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WS/T 697-2020 English PDF

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WS/T 697-2020: (Guidelines for personal protection of specific populations during the new crown pneumonia epidemic)
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Basic data

Standard ID: WS/T 697-2020 (WS/T697-2020)
Description (Translated English): (Guidelines for personal protection of specific populations during the new crown pneumonia epidemic)
Sector / Industry: Health Industry Standard (Recommended)
Classification of Chinese Standard: C51
Word Count Estimation: 9,931
Date of Issue: 2020-07-20
Date of Implementation: 2020-07-20
Regulation (derived from): State-health communication (2020) No. 13
Issuing agency(ies): National Health Commission

WS/T 697-2020: (Guidelines for personal protection of specific populations during the new crown pneumonia epidemic)


---This is a DRAFT version for illustration, not a final translation. Full copy of true-PDF in English version (including equations, symbols, images, flow-chart, tables, and figures etc.) will be manually/carefully translated upon your order.
(Guidelines for personal protection of specific populations during the new crown pneumonia epidemic) ICS 11.080 C 51 WS People's Republic of China Health Industry Standard Guidelines for personal protection of specific populations during the new crown pneumonia epidemic Issued by the National Health Commission of the People's Republic of China

Foreword

This standard was drafted in accordance with the rules given in GB/T 1.1-2009. Drafting organizations of this standard. China Center for Disease Control and Prevention Environmental and Health Related Product Safety Institute, Beijing Beiya Orthopedic Hospital, Shaanxi Provincial Hospital of Traditional Chinese Medicine. The main drafters of this standard. Zhang Liubo, Duan Hongyang, Zhang Baoying, Li Aiqiong, Liang Chen, Ma Hui, Zhang Jian, Ying Bo, Li Tao, Wang Jiaqi. Guidelines for personal protection of specific populations during the new crown pneumonia epidemic

1 Scope

This standard specifies the personal protection of specific groups of people in the prevention and control of the new crown pneumonia epidemic, including the use of important personal protective equipment, Hygiene, personal protection requirements for specific groups of people, the sequence of putting on and taking off personal protective equipment, and precautions for taking off protective equipment. This standard applies to the transfer of cases (confirmed and suspected cases) and asymptomatic infected persons involved in the prevention and control of the new crown pneumonia Personnel protection for work such as medical treatment, environmental cleaning and disinfection, specimen collection, laboratory testing, epidemiological investigation, and health quarantine.

2 Normative references

The following documents are indispensable for the application of this document. For dated reference documents, only the dated version applies to this article Pieces. For undated references, the latest version (including all amendments) applies to this document. GB 2626 Respiratory protective equipment self-priming filter anti-particulate respirator GB 15979 Hygienic standard for disposable sanitary products GB 19082 Technical requirements for medical disposable protective clothing GB 19083 Technical requirements for medical protective masks GB/T 12903 Terminology for personal protective equipment WS/T 313 Hand Hygiene Specification for Medical Staff YY/T 0469 Technical requirements for medical surgical masks

3 Terms and definitions

The following terms and definitions apply to this document. 3.1 Personal protective equipment The general term for various protective products worn, equipped and used to protect against physical, chemical, biological and other external factors in the process of work. package Including work caps, respiratory protective equipment, gloves, protective clothing, isolation clothing, goggles, protective visors, waterproof boot covers and rubber boots, etc. 3.2 Hand hygiene General term for hand washing and hand disinfection. 3.3 Specific groups During the new coronavirus pneumonia epidemic, engaged in the transfer of cases (confirmed and suspected cases) and asymptomatic infections, corpse treatment, People who work in environmental cleaning and disinfection, specimen collection, laboratory testing, epidemiological investigation, and health quarantine.

