Westmoreland Develops EMS Aerosol Reduction Box

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Westmoreland EMS developed a protection device to assist EMS providers reduce their exposure to aerosolized droplets/contaminants when performing procedures such as bag valve mask ventilations and intubations.  This device may be used on an ambulance stretcher and can be considered disposable should it become contaminated. 

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The link below gives a step-by-step process of how to build the Aerosol Reduction Box, how to fasten it to the stretcher, and how to utilize it.

Click  to download Aerosol Reduction Box  

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N95 Reprocessing Procedure (Riverside Health System)

Riverside Health System sends out their N95 masks for sterilization/decontamination if the mask meets certain criteria.  Please click on the link below to view Riverside's N95 Reprocessing Procedure

 Click Here to Download

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Decontamination/Cleaning EMS Transport Vehicles after Treatment of Patient with Potential or Confirmed COVID-19

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CDC Guidelines Cleaning EMS Transport Vehicles

The following are general guidelines from the CDC for cleaning or maintaining EMS transport vehicles and equipment after transporting a PUI:

Vehicle Rear Doors Should Remain Open While Cleaning

  • After transporting the patient, leave the rear doors of the transport vehicle open to allow for sufficient air changes to remove potentially infectious particles.
    • The time to complete transfer of the patient to the receiving facility and complete all documentation should provide sufficient air changes.
  • When cleaning the vehicle, EMS clinicians should wear a disposable gown and gloves. A face shield or facemask and goggles should also be worn if splashes or sprays during cleaning are anticipated.
  • Ensure that environmental cleaning and disinfection procedures are followed consistently and correctly, to include the provision of adequate ventilation when chemicals are in use. Doors should remain open when cleaning the vehicle.

EPA-Registered Hospital Grade Disinfectant

  • Routine cleaning and disinfection procedures (e.g., using cleaners and water to pre-clean surfaces prior to applying an EPA-registered, hospital-grade disinfectantto frequently touched surfaces or objects for appropriate contact times as indicated on the product’s label) are appropriate for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in healthcare settings, including those patient-care areas in which aerosol-generating procedures are performed.
  • Products with EPA-approved emerging viral pathogens claims are recommended for use against SARS-CoV-2. Refer to List Nexternal iconon the EPA website for EPA-registered disinfectants that have qualified under EPA’s emerging viral pathogens program for use against SARS-CoV-2.
  • Clean and disinfect the vehicle in accordance with standard operating procedures. All surfaces that may have come in contact with the patient or materials contaminated during patient care (e.g., stretcher, rails, control panels, floors, walls, work surfaces) should be thoroughly cleaned and disinfected using an EPA-registered hospital grade disinfectantin accordance with the product label.
  • Clean and disinfect reusable patient-care equipment before use on another patient, according to manufacturer’s instructions.
  • Follow standard operating procedures for the containment and disposal of used PPE and regulated medical waste.

Is My Disinfectant Included on the List?

  • When purchasing a product, check if its EPA registration numberis included on this list.If it is, you have a match and the product can be used against SARS-CoV-2. You can find this on the product label – just look for the EPA Reg. No. These products may be marketed and sold under different brand names, but if they have the same EPA registration number, they are the same product.

The primary products included on our list may have more recognizable brand names, but there are often “distributor products” that are identical to them.

Identify Products by a Three-Part EPA Registration Number

Although distributor products frequently use different brand names, you can identify them by their three-part EPA Reg. No.

  • The first two parts of the EPA Reg. No. match the primary product.
  • A third set of numbers represents the Distributor ID number.
    • For example, EPA Reg. No. 12345-12-2567 is a distributor product with an identical formulation and efficacy to the primary product with the EPA Reg. No. 12345-12.
  • If EPA Reg. No. 12345-12 is on our list, you can buy EPA Reg. No. 12345-12-2567 and be confident you’re getting the same thing.

Avoid Shaking Linen

  • Follow standard operating procedures for containing and laundering used linen. Avoid shaking the linen. 

CDC

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Westmoreland EMS Ambulance Decontamination Gravity Fed Sprayer 

Assistant Chief R.B. Byrd of Westmoreland EMS has developed an ambulance decontamination process that is easily built.  The process describes the following:  

  1. Disinfectant types and concentrations
  2. Contact times
  3. Components of gravity fed sprayer
  4. Operation of gravity fed sprayer
  5. Cleaning procedures of sprayer components.

The link below gives a step-by-step process of how to build the decontamination system as well as how to utilize it to decontaminate your emergency apparatus.

  Click Here to Download 

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