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Mask doffing (in or out of room)

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  • #78589
    Vanessa Davis
    Participant

    Author:
    Vanessa Davis

    Position:

    Organisation:

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    Hello All You Clever People
    I am trying to provide a rationale re doffing mask after you have exited a
    residents room when the resident is in isolation.

    The person insists that you remove ALL PPE whilst in the infectious room.
    In aged care there is no ante room for doffing so you are either in an
    infectious environment or outside the room.

    I have tried to explain that you doff all PPE except for mask in the
    residents room and remove mask when outside their room.

    Can anyone point me to a document that says this – or am I wrong?

    Many thanks
    Vanessa Watkins
    RN, Quality Manager, IPC Lead
    Donwood Aged Care
    Croydon, Victoria

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    #78592
    kfelstead@unitingsa.com.au
    Participant

    Author:
    kfelstead@unitingsa.com.au

    Position:

    Organisation:

    State:

    Hi Vanessa

    SA Health Have a PPE poster that we utilise in our aged care facilities in relation to Doffing Mask and goggles outside a residents room.

    I have attached the poster for you. Which is available from SA Health. We implemented this at our sites and as it is an official document staff have complied.

    See link below from Vic Health, Table 4 of when to doff Mask and Goggles

    https://www.dhhs.vic.gov.au/standard-sequence-putting-on-taking-off-ppe-covid-19-doc
    P2/N95 respirators

    P2/N95 respirators (particulate filter respirators) must be worn in the following circumstances:

    performing or assisting with an AGP on a person who is a low-risk or high-risk suspected or confirmed COVID-19 case

    caring for high-risk patients suspected or confirmed to have COVID-19 regardless of the amount of time in contact

    caring for low-risk suspected cases of COVID-19 in RACFs where there is a risk of community transmission in line with the VHSGR

    providing care to a person suspected to have COVID-19 and there is a risk of AGBs (including screaming, shouting, crying out and vomiting).

    P2/N95 respirators should be:

    fit-tested to each user to ensure that the respirator is able to fit and provide a secure seal

    fit-checked each time a respirator is put on to ensure that a good seal is achieved and applied properly

    discarded and replaced if contaminated with blood or bodily fluids

    replaced if it becomes hard to breathe through or if the mask no longer conforms to the face or loses its shape

    removed outside of patient care areas (for example, between wards, break room, reception area) and before proceeding to care for patients who are not isolated for COVID-19.

    Hope this helps.

    Kathleen

    Kathleen Felstead
    Clinical Quality & Education Consultant
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    Corporate Services
    70 Dale St Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au
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    From: ACIPC Infexion Connexion On Behalf Of Vanessa Davis
    Sent: Thursday, 7 October 2021 12:45 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Mask doffing (in or out of room)

    Hello All You Clever People
    I am trying to provide a rationale re doffing mask after you have exited a residents room when the resident is in isolation.

    The person insists that you remove ALL PPE whilst in the infectious room. In aged care there is no ante room for doffing so you are either in an infectious environment or outside the room.

    I have tried to explain that you doff all PPE except for mask in the residents room and remove mask when outside their room.

    Can anyone point me to a document that says this – or am I wrong?

    Many thanks
    Vanessa Watkins
    RN, Quality Manager, IPC Lead
    Donwood Aged Care
    Croydon, Victoria

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #78598
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Vanessa

    For us, it would depend on what type of isolation you are exiting the room from. If it is droplet precautions, then as long as you are 2+ metres away from the patient, you can safely doff the mask inside the room as you leave it.

    If it is airborne precautions, you cannot doff the mask until you have left the room and closed the door (even if there is a anteroom).

    In the case of COVID-19 or suspected COVID-19, we are utilising airborne precautions currently, so you would only doff a mask outside the room, after the door had been closed.

    It is all about risk of exposure to the respiratory pathogens you are isolating for.

    Hope that helps.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |
    W https://www.svphb.org.au

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    From: ACIPC Infexion Connexion On Behalf Of Vanessa Davis
    Sent: Thursday, 7 October 2021 12:15 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Mask doffing (in or out of room)

    Hello All You Clever People
    I am trying to provide a rationale re doffing mask after you have exited a residents room when the resident is in isolation.

    The person insists that you remove ALL PPE whilst in the infectious room. In aged care there is no ante room for doffing so you are either in an infectious environment or outside the room.

    I have tried to explain that you doff all PPE except for mask in the residents room and remove mask when outside their room.

    Can anyone point me to a document that says this – or am I wrong?

    Many thanks
    Vanessa Watkins
    RN, Quality Manager, IPC Lead
    Donwood Aged Care
    Croydon, Victoria

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #78601
    Donna Cameron
    Participant

    Author:
    Donna Cameron

    Position:
    Infection Control Consultant

    Organisation:
    University of Melbourne

    State:
    VIC

    Hi Vanessa,

    There is information about the sequence for PPE donning and doffing and where surgical masks and p2/N95s should be removed in the Australian Guidelines for the Prevention and Control of Infection in Healthcare found here Australian Guidelines for the Prevention and Control of Infection in Healthcare (2019) | NHMRC

    See section 3.3 Personal protective equipment.

    Regards,
    Donna

    Donna Cameron
    Infection Control Consultant
    Microbiological Diagnostic Unit Public Health Laboratory

    T +61 (0)3 8344 3574
    donna.cameron@unimelb.edu.au

    The Peter Doherty Institute for Infection and Immunity
    792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
    doherty.edu.au

    ________________________________

    Hello All You Clever People
    I am trying to provide a rationale re doffing mask after you have exited a residents room when the resident is in isolation.

    The person insists that you remove ALL PPE whilst in the infectious room. In aged care there is no ante room for doffing so you are either in an infectious environment or outside the room.

    I have tried to explain that you doff all PPE except for mask in the residents room and remove mask when outside their room.

    Can anyone point me to a document that says this – or am I wrong?

    Many thanks
    Vanessa Watkins
    RN, Quality Manager, IPC Lead
    Donwood Aged Care
    Croydon, Victoria

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #78604
    Manager (Fitzgerald Aged Care Facility)
    Participant

    Author:
    Manager (Fitzgerald Aged Care Facility)

    Position:

    Organisation:

    State:

    Hi Vanessa, ,

    Im sure there is a document somewhere but that is what we have been told to do via our PHU and that is how we train staff now.

    Kind regards,

    | Anna Whitney | Executive Manager

    | t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627

    | 1 Rum Corp Lane WINDSOR NSW 2756

    | w. http://www.fitzgeraldacf.com.au

    | Follow us on Facebook

    Hello All You Clever People

    I am trying to provide a rationale re doffing mask after you have exited a residents room when the resident is in isolation.

    The person insists that you remove ALL PPE whilst in the infectious room. In aged care there is no ante room for doffing so you are either in an infectious environment or outside the room.

    I have tried to explain that you doff all PPE except for mask in the residents room and remove mask when outside their room.

    Can anyone point me to a document that says this – or am I wrong?

    Many thanks

    Vanessa Watkins

    RN, Quality Manager, IPC Lead

    Donwood Aged Care

    Croydon, Victoria

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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