4 Use of important personal protective equipment

4.1 Principles of Use Due to work, contact or possible contact with new coronavirus pneumonia cases (confirmed and suspected cases) and asymptomatic infections and their pollution Personal protective equipment should be used by all personnel who are involved in objects (blood, body fluids, secretions, vomit and excrement, etc., contaminated objects or environmental surfaces, etc.). 4.2 Gloves When specific groups of people enter the contaminated area or perform related operations (the specific groups of people are undergoing diagnosis and treatment operations, laboratory testing, corpse treatment, transfer When working during transportation, etc.), wear rubber, nitrile and other materials according to the job content. When contacting different patients or gloves are broken, it should be promptly eliminated Poison, change gloves, and perform hand hygiene. 4.3 Respiratory protective equipment When entering a contaminated area or performing related operations (special groups of people are performing diagnosis and treatment operations, laboratory testing, corpse treatment, transfer, etc. At the same time), respiratory protective equipment should be selected and worn reasonably. Air tightness check should be done before each wearing. When removing multiple or changing protective equipment, you should Finally remove the respiratory protective equipment. 4.4 Protective visor or goggles When entering a contaminated area or performing related operations (special groups of people are performing diagnosis and treatment operations, laboratory testing, corpse treatment, transfer, etc. When the eyes, conjunctiva and face are at risk of being contaminated by blood, body fluids, secretions, excreta and liquid splashes, they should wear protective Face screen or goggles. Reusable protective visors or goggles should be disinfected and dried in time after each use, and kept in sanitary conditions to prevent secondary pollution. 4.5 Protective clothing When entering a contaminated area or performing related operations (special groups of people are performing diagnosis and treatment operations, laboratory testing, corpse treatment, transfer, etc. At times), you should change your personal clothes and wear work clothes (ordinary work clothes or surgical scrub clothes or disposable clothes, etc.), plus protective clothing.

5 Hand hygiene

5.1 All personnel involved in on-site work should strengthen hand hygiene measures, especially before and after wearing or taking off gloves and personal protective equipment. 5.2 Alcohol-containing quick-drying hand disinfectants should be used, or 75% ethanol should be used to wipe and disinfect; those with alcohol allergies should choose quaternary ammonium salts, etc. Effective non-alcoholic hand disinfectant; under special conditions, 3% hydrogen peroxide disinfectant, 0.5% iodophor or 0.05% chlorine disinfectant can also be used. Wipe or soak hands, and disinfect according to the disinfection time described in the disinfectant instructions. 5.3 When there are visible contaminants, hand sanitizer (or soap) should be used to wash hands in a six-step method under running water, and then hands can be disinfected according to the above method.

