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My #PPE ritual, refined over service time:
1. Dedicated scrubs, shoes, mask for commuting.
2. Change into clean work scrubs, work shoes in office.
3. Put on N95, cover w surgical mask.
4. 3M safety glasses (plastic), 3D printed faceshield
5. Disposable nonwoven surg cap
6. Take stairs, not elevators.
7. Never touch doorknobs w bare hands. If unavoidable, use hand sanitizer immediately afterwards.
8. No longer wear white coat nor carry stethoscope
9. No jewelry- not my wedding band, earrings, watch - nothing.
10. When needed, I use clean disposable stethoscope or borrow & bleach wipe one and cover it w disposable glove.
11. Bleach wipe everything frequently - face shield, my laptop, iPhone.
12. Ziplock bags work well as phone protector.
13. Dispose surgical cap upon leaving CCU.
14. More intensive hand hygiene than ever before.
15. Lysol spray & Clorox wipe my office, desktop, keyboard frequently.
16. End of work day, change into commuting scrubs.
17. Deposit work scrubs into hosp scrub machine.
18. Arrival home, leave commuting shoes at front door.
19. Shower immediately before going near husband (MICU attdg) or 17mo old son (if not already asleep).

POV: Self-quarantining is not possible in our apt & we don't have a 2nd home. Our parents, though in Tri-State area, are high risk for sev COVID. We are high risk carriers.
So far, my husband & I haven't both been on clin service @ same time during #COVIDsurge. He was in MICU in v. beginning, when 1st COVID ARDS pt @nyphospital. Things will change v quickly as he goes back to MICU Fri and I await redeployment orders.
#PPEsavesHCWlives
Clarification re:PPE routine.
After rounding, I clorox wipe phone, laptop, face shield, and do hand hygiene (purell and then wash).

Since masks, incl N95, have to be reused, I UV irradiate masks & faceshield in my lab cell culture hood. And UVI phone & ID in PCR AircleanStn.
Thx to those who have since fwd’d me concerns re repeated UVI of N95. I had done so based on lit search that supported its efficacy & safety & b/c hospital mandated extended wear & reuse. Given concerns re UVI compromise of N95, I do not advocate mult UVI. Follow you hosp policy
Best case scenario is you do not have #PPEshortage and are not req’d to reuse N95s. Still awaiting hosp policy re acceptable sterizilation methods. Hoping to get new N95 that fits before redeployment. We have received word that more N95s are en route. 🤞🏻
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