This addendum is meant to merge our Covid-19 precautions with the previous transmission-based precautions policy.

All inpatient hospital areas.

Incident Command approved this document with a pre-approval from respiratory therapy, infection control, and critical care nursing.
Date: 3/5/2020

Transportation – Covid-19 Precautions (all areas):

1.     Care should be taken to minimize the amount of time that a patient on Covid-19 precautions is out of their room. Infection Prevention may deem the patient unable to leave their room except for necessary medical procedures or emergency situations in certain situations.

2.     Notify transportation team and receiving location or unit of patient's isolation status prior to arrival.

3.     All drainage must be completely contained (either by intact dressings or sealed drainage systems) while the patient is outside of the room.

4.     The patient shall put on a clean hospital garment immediately prior to transport. Patients are never to wear the isolation gowns designated for healthcare workers.

5.     If a chart is present, wipe down the chart with an approved low level disinfectant and place the chart in a holder on the clean equipment or put in a clean pillowcase if giving it to the patient to hold or laying on the bed or gurney.

6.     Patients should be transported in a clean wheelchair or gurney whenever possible. Use of the bed for transport should occur only when no other option is feasible or the judgment of the nurse determines that the bed must be used for transport for the safety of the patient. If the bed is used for transport, the bed rails, headboard and foot board should be surface wiped with an approved hospital disinfectant immediately prior to transport.

7.     The patient shall wear a standard surgical mask while being transported. This will prevent the generation of droplet nuclei while providing the least obstruction to air flow. The N-95 respirator is not to be used on the patient.

8.     If the patient is vented, the Hepa filter that is placed prior to the ambu bag or the Y of the circuit on the ventilator for Covid-19 patients should be transported with the patient.

A.     If in-line suction is in place, place the filter between the suction and the ambu bag/circuit.

B.     Because of universal masking, any employee who is currently wearing a mask (surgical or N-95), this mask should not be removed or changed.

9.     Those in close contact with the patient throughout the transport (ex. Respiratory therapist needing to bag the pt.) should don clean isolation gown and gloves immediately prior to transport and wear the PPE only if physical contact with the patient is necessary during transport. Gown and gloves need not be worn for solely for pushing the gurney or wheelchair.

A.     An exception is the surgical mask or N-95 mask because of Covid-19 universal mask precautions.

10.  All staff members involved with the transport who are not in close contact with the patient shall remove gloves and isolation gown when leaving the room and hand hygiene performed. Extra PPE may be taken for the transport for use as needed for patient contact but not routinely worn.

11.  Once the patient is masked and outside of the negative pressure room, the transporter does not need to wear an N-95 respiratory until they return the patient to the room.

          A.     Because of universal masking, any employee who is currently wearing a
                   mask should continue wearing that mask (surgical or N-95), this mask                            should not be removed or changed.

12.  The door to the room should remain closed.

13.  If elevators use is required for transportation depending on hospital or clinic location only the service elevators shall be used for patient transport.

14.  After the patient is returned to his/her room, the wheelchair or gurney shall be disinfected with low-level disinfectant (Sani-cloth germicidal wipes, or the approved hospital disinfectant if extensive blood/body fluid contamination has occurred).

Med Branch Director – IC Team: A. Ellis, H. Escudero, A. Juels, B. Listy, N. Stafford       03/25/2020

Reviewed DPSQ 4.23.2020

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