Face Masks PreBID Meeting~2.docx

DOCX document 447 KB Posted

Attached to
DHS Cooling Tower Fill Replacement CMHC Small Purchase
Solicitation number
22-444DHS-MENTH-B-26206
Issued by
Richland County, Illinois

About this file

This document is a revised pre-bid meeting agenda for a state contract opportunity related to the procurement of face masks, respirators, face shields, and goggles. The Infection Control Workgroup in coordination with local Infection Control Experts have reviewed CDC and IDPH guidelines and set forth the approved definitions, requirements, and usage guidelines for these items. The guidelines specify the appropriate types of face coverings, when eye/face protection is required, and the required PPE for various circumstances such as cleaning isolation/quarantine rooms, conducting admissions/readmissions, and performing aerosolizing procedures. The document also provides options to improve mask fit, including the use of nose wires and knotting/tucking techniques.

The document outlines the transmission rate-based PPE requirements for patient/resident areas and non-patient/residential areas. It specifically requires fit-tested N95 respirators and face shields/goggles for certain staff roles and activities. The document references the CDC's mask fit and filtration guidance and provides detailed information on the appropriate use of face coverings and PPE in various scenarios, including CPAP/BIPAP usage, specimen collection, and entering isolation/quarantine rooms.

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Text version

Face Masks/Respirators/Face Shields/Goggles October 28, 2021 Revised from 4/14/21, 8/25/21

The Infection Control Workgroup in coordination with local Infection Control Experts have reviewed CDC and IDPH guidelines related to the use of face masks/respirators and face shields or goggles. The guidelines listed in this document have been approved.

Definitions:

Medical Mask- this includes surgical masks and KN95 masks (N95 masks although medical are not included as Medical Mask in this guideline, they are referenced on their own) Well-fitted: Masks that fit tightly over the nose, cover the mouth and do not have gaps to allow air in. Further information on the CDC webpage: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/mask-fit-and-filtration.html#increase-mask-protection

PPE USE- Patient/Resident not suspected to have COVID-19

County Transmission Rate
Low to Moderate
Substantial to High
PPE to be worn
Medical Mask (well-fitted)
Patient/Residential area- Medical Mask (well-fitted) and Eye/Face Protection
Non-patient/ residential areas- Medical mask (well-fitted), no eye protection except when entering residential areas

In addition to other recommended PPE, Fit-tested N95 respirators and face shields or goggles are required to be worn by:

1) Staff performing COVID-19 environmental cleaning of isolation/quarantine rooms.

2) Staff manning check-in locations

3) Staff completing admissions/readmissions of patients/residents

4) Staff conducting aerosolizing procedures

5) Staff assisting with dental procedures

6) Providing emergency medical services/CPR

7) On specifically designated COVID-19 units Face shields or goggles are to be worn:

1) In all circumstances where an N95 is used except for a driver during transport.

All staff members are required to wear an approved respirator or face mask at all times and adhere to social distancing and hand-hygiene guidelines.

Other Circumstances- Including Isolation and Quarantine

Circumstance

CPAP/BIPAP asymptomatic residents not suspected to have COVID 19
Specimen collection, COVID testing
Entering isolation or quarantine room or caring for patient/ resident suspected or confirmed to have COVID-19 or an unvaccinated patient/resident identified to be a close contact
Entering area/unit that has been exposed to a positive case of COVID-19 until initial round of testing is completed.
PPE to be worn
N95 or higher and Eye/Face Protection-

Gown and gloves not required

FULL PPE, N95 or Higher and Eye/Face Protection, add gown and gloves
FULL PPE, N95 or Higher and Eye/Face Protection, gown and gloves

Options to Improve Mask Fit

Nose Wires: Use cloth or medical procedure masks that have a nose wire (a metal strip along the top of the mask) to help prevent air leakage at the top of the mask. Nose wires can also help to prevent fogging of eyeglasses. To get a good fit, make sure to bend the nose wire over your nose to conform to your face

Knotting and Tucking: This technique can be used to improve the fit of a medical procedure mask. Knot the ear loops of the mask where they join the edge of the mask, then fold and tuck the unneeded material under the edges. (For instructions, see the following https://youtu.be/GzTAZDsNBe0external icon) Reference: CDC Mask Fit and Filtration 4/6/21 image1.jpeg image2.jpeg image3.emf

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