CDC Guidance

DOHMH Guidance

Item Date Updated
Strategies for Reuse and Extended Use of PPE During COVID-19 Outbreak: Outlines seven strategies that can be used to conserve respiratory PPE; provides links to other conservation resources, and a chart comparing four kinds of commonly used respirators. 4/6
Health Advisory #8: Geared toward health care workers and addresses managing PPE needs, PPE stockpile supplies, and COVID-19 testing criteria and infection control. To preserve PPE for health care workers, DOHMH is strongly urging health care facilities to immediately stop testing non-hospitalized patients for COVID-19 unless test results will impact the clinical management of the patient. 3/20
Information on Strategic National Stockpile Ventilator Features: Provides hospitals with background information on ventilators that may be distributed from the Strategic National Stockpile. 3/25
Health Alert #9: Conserve all PPE: Asks that all facilities immediately employ PPE conservation measures recommended by DOHMH and CDC. 4/1
Face Coverings: Frequently Asked Questions 6/8
Health Alert #10: Reminds health care personnel of face mask policies, testing swab conservation, and the protocol for reporting COVID-19-related deaths through eVital. 4/11
Surge Capacity and Health Care Worker Protective Clothing During COVID-19 Care 5/24
Health Advisory #20: Provides updated guidance for health care personnel on personal protective equipment for COVID-19 and work restrictions following exposure. Providers and facilities are encouraged to continue conservation measures as supply chain shortages of N95 respirators persist. Includes recommendations that eye protection now be used during all clinical encounters and for a 14-day exclusion from work for asymptomatic health care personnel who were exposed to individuals with confirmed COVID-19 in health care settings. 6/25

DOH Guidance

Item Date Updated
Options when Personal Protective Equipment (PPE) is in Short Supply or Not Available 4/2
Interim Guidance on Executive Order 202.16 Requiring Face Coverings for Public and Private Employees Interacting with the Public During the COVID-19 Outbreak 4/14
Dear Administrator Letter concerning the stockpiling of personal protective: indicated that forthcoming regulations would require nursing homes to have 60 days of PPE supply on hand by September 30. The supply count will derive from facilities’ Hospital Emergency Response Data System (HERDS) data furnished during April 19-April 27. 7/22
Dear Hospital Administrator Letter: explains how hospitals can request an extension to comply with a July 2020 regulation that requires hospitals to create and maintain a 60-day inventory of personal protective equipment by August 31, 2020, and a 90-day supply by September 30, 2020, based on daily usage rates calculated for the time period of April 13-27 of this year. 8/31

FDA Guidance

Recommendations for Modification of Ventilators

The Food and Drug Administration (FDA) issued nonbinding recommendations on March 22 to help increase availability of ventilators and their accessories as well as other respiratory devices during COVID-19. This letter provides recommendations for health care providers and facilities, based on the guidance, about using devices on patients who develop respiratory compromise from COVID-19 or other respiratory disorders.

FDA Enforcement Policies

The Food and Drug Administration (FDA)’s webinar today described the enforcement policies for face masks, respirators, gowns, and gloves. The webinar also detailed the emergency use authorizations for non-National Institute for Occupational Safety and Health (NIOSH)-approved disposable filtering facepiece respirators, NIOSH-approved air purifying respirators, and N95 respirator decontamination during the public health emergency. FDA is issuing this guidance to expand the availability of surgical apparel and particulate-filtering facepiece respirators for health care professionals and general-use face masks for the general public during the pandemic. The webinar slides are available here and links to the guidance documents are below:

Resources

Dynamic Ventilator Reserve

The American Hospital Association (AHA) announced a public-private effort to distribute existing ventilators to high-need areas. AHA will manage an online inventory of ventilators and associated supplies that one hospital or health system can lend to others in the nation. Providers in need will be able to access this virtual inventory as needed. Hospitals and health systems seeking to participate in the virtual network can contact the AHA at 800-424-4301 for more information.

HealthEquip App

The HealthEquip App is a free app that matches US hospitals treating COVID-19 patients and in need of personal protective equipment (PPE) with available donations for those supplies. The app is provided by a coalition that includes Microsoft, the AHA, UPS, Kaiser Permanente, Goodwill, Merit Solutions, and consulting firm Kearney. The AHA is sharing this app with hospitals through its 100 Million Mask Challenge as a way to help facilitate a more efficient means of distributing critically needed PPE to frontline health care workers.