PPE Guidelines

The World Health Organisation sets guidance for every healthcare worker. This is the personal protective equipment (PPE) every NHS or care worker should have in any setting:

Eye protection
Surgical Mask
Gloves
Gown

If you are working in the vicinity of Aerosol Generating Procedures you will also need the following extra:

Mask: Respirator N95 or FFP2 or FFP3 standard, or equivalent.
Apron

WHAT COUNTS AS AN AEROSOL-GENERATING PROCEDURE?

We believe that the UK government should be adhering to WHO guidelines about which procedures are "aerosol-generating procedures". The WHO lists CPR as an AGP. NHS England does not.

  1. Cardiopulmonary resuscitation
  2. Intubation, extubation and related procedures, for example, manual ventilation and open suctioning of the respiratory tract (including the upper respiratory tract)
  3. Tracheotomy or tracheostomy procedures (insertion or open suctioning or removal)
  4. Bronchoscopy and upper ENT airway procedures that involve suctioning
  5. Upper gastro-intestinal endoscopy where there is open suctioning of the upper respiratory tract
  6. Surgery and post mortem procedures involving high-speed devices
  7. Some dental procedures (for example, high-speed drilling)
  8. Non-invasive ventilation (NIV); Bi-level Positive Airway Pressure Ventilation (BiPAP) and Continuous Positive Airway Pressure Ventilation (CPAP)
  9. High Frequency Oscillatory Ventilation (HFOV)
  10. Induction of sputum
  11. High flow nasal oxygen (HFNO)

This guidance was last checked by the EveryDoctor advisory team on April 8. It is drawn from the World Health Organisation publication on April 6. Given COVID-19 is now widespread in the UK, it is our view that every patient should be treated as possible COVID-19 cases.