6 Personal protection requirements for specific groups

6.1 Epidemiological investigators When conducting on-site investigations of suspected, confirmed cases, asymptomatic infections and fever patients in the epidemic area, it is advisable to wear work clothes and work once Caps, disposable gloves, protective clothing, KN95 and above particle protective masks or medical protective masks, protective visors or goggles, work Shoes or rubber boots, waterproof boot covers, etc. 6.2 Staff in the isolation ward It is advisable to wear work clothes, disposable work caps, disposable gloves, protective clothing, medical protective masks, protective visors or goggles, and work shoes Or rubber boots, waterproof boot covers, etc. When operating at close range and a large amount of aerosol may be generated, use a powered air filter respirator. 6.3 Staff in medical observation places It is advisable to wear disposable work caps, medical surgical masks, overalls, and disposable gloves. When necessary, KN95 and above grade particles can be used Protective masks or medical protective masks. 6.4 Cases and asymptomatic infection transferers It is advisable to wear work clothes, disposable work caps, disposable gloves, protective clothing, medical protective masks, protective visors or goggles, and work shoes Or rubber boots, waterproof boot covers, etc. 6.5 Corpse handlers Work clothes, disposable work caps, disposable gloves and long-sleeved thick rubber gloves, protective clothing, KN95 and above particles should be worn Protective masks or medical protective masks or powered air filter respirators, protective visors, work shoes or rubber boots, waterproof boot covers, waterproof aprons Or waterproof isolation clothing, etc. 6.6 Environmental cleaning and disinfection personnel Work clothes, disposable work caps, disposable gloves and long-sleeved thick rubber gloves, protective clothing, KN95 and above particles should be worn Protective masks or medical protective masks or self-priming filter anti-particulate respirators, protective visors or goggles, work shoes or rubber boots, waterproof boots Cover, waterproof apron or waterproof isolation gown. When using a self-priming filter anti-particulate respirator, select a dust-toxin combination filter according to the type of disinfectant Boxes or canisters should be protected against chemicals such as disinfectants. 6.7 Specimen collection personnel It is advisable to wear work clothes, disposable work caps, double gloves, protective clothing, KN95 and above particulate protective masks or medical protection Masks, protective visors, work shoes or rubber boots, waterproof boot covers. If necessary, wear a waterproof apron or waterproof isolation clothing. 6.8 Laboratory staff It is advisable to wear work clothes, disposable work caps, double gloves, protective clothing, KN95 and above particulate protective masks or medical protection Mask or powered air filter respirator, protective visor or goggles, work shoes or rubber boots, waterproof boot covers. When necessary, waterproof enclosures should be worn Skirt or waterproof isolation gown. 6.9 Health and quarantine personnel It is advisable to wear work clothes, disposable work caps, disposable gloves, and medical surgical masks. When necessary, KN95 and above grade particles can be used Protective masks or medical protective masks. 6.10 Selection of personal protective equipment for specific groups The selection of personal protective equipment for specific groups of people during the new crown pneumonia epidemic is shown in Table 1.

