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 Ebola from the CDC used throughout our presentations: https://www.cdc.gov/viral-hemorrhagic-fevers/hcp/guidance/ppe-clinically-unstable.html
• Information on the AAMI Levels of garment protection: https://www.cdc.gov/niosh/npptl/topics/protectiveclothing/default.html

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:

• DC Guidance for Handling VHF-Associated Waste: https://www.cdc.gov/viral-hemorrhagic-fevers/hcp/infection-control/handling-vhf-associated-waste.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 Public Health Management of People with Suspected or Confirmed VHF or High-Risk Exposures: https://www.cdc.gov/viral-hemorrhagic-fevers/php/public-health-strategy/people-with-suspected-or-confirmed-vhf-or-high-risk.html
• CDC Ebola risk factors: https://www.cdc.gov/ebola/about/index.html#cdc_disease_basics_risk-risk-factors
• CDC Managing MERS Cases and Contacts for Public Health Professionals: https://www.cdc.gov/mers/php/contact-tracing/

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:  Download here.
• CDC Guidance for patient handoff: Download here.
• CDC Guidance for air-to-ground handoff: Download here.

Ambulance decontamination:

• CDC guidance for ambulance decontamination: Download here.

All hazards EMS guidance:

• EMS Infectious Disease Playbook.

Laboratory Guidance:

• CDC Guidance for Laboratory Testing for Patients with a Suspected VHF, with specimen collection, packaging and shipping: https://www.cdc.gov/viral-hemorrhagic-fevers/php/laboratories/index.html
• CDC Guidance for frontline labs (Archived page): https://www.cdc.gov/ebola/php/public-health-strategy/interim-guidance-for-preparing-frontline-healthcare-facilities-for-patients-suspected-to-have-ebola.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://reach.cdc.gov/course/packing-and-shipping-dangerous-goods-what-laboratory-staff-must-know
• CDC Division of Laboratory Systems (DLS) Training Site: https://www.cdc.gov/laboratory-systems/php/about/

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

Page Reviewed: 8/1/2019