mask/eye protection, perform hand hygiene If you see a colleague touch or adjust their mask/eye protection, remind them to perform hand hygiene.
- Change your mask during breaks and when leaving the patient care area.
- N95 respirators must be used for aerosol-generating medical procedures for patients with symptoms/ high risk of COVID-19 infection or with pending/positive COVID-19 test.
- Face shields/goggles to be used throughout the shift with appropriate cleaning protocols at shift end.
- If face shields or goggles are unavailable, safety glasses can be used with the same cleaning protocols in place.
- IPAC information on cleaning and disinfection of eye protection is available here.
- Gloves must be changed between patients. Gloves do not substitute for hand hygiene - perform hand hygiene both before putting gloves on and immediately after removing the gloves.
- Patients under investigation (PUI) should be managed with contact and droplet precautions (including eye protection) Nasopharyngeal (NP) swabs and throat swabs can be performed using contact and droplet precautions with surgical mask and eye protection, and do not require the use of an N95 respirator.
- Airborne precautions including N95 respirators with eye protection should be used during aerosol-generating procedures for patients with symptoms/ high risk of COVID-19 infection or with pending/positive COVID-19 test (e.g. open suctioning of respiratory tract, intubation, bronchoscopy, cardiopulmonary resuscitation).
If treating a patient with symptoms:
- follow established droplet and contact precautions and infection, prevention and control protocols.
For assessment and management of suspected and confirmed COVID-19 cases, use droplet and contact precautions, which includes surgical masks.
Respiratory hygiene/cough etiquette should be encouraged for patients who have signs and symptoms of influenza-like illness. Etiquette signage should be posted at the point of initial encounter in any healthcare setting (e.g., triage in Emergency Departments, reception areas in ambulatory clinics). If you do not already have signage, please connect with the Communications & Public Affairs department.
Respiratory hygiene/cough etiquette includes:
- Hand Hygiene
- wearing a mask (surgical or procedural),
- using tissues for coughing, sneezing and controlling nasal secretions, with immediate disposal of tissues into an appropriate receptacle, followed by hand hygiene.
Staff are advised to go on with normal usage and not horde supplies. If your clinic or area requires additional Personal Protective Equipment (PPE) supplies, please follow the usual process of making the request through Stores staff.
If you need to reach PHC’s Infection Prevention and Control Team (IPAC), please call local 69357. Do not contact individual IPAC team members.