
In settings where individuals have depressed immune response, the emphasis will be on protecting the individual from microbes that are carried in by employees and visitors, so the PPE requirements will be different.
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Fine droplets can travel further and are more easily inhaled.
This means aerosol generating procedures, for example, tracheotomy, require a higher level of PPE as there is an increased risk.
It is about using it carefully and according to revised guidelines as well as following other government guidelines regarding social distancing and hand washing etc. We have already covered these in this course and in our freely available Coronavirus (COVID-19) Essentials course.
The situation regarding Coronavirus is changing from day to day as the scientists learn more about its behaviour. As a result, it is important that everyone keeps up to date with changes from their managers in relation to what PPE should be worn, how and when.
Individuals’ care plans should have been updated to take their specific needs into account in relation to COVID-19. It is important to read these before starting any episode of care or contact with each individual.
Look out for symptoms, such as:
A person may have a temperature if…
| Their chest or back feel hotter than usual. |
| They have other symptoms, such as shivering (chills), sweating or warm, red skin. |
| A thermometer says their temperature is above 38 degrees C. |
Whilst you will wear PPE, when you know someone has symptoms, it may be appropriate to see to those individuals at the end of rounds (where safe to do so) and discuss with your manager ways you might be able to minimise direct contact where practical, to further reduce risk to yourself.

Health and Safety Executive
This is a link to a HSE web page providing further links to help employers and works in health and social care during the Coronavirus outbreak.
Care Quality Commission
This is a link to a CQC web page providing information and links for people working in adult social care services during the Coronavirus outbreak.
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