Note: Your progress in watching these videos WILL NOT be tracked. These training videos are the same videos you will experience when you take the full Coronavirus COVID-19 for Healthcare Workers Level 2 (VTQ) program. You may begin the training for free at any time to start officially tracking your progress toward your certificate of completion.

Show full transcript for Aerosol generating procedures video

In this video, we will quote exactly what is on the gov.uk website regarding Aerosol Generating Procedures – AGP’s.

The highest risk of transmission of respiratory viruses is during aerosol-generating procedures (AGP’s) of the respiratory tract, and use of enhanced respiratory protective equipment is indicated for health and social care workers performing or assisting in such procedures.

A long-sleeved disposable fluid repellent gown (covering the arms and body), a filtering facepiece, FFP3 respirator, a full-face shield or visor and gloves are recommended during AGPs on possible and confirmed cases, regardless of the clinical setting. Subject to local risk assessment, the same precautions apply for all patients regardless of case status in contexts of sustained COVID-19 transmission. Where an AGP is a single procedure, PPE is subject to single-use with disposal after each patient contact or procedure as appropriate.

The following procedures are currently considered to be potentially infectious AGPs for COVID-19:

·      intubation, extubation and related procedures, for example, manual ventilation and open suctioning of the respiratory tract’
·      tracheotomy or tracheostomy procedures.
·      bronchoscopy and upper ENT airway procedures that involve suctioning.
·      upper gastro-intestinal endoscopy where there is open suctioning of the upper respiratory tract.
·      surgery and post mortem procedures involving high-speed devices.
·      some dental procedures (for example, high-speed drilling).
·      non-invasive ventilation and Continuous Positive Airway Pressure Ventilation (CPAP).
· High-Frequency Oscillatory Ventilation.
·      induction of sputum.
·      And finally, high flow nasal oxygen.

For patients with possible or confirmed COVID-19, any of these potentially infectious AGPs should only be carried out when essential. Where possible, these procedures should be carried out in a single room with the doors shut. Only those healthcare staff who are needed to undertake the procedure should be present.

Certain other procedures or equipment may generate an aerosol from material other than patient secretions but are not considered to represent a significant infectious risk. Procedures in this category include administration of pressurised humidified oxygen, Entonox or medication via nebulisation.

Chest compressions and defibrillation (as part of resuscitation) are not considered AGPs; first responders (any setting) can commence chest compressions and defibrillation without the need for AGP PPE while awaiting the arrival of other clinicians to undertake airway manoeuvres.