Novel real-time remote audio-visual aided technique for doffing of personal protective equipment and assessment of satisfaction level among front-line health care workers amid COVID-19 pandemic

Authors

  • Sukhpal Kaur National Institute of Nursing Education, Intensive care and Pain Medicine, Post Graduate Institute of Medical education and Research, Chandigarh, India
  • Damanpreet Kaur National Institute of Nursing Education, Intensive care and Pain Medicine, Post Graduate Institute of Medical education and Research, Chandigarh, India
  • Ajay Singh Department of Anaesthesia and Intensive care, Intensive care and Pain Medicine, Post Graduate Institute of Medical education and Research, Chandigarh, India
  • Michelle Shirin Lazar Department of Anaesthesia and Intensive care, Intensive care and Pain Medicine, Post Graduate Institute of Medical education and Research, Chandigarh, India
  • Sushma Saini National Institute of Nursing Education, Intensive care and Pain Medicine, Post Graduate Institute of Medical education and Research, Chandigarh, India
  • Manju Dhandapani National Institute of Nursing Education, Intensive care and Pain Medicine, Post Graduate Institute of Medical education and Research, Chandigarh, India
  • Shiv Lal Soni Department of Anaesthesia and Intensive care, Intensive care and Pain Medicine, Post Graduate Institute of Medical education and Research, Chandigarh, India
  • Naveen B. Naik Department of Anaesthesia and Intensive care, Intensive care and Pain Medicine, Post Graduate Institute of Medical education and Research, Chandigarh, India
  • Venkata Ganesh Anaesthesia, Intensive care and Pain Medicine, Post Graduate Institute of Medical education and Research, Chandigarh, India
  • Karobi Das National Institute of Nursing Education, Intensive care and Pain Medicine, Post Graduate Institute of Medical education and Research, Chandigarh, India
  • Goverdhan Dutt Puri Department of Anaesthesia and Intensive care, Intensive care and Pain Medicine, Post Graduate Institute of Medical education and Research, Chandigarh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20214591

Keywords:

COVID-19, Doffing, Health care professionals, PPE, Real-time remote audio-visual aided approach

Abstract

Background: Appropriate and cautious doffing is vital to prevent self-contamination and infection from the highly contagious SARS-CoV-2 virus. In current study satisfaction levels of front-line health care workers regarding doffing assisted by a novel real-time remote audio-visual aided approach was assessed.

Methods: A questionnaire-based survey was carried out among 158 health care workers. The questionnaire was developed and validated to assess the participants’ satisfaction level regarding the instructions being given remotely for doffing through the real-time remote audio-visual aided technique pertaining to the various facilities available for doffing, remote communication for doffing steps, audio-visual technical issues, rectification of the breach in safety and the level of anxiety.

Results: The survey received a 79% response rate. 74.6% of the respondents were highly satisfied. 61.9% agreed on the adequacy of doffing space, 70.9% strongly agreed/agreed regarding the availability of adequate equipment, 78.5% strongly agreed/agreed with the instructions. The overall median (IQR) satisfaction score was 9 (8-10).

Conclusions: Real-time remote audio-visual aided doffing approach is a simple, technology-aided strategy that is shown to enhance the satisfaction and motivation of the health care workers. This can potentially help in reducing the number of personnel required in directly monitoring doffing leading to freeing up more people to work with the patients while reducing unnecessary exposure. This translates to effective utilisation of resources. The high satisfaction associated with the use of this system boosts the feasibility of its implementation in every tertiary care setup.

 

References

Kang J, O’Donnell JM, Colaianne B, Bircher N, Ren D, Smith KJ. Use of personal protective equipment among health care personnel: Results of clinical observations and simulations. Am J Infect Control. 2017;45(1):17-23.

Osei-Bonsu K, Masroor N, Cooper K, Doern C, Jefferson KK, Major Y, et al. Alternative doffing strategies of personal protective equipment to prevent self-contamination in the health care setting. Am J Infect Control. 2019;47(5):534-9.

Baloh J, Reisinger HS, Dukes K, da Silva JP, Salehi HP, Ward M, et al. Healthcare Workers’ Strategies for Doffing Personal Protective Equipment. Clin Infect Dis. 2019;69(Suppl 3):S192-8.

Guidance on Personal Protective Equipment (PPE). Available at: https://www.cdc.gov/vhf/ebola/healthcare-us/ppe/guidance.html. Accessed on 20 September 2021.

Singh A, Naik BN, Soni SL, Puri GD. Real-Time Remote surveillance of doffing during covid-19 pandemic: enhancing safety of health care workers. Anesth Analg. 2020;131(2):e112-3.

Dhandapani M, Kaur S, Das K, Guru RR, Biswal M, Mahajan P, et al. Enhancing the safety of frontline healthcare workers during coronavirus disease: a novel real-time remote audiovisual aided doffing approach. Infect Dis. 2021;53(2):145-7.

Dua D, Laxmi R, Mehra A, Sahoo S, Grover S. Acute stress reaction related to use of personal protective equipment in health-care workers. Indian J Psychiat. 2020;62(5):599.

Beilock SL, Decaro MS. From poor performance to success under stress: working memory, strategy selection, and mathematical problem solving under pressure. J Exp Psychol Learn Mem Cogn. 2007; 33(6):983-98.

Gurses AP, Dietz AS, Nowakowski E, Andonian J, Schiffhauer M, Billman C, et al. Human factors-based risk analysis to improve the safety of doffing enhanced personal protective equipment. Infect Control Hosp Epidemiol. 2019;40(2):178-86.

Lim SM, Cha WC, Chae MK, Jo IJ. Contamination during doffing of personal protective equipment by healthcare providers. Clin Exp Emerg Med. 2015; 2(3):162-7.

Huber ME, Sternad D. Implicit guidance to stable performance in a rhythmic perceptual-motor skill. Exp Brain Res. 2015;233(6):1783-99.

Wulf G, Shea CH, Whitacre CA. Physical-guidance benefits in learning a complex motor skill. J Mot Behav. 1998;30(4):367-80.

Organization WH. Rational use of personal protective equipment (PPE) for coronavirus disease (COVID-19): interim guidance. Available at: https://apps.who.int/iris/handle/10665/331498. Accessed on 20 October 2021.

Naik BN, Gupta R, Singh A, Soni SL, Puri GD: Real-time smart patient monitoring and assessment amid COVID-19 pandemic - an alternative approach to remote monitoring. J Med Syst. 2020;44:131.

Naik BN, Singh A, Lazar M S. Performance of Health care workers in doffing of personal protective equipment using real-time remote audio-visual doffing surveillance system: its implications for bio-safety amid COVID-19 Pandemic. Cureus. 2021; 13(9):e18071.

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Published

2021-11-24

How to Cite

Kaur, S., Kaur, D., Singh, A., Lazar, M. S., Saini, S., Dhandapani, M., Soni, S. L., Naik, N. B., Ganesh, V., Das, K., & Puri, G. D. (2021). Novel real-time remote audio-visual aided technique for doffing of personal protective equipment and assessment of satisfaction level among front-line health care workers amid COVID-19 pandemic. International Journal Of Community Medicine And Public Health, 8(12), 5929–5937. https://doi.org/10.18203/2394-6040.ijcmph20214591

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Section

Original Research Articles