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3. Infection control measures
A. Personal infection control guidelines for staff (updated 15.5.03)
Personal Protective Apparel
These are the guidelines which we suggest for all staff directly examining the patients irrespective of the percieved risk category of the patient(i.e. category 1, 2, 3 and 4).
| Requirements |
Staff |
| Handwashing |
 |
| Gloves |
|
| Protective gowns |
|
| Cap |
|
| Face Shield / Visors / Goggles |
|
| N95 mask |
|
| Surgical mask |
x |
| Dress |
|
| Shoes |
Leather or plastic without laces. |
|
Procedures for putting on & removing barrier protective apparel
A. On ENTERING the area (in this order)
| 1. |
Put on N95 mask |
| 2. |
Put on Face Shield / Visors / Goggles |
| 3. |
Put on Cap |
| 4. |
Put on Gown |
| 5. |
Rub hands with alcoholic handrub |
| 6. |
Put on gloves |
| 7. |
Enter the area |
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B. On LEAVING the area (in this order)
| 1. |
Remove gloves |
| 2. |
Remove cap |
| 3. |
Remove Face Shield / Visors / Goggles |
| 4. |
Remove gown |
| 5. |
Remove N95 mask. |
| 6. |
Rub hands with alcoholic hand rub and allow to dry (if hands soiled, must wash hands before leaving the area) |
| 7. |
Put on surgical mask for wearing whilst outside high risk area. |
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B. Personal infection control guidelines for patients (updated 15.5.03)
Below are our current guidelines.
(Category 1) Out-patients without suspected/confirmed SARS:
| Requirements |
Patients |
| Handwashing |
|
| Gloves |
x |
| Protective gowns |
x |
| Cap |
x |
| Face Shields / Visors / Goggles |
x |
| N95 mask |
x |
| Surgical mask |
|
| Dress |
x |
|
(Category 2) Out-patients with suspected SARS for chest X-ray screening and all X-rays performed in A&E:
| Requirements |
Patients |
| Handwashing |
|
| Gloves |
x |
| Protective gowns |
x |
| Cap |
x |
| Face Shields / Visors / Goggles |
x |
| N95 mask |
x |
| Surgical mask |
|
| Dress |
x |
|
(Category 4) In-patients with suspected/confirmed SARS:
| Requirements |
Patients |
| Handwashing |
|
| Gloves |
x |
| Dress (clean gown / protective gown) |
|
| Cap |
|
| Face Shields / Visors / Goggles |
x |
| N95 mask |
x |
| Surgical mask |
|
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(Category 3) In-patients without suspected/confirmed SARS:
This is the most difficult group in which to draw up guidelines. Ideally guidelines in category 4 above should be followed but modifications may need to be made according to resources.
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