PT  - JOURNAL ARTICLE
AU  - Brian Kerley
AU  - Lana Tan
AU  - Denise Marshall
AU  - Cindy O’Neill
AU  - Anne Bialachowski
AU  - José Pereira
TI  - COVID-19 Personal Protective Equipment in the Home: Navigating the Complexity of Donning and Doffing
AID  - 10.1370/afm.2667
DP  - 2021 Sep 01
TA  - The Annals of Family Medicine
PG  - 405--410
VI  - 19
IP  - 5
4099  - http://www.annfammed.org/content/19/5/405.short
4100  - http://www.annfammed.org/content/19/5/405.full
SO  - Ann Fam Med2021 Sep 01; 19
AB  - PURPOSE The safety of care professionals and patients is paramount while caring for people with infectious diseases, including those with confirmed or suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and coronavirus disease 2019 (COVID-19). Existing policies and protocols for donning and doffing personal protective equipment (PPE) are primarily for institutional settings such as hospitals, not for home visits for patient care. We describe a protocol for donning and doffing PPE in home settings.METHODS We used an iterative, rapid-prototyping approach to develop the protocol. A small workgroup created preliminary drafts, drawing on hospital-based protocols and modifying them, while undertaking simulations. Wider input was solicited via 2 webinars; 1 regional (Hamilton, Ontario) with palliative clinicians, and 1 national (Canada) with varying professions. We also consulted a group of infectious disease experts. A “how-to” video accompanies the protocol.RESULTS Twelve versions of the protocol were produced, with major changes occurring within the first 6 versions. A national webinar mid-development provided further validation and minor modifications. Subsequent versions involved minor changes. The protocol has 4 phases: (1) Preparing, (2) Entering the Home, (3) Leaving the Home, and (4) After the Visit and Reprocessing. In addition to PPE-related equipment, the protocol requires additional materials including 2 pails for transporting supplies, plastic bags, hand sanitizer, disinfectant wipes, and printed easy-to-use checklists.CONCLUSIONS This protocol addresses gaps in COVID-19–related guidelines, specifically the process of donning and doffing PPE during home visits while supplementing jurisdictional PPE guidelines and protocols.Appeared as Annals “Online First” article.