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here in CA we have closed schools and are doing screenings the entrances to hospital and ER. We are also screening at the outpatient clinic. We are trying to do our part in social distancing and have stretched out the frequency of patients coming into the clinic. I am wondering about holding HBO treatments for a period. We know we can clean surfaces but what about the internal workings and air flow.
Despite our entry screenings we have had 2 patients admitted through the clinic for pheumonia. Interested in your thoughts about a clinics role in "flattening the curve"
Mar 14, 2020 by postenkm@tcmc.com, RN
3 replies
Jeff Mize
RRT, CHT, CWCA
Kim,
Thank you for your question. I have reached out to Sechrist Industries and requested their insight. At this time, they do not have any information specific to COVID 19. Sechrist does provide a list of cleaners and disinfectants (https://sechristusa.com/wp-content/uploads/2018/09/Approved-Chamber-Disinfectants.pdf) that are approved for the hyperbaric chamber specifically the acrylic cylinder. Sechrist suggestion at this time is to reach out to the manufacturers of these cleaning agents to ask if they have any test information regarding the effectiveness of their product against COVID 19.
Because this is a newly evolving situation it is unclear as to any work the manufacturers of the approved chamber cleaners disinfectants have done Specifically against COVID 19.

The CDC has provided guidance on their website for the Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings (https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Finfection-control.html)
The following is an excerpt from the CDC regarding Environmental Infection Control
•Dedicated medical equipment should be used when caring for patients with known or suspected COVID-19.

All non-dedicated, non-disposable medical equipment used for patient care should be cleaned and disinfected according to the manufacturer’s instructions and facility policies.

• Ensure that environmental cleaning and disinfection procedures are followed consistently and correctly.
• Routine cleaning and disinfection procedures (e.g., using cleaners and water to pre-clean surfaces prior to applying an EPA-registered, hospital-grade disinfectant to frequently touched surfaces or objects for appropriate contact times as indicated on the product’s label) are appropriate for SARS-CoV-2 in healthcare settings, including those patient-care areas in which aerosol-generating procedures are performed.

o Refer to List Nexternal icon on the EPA website for EPA-registered disinfectants that have qualified under EPA’s emerging viral pathogens program for use against SARS-CoV-2. (https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2)
• Management of laundry, food service utensils and medical waste should also be performed in accordance with routine procedures.
• Additional information about recommended practices for terminal cleaning of rooms and PPE to be worn by environmental services personnel is available in the Healthcare Infection Prevention and Control FAQs for COVID-19
I would also refer you to the WoundReference topic Cleaning and Disinfection of Hyperbaric Oxygen Monoplace Chamber. Please let me know if you have any additional thoughts or questions.
Mar 14, 2020
Thank you for your information. Have you heard of any clinics holding treatments during a "stay home period" requested by their health agency. Just curious.
Mar 14, 2020
Jeff Mize
RRT, CHT, CWCA
As we are seeing the situation change daily, the same is true of the COVID 19 response policy at each institution or facility. I am aware of one program that has recommended “holding” scheduled procedures for non-emergent cases. This would not include cases in which the patient is at risk for loss of life or limb.
Mar 15, 2020
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