7 Putting on and taking off personal protective equipment

7.1 The sequence of putting on and taking off protective equipment such as medical protective masks 7.1.1 Dressing order Step 1.Hand hygiene, change personal clothes and wear work clothes, remove personal items such as jewelry, watches, mobile phones, etc.; wear work shoes or rubber boots, Disposable work cap; Step 2.Wear a medical protective mask and do an air tightness check; Step 3.Wear inner gloves (when performing operations that are likely to cause damage to the gloves or serious contamination), and check the air tightness; Step 4.Wear protective clothing and ensure that the cuffs of the protective clothing cover the cuffs of the inner gloves; Step 6.Wear protective hoods or protective visors or goggles (wear when contacting patients with vomiting, diarrhea or bleeding); Step 7.Wear a waterproof apron or waterproof isolation gown (wear when touching patients with vomiting, diarrhea or bleeding); Step 8.Wear outer gloves (cover the cuffs of protective clothing or waterproof isolation clothing), and do an air tightness check; Step 9.Supervisors assist in checking and confirming the wearing effect, ensuring that there is no naked hair, skin and clothing, and normal physical activity does not affect the diagnosis Treatment and other work; Step 10.If touching the patient, disinfect the outer gloves. With the guidance and assistance of qualified personnel on site, check whether all personal protective equipment is complete, intact, and of appropriate size. medical Protective masks can be replaced with KN95 and above particulate protective masks. 7.1.2 Take off sequence Step 1.Wipe and disinfect the outer layer of personal protective equipment when there are visible contaminants; Step 2.Disinfect outer gloves; Step 3.(if wearing) take off the waterproof apron (if wearing waterproof isolation gown, first take off the outer gloves or take off together with the isolation gown), disinfect the outside Layer gloves Step 4.Take off the outer gloves and disinfect the inner gloves; Step 5.Take off the protective visor (goggles) and disinfect the inner gloves; Step 6.(if worn) take off the protective hood and disinfect the inner gloves; Step 7.Take off the protective clothing, take off the waterproof boot cover at the same time, and disinfect the inner gloves; Step 8.Take off the inner gloves, disinfect your hands, and replace with new inner gloves; Step 9.Disinfect and replace work shoes or rubber boots, and disinfect inner gloves; Step 10.Take off medical protective masks and disposable work caps, and disinfect inner gloves; Step 11.Take off the inner gloves, wash and disinfect your hands; wear a new medical surgical mask in time; Step 12.Instruct or assist the staff to evaluate the removal process together with the staff. If the skin or mucous membrane may be contaminated, it should be disinfected in time; Step 13.Change back to personal clothes and take a shower if possible. When taking off personal protective equipment, trained and qualified personnel should be present to guide or assist, and the personnel should wear personal protective equipment (including at least Protective clothing or isolation gowns, masks, protective visors or goggles and gloves, etc.), evaluate the contamination of personal protective equipment, and compare the removal sequence table, Orally prompt each removal sequence, assist in removing equipment and disinfect gloves in time. 7.2 Putting on and taking off the protective equipment for wearing positive pressure air supply filter respirator 7.2.1 Dressing order Step 1.Hand hygiene, change personal clothes and wear work clothes, remove personal items such as jewelry, watches, mobile phones, etc.; wear work shoes or rubber boots, Disposable work cap; Step 2.Wear a medical surgical mask; Step 3.Wear inner gloves; Step 4.Wear protective clothing and ensure that the cuffs of the protective clothing cover the cuffs of the inner gloves; Step 5.Wear waterproof boot covers; Step 6.Wear a positive pressure air supply filter respirator; Step 7.Wear a waterproof apron or waterproof isolation gown (needed by patients who have contact with vomiting, diarrhea or bleeding); Step 8.Wear outer gloves (cover the cuffs of protective clothing or isolation clothing); Step 9.Supervisors assist in checking and confirming the wearing effect, ensuring that there is no naked hair, skin and clothing, and will not affect the diagnosis and treatment activities; Step 10.If touching the patient, disinfect the outer gloves. With the guidance and assistance of qualified personnel on site, check whether all personal protective equipment is complete, intact, and of appropriate size. 7.2.2 Take off sequence Step 1.Wipe disinfection when there are visible contaminants on the outer layer of personal protective equipment; Step 2.Disinfect outer gloves; Step 3.(if wearing) take off the waterproof apron (if wearing waterproof isolation gown, take off the outer gloves first or take off together with the isolation gown) and disinfect the outer gloves; Step 4.Take off the outer gloves and disinfect the inner gloves; Step 5.Take off the positive pressure air supply filter respirator and disinfect the inner gloves; Step 6.Take off the protective clothing, take off the waterproof boots at the same time, and disinfect the inner gloves; Step 7.Take off the inner gloves, hand hygiene, and replace with new inner gloves; Step 8.Disinfect and replace work shoes or rubber boots; Step 9.Take off the medical surgical mask and disposable work cap, and disinfect the inner gloves; Step 10.Take off the inner gloves, wash your hands, and disinfect your hands; wear a new surgical mask in time; Step 11.Instruct or assist the staff to evaluate the removal process together with the staff, if it may contaminate the skin and mucous membranes, disinfect them in time; Step 12.Change back to personal clothes and take a shower if possible. When taking off personal protective equipment, trained and qualified personnel should be present to guide or assist, and the personnel should wear personal protective equipment (including at least Protective clothing or gowns, masks, protective masks or protective glasses and gloves, etc.), assess the contamination of personal protective equipment, and compare the order of removal Table, verbally prompt each removal sequence, assist in removing equipment and timely disinfect gloves.

8 Precautions for removing protective equipment

8.1 According to the work site, divide clean area, potential pollution area and pollution area. Before starting on-site work, carry out protective equipment in the clean area Wearing; After completing the on-site operation, remove the protective equipment after leaving the contaminated area and before entering the clean area. 8.2 When unloading, avoid touching the contaminated surface, and try to use the inner layer to wrap the outer layer. The unloading process should not be too fast to avoid pollutants from raising. 8.3 Non-disposable items such as protective goggles, work shoes or rubber boots that have been taken off should be soaked directly in a container containing disinfectant (liquid level Below); other disposable items should be placed in a double-layer yellow medical waste collection bag for centralized disposal of medical waste.
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