The Transylvania Times -

Mission Approves New Mask Protocols-Brevard NC


Last updated 4/3/2020 at 10:19am

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Mission Health announced Thursday that all staff and providers in all patient care areas will now wear masks, expanding their use beyond suspected or positive COVID cases.

Masks will be optional only for staff in non-patient care areas who can consistently maintain social distancing of at least 6 feet aside from brief interactions with colleagues.

"Our top priority is protecting our patients, clinicians, nurses, and colleagues so we can best serve our communities through the duration of this pandemic," said William Hathaway, MD, chief medical officer, Mission Health/HCA North Carolina Division. "These new guidelines apply to all areas of our patient care facilities, not just those where suspected COVID or COVID-positive patients are being treated."

Mission is taking this step now because of evidence it sees that, while social distancing is a key strategy for interrupting the spread of coronavirus, it is difficult to maintain in the busy patient care environment. Also, its latest analysis of its ability to meet the demands for additional use of masks gives Mission confidence that its colleagues in supply chain are prepared to address its needs, a news release said. Even though Mission Health, as part of HCA Healthcare, currently has adequate supplies of personal protective equipment, it will continue to take steps to conserve PPE, including reuse and reprocessing of PPE where appropriate.

Mission is now deploying three types of masks, depending on the clinical role, the type of care the patient is receiving, and the level of suspicion for infection with COVID.

• Level I "procedure" masks for all staff not needing higher levels of protection. These masks can also be used for caring for suspected or confirmed COVID patients when paired with a full face shield.

• Level 3 masks for additional protection from fluids and droplets, and for use by staff caring directly for suspected COVID or COVID positive patients, except when performing aerosolized procedures.

• N-95 respirators for staff caring for suspected COVID or COVID positive patients, and are the only mask that should be used during aerosolizing procedures, such as intubation, nebulization, bronchoscopy, or suctioning.

As this crisis evolves, Mission Health and HCA Healthcare will continue to evolve to meet the challenges. Since January, Mission has been continually monitoring PPE usage, carefully analyzing and implementing the guidelines from the Centers for Disease Control and Prevention and the Food and Drug Administration for best PPE practices. Its supply chain has continually worked with its epidemiologists and data scientists to track usage and anticipated demand, so Mission can allocate its stocks appropriately and secure additional shipments, the release said. Mission has appointed PPE stewards in each of its facilities to manage supplies to prepare for the potential of an influx in patients.

"We know that all our employees are making sacrifices in this extraordinary time," Hathaway said. "We thank you for your continued efforts and commitment to our patients."


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