Laryngoscope & reusable stylet cleaning procedure

The following procedure has been established for cleaning laryngoscopes and reusable stylets after using them on patients.  We’ll be posting this in the EMS rooms at the hospitals soon.  The web address for this file is shown at the bottom of the flowsheet, and a PDF version is attached...

Member-provided face coverings

The EMS Department has been evaluating guidance from the CDC regarding the use of non-medical, non-industrial face coverings as an adjunct to social distancing techniques during the COVID-19 outbreak.  The Department has found no credible evidence to suggest that such face coverings offer a degree of protection – from...

COVID-19 safety update

EXPOSURE REVIEW METRICS   Many of you have received my exposure questionnaires and instruction sheets.  I’ve reviewed 238 individual encounters on 66 incidents.  The volume of cases to review is now becoming overwhelming.  Fortunately, some clear patterns have emerged, and are covered below.   KEEP UP THE GREAT WORK...

Fundamentals of exposure risk assessment

Officers,   With respect to COVID-19, please be aware of the fundamentals of exposure risk assessment.   There are always risks.  You can manage them, and you can favor one over another, but you cannot eliminate them altogether.   For instance, we could guarantee that no member will catch...

COVID-19 safety update

While performing some of our new processes, we’ve identified the following opportunities for improvement:   Don’t send more providers than necessary into the 6-foot proximity of the patient.  Unless you’re working a code or pre-code, it usually only takes one provider to perform initial examinations and treatments. Keep interns...

COVID-19 safety update

We recommend a new routine for the end of your shift:   Put your duty uniform in a clean plastic bag Shower Change into a clean set of street clothes When you get home, transfer your duty uniform directly from the bag into your washing machine and immediately process...

Department-issued bleach spray at hospitals

Beginning tomorrow, the EMS Department will be providing spray bottles of diluted household bleach solution at the following hospitals for EMS use:   Virginia Beach General Princess Anne Independence Leigh   You may use the solution to clean ambulances and gear after transporting a patient with a communicable disease...

PPE infographic. Don’t skimp & don’t waste

Clarification:  The guidance in the below infographic only applies to encounters with patients who are specifically concerning for COVID-19 per CDC screening guidelines (fever, cough, shortness of breath PLUS recent travel to a hot spot or recent exposure to a known COVID-19 patient).   Remember:  We do not currently...

More N95 masks on ambulances

The EMS Department has now distributed 6 N95 masks to each ambulance, and 3 N95 masks to each zone car.  The molded masks are packaged in Tupperware containers.  The fold-flat masks are in “Health Kits” that have been bundled in Ziploc bags.   Example packages:     Some ambulances...