Instructions for our team members before each shift:
Take you temperature before the start of each work shift. Stay home if you have a fever of 104°F or greater and follow these steps
Stay home if you are having Symptoms consistent with COVID-19:
A text will be send to your phone every morning before your shift, after you answer the questions you can start your shift.
Call office supervisor to report any signs and symptoms you may have.
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
New loss of taste or smell
Sore throat
Congestion or runny nose
Nausea or vomiting
Diarrhea”
Make sure to inform your supervisor to arrange for medical evaluation and testing.

Before arriving at each client’s home:
Check notes in MM to see if patient was screened by office staff, if no notes call office.
If patient notes say Pos for COVID-19 you must ware full PPE gear and document in patients notes.
If patient notes say patients has signs and symptoms of COVID-19 you must ware full PPE gear and document.
If notes Say NO signs and symptoms only N-95/n95 mask/gloves is ok Please use your own discretion
Before a X-ray is performed Patient must be wearing a mask and instruct any one in the house hold that they have to be 6 feet away from u and the x-ray machine, Family members, Nurse aids
Remember that people may be able to spread SARS-CoV-2 even if they do not show symptoms. Consider all close interactions (within 6 feet) as a potential source of exposure.
Use plastic bags for your cassette or a clean pillowcase
Clean your equipment with virex 11 256 after exam is done. Spray entire machine X-ray machine with virex 256 after each patient
Dispose of outer surgical mask, gown and gloves in plastic bag in patients trash can
Use a hand sanitizer with at least 60% alcohol if soap and water are not available.
Do not touch your eyes, nose, or mouth.
Cover your coughs and sneezes when not wearing a mask.
Do not remove mask for coughs and sneezes.

Click link to see Demonstration of Donning (Putting On) Personal Protective Equipment (PPE)
https://www.youtube.com/watch?v=H4jQUBAlBrI
How to Put On (Don) PPE Gear
More than one donning method may be acceptable. Training and practice using your healthcare facility’s procedure is critical. Below is one example of donning.

Identify and gather the proper PPE to don. Ensure choice of gown size is correct (based on training).
Perform hand hygiene using hand sanitizer.
Put on isolation gown. Tie all of the ties on the gown. Assistance may be needed by other healthcare personnel.
Put on NIOSH-approved N95 filtering facepiece respirator or higher (use a facemask if a respirator is not available). If the respirator has a nosepiece, it should be fitted to the nose with both hands, not bent or tented. Do not pinch the nosepiece with one hand. Respirator/facemask should be extended under chin. Both your mouth and nose should be protected. Do not wear respirator/facemask under your chin or store in scrubs pocket between patients.*
Respirator: Respirator straps should be placed on crown of head (top strap) and base of neck (bottom strap). Perform a user seal check each time you put on the respirator.
Facemask: Mask ties should be secured on crown of head (top tie) and base of neck (bottom tie). If mask has loops, hook them appropriately around your ears.
Put on face shield or goggles. When wearing an N95 respirator or half facepiece elastomeric respirator, select the proper eye protection to ensure that the respirator does not interfere with the correct positioning of the eye protection, and the eye protection does not affect the fit or seal of the respirator. Face shields provide full face coverage. Goggles also provide excellent protection for eyes, but fogging is common.
Put on gloves. Gloves should cover the cuff (wrist) of gown.
Healthcare personnel may now enter patient room.

Click link to see Demonstration of Doffing (Taking Off) Personal Protective Equipment (PPE)
https://www.youtube.com/watch?v=PQxOc13DxvQ
How to Take Off (Doff) PPE Gear
More than one doffing method may be acceptable. Training and practice using your healthcare facility’s procedure is critical. Below is one example of doffing.

Remove gloves. Ensure glove removal does not cause additional contamination of hands. Gloves can be removed using more than one technique (e.g., glove-in-glove or bird beak).
Remove gown. Untie all ties (or unsnap all buttons). Some gown ties can be broken rather than untied. Do so in gentle manner, avoiding a forceful movement. Reach up to the shoulders and carefully pull gown down and away from the body. Rolling the gown down is an acceptable approach. Dispose in trash receptacle. *
Healthcare personnel may now exit patient room.
Perform hand hygiene.
Remove face shield or goggles. Carefully remove face shield or goggles by grabbing the strap and pulling upwards and away from head. Do not touch the front of face shield or goggles.
Remove and discard respirator (or facemask if used instead of respirator). Do not touch the front of the respirator or facemask.*
Respirator: Remove the bottom strap by touching only the strap and bring it carefully over the head. Grasp the top strap and bring it carefully over the head, and then pull the respirator away from the face without touching the front of the respirator.
Facemask: Carefully untie (or unhook from the ears) and pull away from face without touching the front.
Perform hand hygiene after removing the respirator/facemask and before putting it on again if your workplace is practicing reuse.*

IMPORTANTANT Information for those on the frontline using N-95 Masks
https://www.sages.org/n-95-re-use-instructions/

Instruction Video on the P-100 respirator