Resources & References

Resources and References for Frontline Facilities by Subject

General PPE Guidance:

• This is the general guidance on personal protective equipment from NIOSH/NPPTL, not specific to Ebola or special pathogens: https://www.cdc.gov/niosh/npptl/topics/protectiveclothing/default.html
• This is the guidance on PPE for Ebolafrom the CDC used throughout our presentations: https://www.cdc.gov/vhf/ebola/healthcare-us/ppe/guidance.html
• Information on the AAMI Levels of garment protection: https://www.cdc.gov/niosh/npptl/topics/protectiveclothing/default.html
• Information on the limits of protection due to differences in surface tension in water versus body fluids: https://wwwn.cdc.gov/PPEInfo/Standards/Info/ANSI/AAMIPB70Class4

Face Masks, Face Shields, N95’s and PAPRs:

• “Facemasks may be labeled as surgical, laser, isolation, dental, or medical procedure masks and are cleared by the FDA for marketing. They may come with or without a face shield. Facemasks do not seal tightly to the wearer's face, do not provide the wearer with a reliable level of protection from inhaling smaller airborne particles, and are not considered respiratory protection.” (FDA, Masks and N95 Respirators) See resource below.
• More on face masks, their levels and a guide to selection – The Respiratory Protection Information Trusted Source - Types of Respiratory Protection CDC; and the FDA N95 Respirators, Surgical Masks, Face Masks, and Barrier Face Coverings.
• OSHA N95 Seal Check: User Seal Check Procedures

Gloves:

• Glove sanitizing: Pengfei Gao, Matthew Horvatin, George Niezgoda, Robyn Weible & Ronald Shaffer (2016) "Effect of multiple alcohol-based hand rub applications on the tensile properties of thirteen brands of medical exam nitrile and latex gloves," Journal of Occupational and Environmental Hygiene, 13:12, 905-914, DOI: https://doi.org/10.1080/15459624.2016.1191640 (See link above).

Waste Management:

• CDC Guidance on Cleaning: https://www.cdc.gov/vhf/ebola/healthcare-us/cleaning/hospitals.html
• CDC Guidance for Ebola waste:https://www.cdc.gov/vhf/ebola/clinicians/cleaning/waste-management.html
• Survivability of Ebola in medical waste: https://www.cdc.gov/vhf/ebola/healthcare-us/cleaning/ebola-virus-survivability.html
• Validation of Autoclave Protocols for Successful Decontamination of Category A Medical Waste Generated from Care of Patients with Serious Communicable Diseases. Article.
• Summary of new full guide, which supersedes the interim version published Jan 2017: Managing Solid Waste Contaminated with a Category A Infectious Substance.
• Are you preparing suspected Ebola contaminated waste for transportation? Poster

Disinfectants for Use against the Ebola Virus:

• EPA's registered antimicrobial products list.

Occupational Health:

• CDC notes on monitoring and moment of individuals exposed to Ebola (2014-2016 guidance): https://www.cdc.gov/vhf/ebola/exposure/monitoring-and-movement-of-persons-with-exposure.html
• CDC Ebola risk classifications: https://www.cdc.gov/vhf/ebola/exposure/risk-factors-when-evaluating-person-for-exposure.html
• CDC monitoring and movement guidance on for MERS: https://www.cdc.gov/coronavirus/mers/hcp/monitoring-movement-guidance.html

Hospital Preparedness Performance Metrics:

• ASPR Implementation Guidance for Ebola Preparedness Measures: Hospital Preparedness Program (HPP) Measure Manual: Implementation Guidance for Ebola Preparedness Measures (May 2017) (PDF - see link above).

Exercise templates:

• NETEC Exercise Templates by facility type (Tabletop, full scale, and drills)

Transport & Testing

Interfacility transportation:

• CDC Guidance for Interfacility Transport for a person under investigation or patient with confirmed Ebola: https://www.cdc.gov/vhf/ebola/healthcare-us/emergency-services/interfacility-transport.html
• CDC Guidance for patient handoff: https://www.cdc.gov/vhf/ebola/healthcare-us/emergency-services/patient-handoff.html
• CDC Guidance for air-to-ground handoff: https://www.cdc.gov/vhf/ebola/healthcare-us/emergency-services/air-ground-patient-handoff.html

Ambulance decontamination:

• CDC guidance for ambulance decontamination: https://www.cdc.gov/vhf/ebola/healthcare-us/emergency-services/ambulance-decontamination.html

All hazards EMS guidance:

• EMS Infectious Disease Playbook.

Laboratory Guidance:

• CDC Guidance for Collection, Transport and Submission of Specimens for Ebola Virus Testing: https://www.cdc.gov/vhf/ebola/laboratory-personnel/specimens.html
• CDC Guidance for frontline labs: https://www.cdc.gov/vhf/ebola/healthcare-us/preparing/frontline-healthcare-facilities.html
• APHL Laboratory Risk Assessment Best Practices Templates (PDF).
• APHL Public Health Laboratory Risk Assessment Template for EBV (PDF).
• APHL Biosafety Checklist (PDF).
• WHO - Guidelines for the Safe Transport of Infectious Substances: https://www.who.int/publications/i/item/9789240019720
• APHL Packaging and Shipping Toolkit: https://www.aphl.org/programs/infectious_disease/Pages/ID-Packaging-and-Shipping-Toolkit.aspx
• CDC - Packing and Shipping Dangerous Goods: What the Laboratory Staff Must Know (CEU online course): https://www.cdc.gov/labtraining/training-courses/packing-shipping-division-6.2-materials.html
• CDC Division of Laboratory Systems (DLS) Training Site: https://www.cdc.gov/csels/dls/

Just-in-Time Training

• NETEC online courses: https://courses.netec.org/

• NETEC skills videos and the Just-in-Time training page: https://repository.netecweb.org/exhibits/show/netec-education/justintime