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COVID-19 Personal Protective Equipment (PPE)

How to get PPE

The local process for PPE is: 

  • All providers to contact their normal suppliers in the first instance for purchasing of PPE.
  • If providers cannot obtain PPE through their normal suppliers please contact the distributors that have been nominated by the Government to supply PPE, contact details below.
  • If normal distribution routes are unavailable or if it is an emergency please complete the attached form (in the downloads section of this webpage) and send to ppe@nottinghamcity.gov.uk with your requirements.

Contact details:

Social Care Distributors Contact Details

The Government has provided key distributors with PPE, please click here to access contact details, also saved in downloads section.

How to use PPE

Indication and use of Personal Protective Equipment

Summary Guidance for Nottingham City Colleagues during the COVID-19 Pandemic

PPE summary guidance (easy read)

Version 3.9: Correct as of 4th June 2020 

This guide is intended to assist you to assess if personal protective equipment (PPE), is required for your work, and if so the type of PPE, in line with national guidance. It is important that you don’t use PPE when you don’t need to so we can maintain supplies and work together to protect our colleagues and citizens. This guidance does not cover schools and educational settings.

Before deciding that you need PPE, consider if the contact:

  • Is urgent or could it be postponed? If not,
  • Could take place over the phone or by email? If not,
  • Could social distancing (2 metres) be maintained throughout the contact? If not,
  • What PPE is appropriate based on national guidance? 

Four key factors should guide the assessment of whether PPE is appropriate or not and which PPE would be appropriate, if required. These are whether:

  • The colleague is providing direct and/or personal care for an individual. PPE needs to be worn for all direct and/or personal care which includes support with personal hygiene and contact with bodily fluids. 
  • The citizen, or a member of their household, is in the extremely vulnerable shielding group
  • The citizen does or does not have COVID-19 (suspected or confirmed) or is self‑isolating because a member of their family/household is symptomatic [high temperature and/or new continuous cough and/or a loss of, or change in, normal sense of taste or smell]. 
  • The colleague is working in challenging contexts where social distancing (2m) can’t be reliably maintained e.g. with citizens whose behaviour we cannot predict or may be aggressive.

The PPE that colleagues need to use in different contexts is outlined in the tables below. As well as wearing the right PPE, it is essential that colleagues make themselves aware of the right way to put it on and take it off to reduce the risk of contamination. Please see the guidance pictures and instructions below. 

National guidance states that, ultimately, where health and social care staff “consider there is a risk to themselves or the individuals they are caring for they should wear a fluid repellent surgical mask with or without eye protection as determined by the individual staff member for the episode of care or single session”. [1]

Where a colleague considers there is an increased risk in providing direct and personal care for a symptomatic citizen, such as when behaviour is unpredictable, the need for additional PPE (for example fluid-repellent coverall/gown) should be risk assessed with their line manager.

[1] PHE. COVID-19: infection prevention and control guidance (updated 27 April 2020) available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/881489/COVID-19_Infection_prevention_and_control_guidance_complete.pdf

Instructional Videos

NHS Video: Putting on and removing PPE - Public Health England instructional

This video demonstrates how to put on (known as donning) and remove (known as doffing) your PPE in a health and social care setting.

  • This video demonstrates both the techniques you should use to put on/remove your PPE and the order in which you should do each item
  • Following this order and using the techniques is essential in preventing contamination and infection spread
  • Where the video refers to “patients”, this means any citizens you are in contact with when providing services

Video: Cleaning Goggles

This video has been made by Infection Control colleagues in Nottingham to demonstrate the steps in cleaning reusable goggles.


NHS Video: How to wash your hands

Please make sure you follow these general principles to prevent the spread of infectious viruses, including flu and norovirus, as well as Coronavirus.

  • wash your hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitiser that contains at least 60% alcohol if soap and water are not available. This is particularly important after taking public transport. The NHS have produced guidelines on how to wash your hands effectively to prevent the spread of infection and you can find this on their website.
  • avoid touching your eyes, nose, and mouth with unwashed hands
  • avoid close contact with people who are unwell
  • cover your cough or sneeze with a tissue, then throw the tissue in a bin.
  • if you are worried about your symptoms, please call NHS 111. Do not go directly to your GP or other healthcare environment.

 

    How to Dispose of PPE

    How do I dispose of PPE used in community settings such as care homes with arrangements for clinical waste collection?

    It is really important that PPE is put on and removed carefully. Guidance is available to provide further information on how to put on and remove PPE correctly. Following the removal of PPE it should be placed inside clinical waste bins.

    How do I dispose of PPE used in citizen’s homes?

    It is really important that PPE is removed carefully – see taking off (doffing) guidance. 

    When citizens do not have symptoms of COVID-19 waste PPE should be placed in a refuse bag and can be immediately disposed of as normal domestic waste.

    For citizens who do have symptoms of COVID-19 there are additional measure for waste PPE. Prior to the visit, colleagues should risk assess whether the household is able to adhere to the safe disposal of waste PPE. If they cannot, colleagues should take their waste away with them in a disposable rubbish bag, placed into a second bag and tied securely to dispose of at their base in accordance with government guidance.

    If the citizen is able to adhere to the safe disposal of waste, then colleagues should not remove waste PPE from the citizen’s home. Colleagues should take off their PPE when at least 2m away from the citizen or any other person. It should then be put into a disposable rubbish bag, placed into a second bag, tied securely, labelled with the date and time. Waste should be stored safely and securely kept away from children and other waste for 72 hours. After this time the rubbish bags may be placed into a citizen’s household waste bin.

    Government Guidance on PPE

      Recall and Safety Notices

      • Official notification was received from the Department of Health and Social Care stating that Tiger Medical Products protective goggles and frames supplied through the National Supply Chain and distributed by the LRF do not meet the current requirements for splash protection and therefore should not be used whilst we have sustained transmission of COVID-19. 

        All colleagues who have goggles as part of their PPE should arrange to return them as described in the letter from the LRF (see below) and collect replacement eye protection. Whilst we recognise that colleagues may be concerned, the letter from central government states the risk from using Tiger Eye protective goggles and frames in direct patient contact, when not performing aerosol generating procedures (AGPs), is limited.

      • The LRF have issued Type II masks. Whilst our records suggest that none of these masks have been distributed to colleagues in Nottingham we request you check that all the masks you’ve received are Type IIR.

        Type II masks are not fluid resistant so can be used as a surgical mask, for example when preparing food for someone in the extremely vulnerable shielding group, but cannot be used in a direct and/or personal care situation.  Please follow the infection prevention control guidance below and Nottingham City Council summary guidance (see above)

        https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control

        If you require PPE, including fluid resistant IIR masks please complete the order form attached and email to ppe@nottinghamcity.gov.uk

      • Official notification was received from the NHS Supply Chain which states there is a product fault with some batches of Cardinal Type IIR maskssupplied centrally and distributed by the LRF. The fault is either with the stitching on the ties or with the foam nose strip, potentially causing particles to flake whilst it’s being worn. 

        If you are using Cardinal Type IIR masks, please check the box to see if it’s one of the affected lots. Whilst the attached states there is no need to recall the masks at this stage, if you are concerned please order replacement masks through PPE@nottinghamcity.gov.uk

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