- Keep track of body temperature and oxygen saturation (warning if <90).
- Wear surgical mask 24/7, change mask when wet or every 6 hours (may need to modify later according to stocks).
- Stay hydrated.
- Soak dirty clothes and dishes in the storage bins for sanitizing. Keep the lid close to be protected from bleach fume.
- Leave the storage bins outside of the room each night after kids go to sleep, spray outside if possible, especially where touched.
- Open windows and patio doors as much as possible.
- Tylenol (every 4 hours) and ibuprofen (every 6 hours) can be used to reduce temperature. Limit the use as slightly elevated temperature is good for immune system to kill virus.
- Use nasal spray if necessary.
- Wear gloves to take care of patient’s clothes and dishes. Home use washer/dryer and dishwasher is sufficient for sanitizing.
- If entering a patient’s room is necessary, use aseptic technique and universal precaution. Treat caregiver’s gloves, outside of mask, outside of disposable gown, shoe cover as contaminated. Always work from clean to dirty and change PPE if attending to clean areas again. Treat everything that patient touches and the room for isolation as contaminated.
- The order for putting on PPE is Gown, Shoe cover, 1st pair of Gloves, Surgical Mask, Eye Protection and 2nd pair of Gloves (not too important as they are all clean).
- The order for removing PPE (single gloves) is Gloves and Gown, Eye Protection, Surgical Mask. Perform hand hygiene immediately on removal.https://www.cdc.gov/hai/pdfs/ppe/ppe-sequence.pdfThe order for removing PPE (double gloves) is outer gloves, eye protection, gown, shoe cover, mask, inner gloves. Perform hand hygiene immediately on removal.https://msdh.ms.gov/msdhsite/_static/resources/4530.pdfPrinciple: remove the dirtiest first (gloves), then consider hand/inner gloves clean, work from clean to dirty, and wash hand/remove inner gloves
- How to remove gloves: only touch outer surface for the first glove, only touch inner surface for the second glove
- How to remove gown: Touch only inside of the gown when taking off and wrap outer surface inside, dispose or soak in disinfectant
- How to remove shoe cover:
While in the dirty area, lift one leg and remove shoe cover, step on the clean area and do not step back. Lift the other leg, remove shoe cover and step on the clean area.
- How to remove mask:
Surgical mask: Hold both of the ear loops and gently lift and remove the mask without touching the outer surface.
N95: Lift the bottom strap over your head first then pull the top strap over your head without touching the outer surface.
- Clean up patient’s body fluid
- PPE: 2 layers of medical grade gloves, N95 or surgical mask, goggles (optional), gowns (optional)
- Prepare disinfectant: 10% bleach or disinfecting wipes
- Cover the spill area with absorbent materials such as paper towel
- Remove the absorbent material and put in a bag
- Spray/apply disinfectant to the contaminated area and wait appropriate contact time
- Remove disinfectant with paper towels and place in the bag
- Remove the outer pair of gloves only and dispose of them in the bag.
- Remove goggles and gowns with inner gloves still on and disinfect goggles and any other items utilized in the spill response.
- Remove inner gloves and dispose of them in the bag.
- Dispose the bag out of the house
- Wash hands with soap and water as soon as possible.
Make sure each person in the household knows where disinfectant and PPE (personal protective equipment) are located and keep track of how much in stock. Use substitution if a preferred item is not available.
|Where is it in the house?||Note||Substitution|
|Bleach||PPE to use: gloves, mask, goggles/glasses (eye and respiratory irritation, open window after use) |
Working concentration: 10%Check label, may need to dilute with water
Good for white clothes, bedding, surface
Never pair bleach with ammonia or vinegar
Manufacturer’s instructionTo clean: Pre-wash surface.Wipe area with a solution of ½ cup of Clorox® Regular Bleach2 with CLOROMAX® per gallon of water.Allow solution to contact surface for at least 5 minutes.Rinse well and air dry.To sanitize: Wash, rinse and wipe the surface with a solution of 2 teaspoons of bleach per gallon of water for at least 2 minutes.Let air dry.
|Consider using alcohol, which is more respiratory friendly, to sanitize if have enough in stock|
|Isopropyl alcohol / Ethanol alcohol||Working concentration: 60% – 80% (if >90%, doesn’t work as effective as 70%, it’s to sanitize stuffs that cannot get wet)|
No PPE necessary
Flammable, do not spray near fire
Good for surface, hands
|Alcohol based sanitizer||Homemade recipe: 70% alcohol : gel-like material = 9 : 1 by volume. Final concentration 63% 90% alcohol : gel-like material = 7 : 3 by volume. Final concentration 63%||Use 70% alcohol in spray bottle, apply hand lotion afterwards|
|Disinfective wipes||Clorox/Lysol wipes kill viruses but are not safe for kids. Objects have to be rinsed with water before giving to kids|
Other wipes are safe for kids but not ideal for sanitizing.
|Soak paper towel in any type of liquid disinfectant|
|Hydrogen peroxide||Test before use: should see small bubbles if works effectively.No PPE necessaryNot ideal|
|White vinegar||No PPE necessaryNot ideal|
|Gloves||Medical grade nitrile gloves||heavy duty rubber gloves|
|Shoe cover||Use different slippers inside and outside of the room|
|Disposable gowns||Raincoat / waterproof clothes, change when entering/exiting the room, soak in disinfectant after use|
|Thermometer and oximeter|