NEW COVID-19 Protocols for Dentists: Donning & Doffing (PPE)
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- čas přidán 29. 04. 2020
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The steps in this video are based on Alberta Health Services' Donning and Doffing guidelines (www.albertahealthservices.ca/...
www.albertahealthservices.ca/.... Please note: Although N95 masks/respirators with exhalation valves are considered more comfortable to breathe for the wearer, they should NOT be used when the surgical field must be maintained (ie. invasive surgeries).
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Very informative. Thank you.
I just purchased automatic alcohol dispenser to avoid touching the bottle.
that's a great idea!
You have given me some ideas thank you.
thank you for your comment and hope you enjoyed the video.
Thank you, this did help me during my journey 🛩
Glad it helped!
Excellent video, thank you! The looping music is annoying so really appreciate the subtitle/caption.
will keep this in mind for future videos! thanks for the support.
Who gave this a thumbs down 👎🏾?? This was brilliant thank you very much ! I have shared this with my colleagues we are in the dark here n the uk not much guidance .
Thank you so much!
So now the rules are everyone has to wear a gown and N95 mask, etc correct??
My work wants me to start assisting with emergency procedures next week (Endo, exo type) and I do NOT have an N95 mask, and there has not been proper discussion of protocol. If I'm not given the proper PPE I will exercise my right to refuse to work without adequate safety equipment.
I'm trying to research and understand the new system as best I can to be informed and educated.
currently, in Alberta, the standard for PPE is Level 3 mask with face shield, and lab coat or isolation gown. At my clinics, we are wearing KN95 masks, with Level 3 masks over top, with protective eyewear and/or face shields.
Yes ! You have to refuse to work without the proper ppe - we seem to be left in the dark as clinicians it’s just a real battle with the government and health officials we are forgotten yet at such a high risk
Thank you so much.. God bless...
stay safe!
I am jealous. I have not been able to obtain ANY of the PPE shown in the USA. 66 year old dentist living outside of New Orleans La.
I am sorry for your situation. If you are 66 years old, then you are in the high risk group if you should get the SARS2 virus. Do not compromise your PPE. The best or don't do it. Best of health you.
it is still possible to get K95 (legitimate ones) masks. I think level 3 masks might still be available. in Alberta we can wear lab coats, and there are surgical gown rental services available where they pick up and launder the gowns for you... cost can be as low as 60 cents per gown.
Great video -- however, in doffing of isolation gown, your first hand has to reach inside the gown to doff-outward. Your hand touches the neckline of the gown on the outside, which is contaminated. Stay safe, stay healthy
Thanks!
Love This one
thank you!
Oh wow! astounding
thanks!
Dude you forgot the most important of all- face shield!!!!!!!!!!!
Difficult to ease with loops
I don't think he can use a face shield with those loops. Still room for improvement.
current standards in Alberta give the option of N95 mask + protective eye wear OR level 3 mask + face shield. Protective eye wear can be surgical loupes or glasses with side shields. Good point though! We have since found face shields that fit over top of the loupes, so that works too!
Great view and video
thanks
you are so Remarkable thank you for this video
Thanks for watching!
Ur my new inspiration!!!
Thank you so much!
Hats Off To You
thank you!
Oh super Good afternnon , Have a nice day ahead
thank you
He didn't show when shoes cover is doffed.
But there is not enough pppe nevertheless n95 in dental offices in NJ . can we reuse n95 .?
You can re-use your fitted N95 if you put in a bag and leave alone for 9 days to play it safe. Some re-use after 5 days. You can also use a UVC sterilizer but I read that the N95 should not be used more than 3 times if you do this because the UVC breaks the fabric down. Also, you should use a surgical mask on top of your fitted N95 if you want to re-use it and also if you have an escape valve like in the video. The mask with an escape valve in front protects the operator but not the patient, so in this case, a surgical mask is definitely needed. Dentistry is one of the dirtiest professions and Sars2 makes it more dangerous now.
check with your local guidelines. Health Canada does mention something about reuse of N95s during times of critical shortages.
Nice video you have there
thanks
May i ask what brand is the loupe?
Zeiss
Very nice video
thanks!
Stupendous
thanks
How did you remove the shoe cover?
slip your thumb inside the shoe cover and roll it off carefully - like a glove. a chair will help do this in a seated position, which is easier.
Great help! Running water...You should " SAVE WATER SAVE LIVES"
thank you for your comment and suggestions
Our family/school/community/church is better because you are part of it.
thanks
What about double gloving?
Optional, but not necessary. If you do it, you should do it for ALL patients.
Nice video but pls off the tap during rubbing the hand. Waste of water 20 seconds.
If you touch the tap you recontaminate hands. Ideally it should be a sensor or foot control
good point.
@@lafemmeswizzle that is correct
Does that gown waterproof?
isolation gowns have different levels of water resistance.
Oh yea omg,I really like profile
thanks!
great
thanks
The ppe kit contents should be disposed in a yellow dustbin with lid.
thank you for the suggestion!
WOW
Thanks!
Some comments: Thank you for the video as it was informative. The mask you use has an escape valve and that is not acceptable because it does not protect your patients from your exhaled air. At least you put a surgical mask on top to capture your exhaled air. I think a face shield is very necessary- no compromise, but that means the eye loops have to go. For now, you will have to go in without the benefits of loops. You are lucky to be able to use your PPE once and then throw out. I like to remind clinicians that the virus is SARS2, and it is showing to be a multi-system disease. Take your Vitamin D daily as well as lots of Vitamin C and some Zinc. Dentistry must be one of the most dirty jobs around now. The aerosols you professionals are exposed to is enormous when you beat up saliva and blood with your tools. If you compromise on your PPE, the viral load will be extremely high. Very bad. I think Dentists and Hygienist are in an even more dangerous position than ICU Doctor Respirologists intubating patients and they use negative pressure rooms and bio-hazmat suits. I suggests Dentist concentrate on prevention for their patients and use Silver Diamine Fluoride until safer times.
Great suggestions! You are correct, the exhaust valve is not acceptable when trying to maintain a sterile field. This is part of the reason why a Level 3 surgical mask is worn over top. The concentration levels of the virus are low in saliva, compared to mucus from the oropharynx or nasal sinus... your comment about Dentists / Hygienists being in a more dangerous position vs. ENTs may not be entirely correct. When treating patients with non-symptomatic carious lesions, silver diamine fluoride is useful. However, in the case of irreversible pulpits, or necrotic pulp, or apical abscess... extraction / RCT are the only real treatment options!
This is good. But too bad we have to re use the respirator and gowns 😫😫😫😫
You can sterilize it just use your head
One can spray glutaraldehyde bacillol on PPE if laminated. Later disinfect under ultraviolet 254 nm. Reusable under extreme situations only
KN95 masks autoclave well, however I have found N95 masks don't make it through as well.
First time I’m hearing KN 95 (Chinese ) performing better than N95 Well, CPC will be happy !!
Even the things you don’t like about yourself make you interesting
thanks
Do not waiste water. Whale you rub your hands
noted. use of alcohol hand sanitizer is an option.
Here we go again! the environment we ARE in is a dental surgery NOT an operating room! Do you REALLY NEED this huge sledgehammer for such a small walnut?!
LOL yes !!! do you know how much spit and aerosol get in the air during a dental setting normally ???!
I think everyone is trying their best to stay safe, but some measures can seem over the top indeed.
It seems you’ve learned how to wash your hands properly but not how to avoid wasting water 👎🏻😡😡
agreed. Which is why alcohol-based hand sanitizer is preferred.