Aerosol Generating Procedures
Discussion
AGP's! Specifically around Cuffless Tracheostomy Suctioning, Please does anyone have any experience in this?
Interpretation of the guidance issued by Public health England on AGP's at my sons school means he's only been to school for 6 months in the last two years and there's no sign of him going back, help!
Interpretation of the guidance issued by Public health England on AGP's at my sons school means he's only been to school for 6 months in the last two years and there's no sign of him going back, help!
We are still using full PPE for AGP procedures and in critical care areas - FFP3 mask, visor, gown and gloves.
Not sure what help.you are looking for. There will be some subjectivity in adhering to the PHE guidance at local levels but PHE are fairly clear that they consider suctioning an AGP and what the PPE to be used should be.
I assume the issue is the school do not feel able to provide the appropriate equipment, environment, and training for this procedure to be carried out in a setting where there are others present. I don't see how you change their interpretation of that situation without speaking to them directly which I'm sure you've done
Not sure what help.you are looking for. There will be some subjectivity in adhering to the PHE guidance at local levels but PHE are fairly clear that they consider suctioning an AGP and what the PPE to be used should be.
I assume the issue is the school do not feel able to provide the appropriate equipment, environment, and training for this procedure to be carried out in a setting where there are others present. I don't see how you change their interpretation of that situation without speaking to them directly which I'm sure you've done
ucb said:
We are still using full PPE for AGP procedures and in critical care areas - FFP3 mask, visor, gown and gloves.
Not sure what help.you are looking for. There will be some subjectivity in adhering to the PHE guidance at local levels but PHE are fairly clear that they consider suctioning an AGP and what the PPE to be used should be.
I assume the issue is the school do not feel able to provide the appropriate equipment, environment, and training for this procedure to be carried out in a setting where there are others present. I don't see how you change their interpretation of that situation without speaking to them directly which I'm sure you've done
The school nurse is advising suctioning in a classroom environment is not allowed, the school have been excellent so far and we provide all the equipment ourselves and we helped train the staff who look after him and secured extra funding for the additional care needs, no issue with ppe too, but the nurse won't play ball. The guidance I'm reading states you can suction in the classroom as long as two metres away from others. I know of other parents of children with tracheostomy who don't have a problem but they are in different parts of the country. Not sure what help.you are looking for. There will be some subjectivity in adhering to the PHE guidance at local levels but PHE are fairly clear that they consider suctioning an AGP and what the PPE to be used should be.
I assume the issue is the school do not feel able to provide the appropriate equipment, environment, and training for this procedure to be carried out in a setting where there are others present. I don't see how you change their interpretation of that situation without speaking to them directly which I'm sure you've done
What I don't understand is someone with a trachy can cough releasing droplets but turning a filtered suction machine on is not allowed. Pre covid none of this was an issue and he really thrived in school. They want to take him outside to suction which in this weather is not an option.
Im pretty certain in our trust that outside of critical care the room can only be entered with full PPE for a certain period of time after an AGP. Not sure if it's 30 minutes or longer as not really kept up with the rules that don't directly affect my area. Do the school have a specific room they could use for it rather than in the classroom?
K77 CTR said:
Im pretty certain in our trust that outside of critical care the room can only be entered with full PPE for a certain period of time after an AGP. Not sure if it's 30 minutes or longer as not really kept up with the rules that don't directly affect my area. Do the school have a specific room they could use for it rather than in the classroom?
Another room would be ideal but there's none available, I'm hoping the guidance for AGP's will be updated soon but have no info on if or when that will happen. NicheMonkey said:
The school nurse is advising suctioning in a classroom environment is not allowed, the school have been excellent so far and we provide all the equipment ourselves and we helped train the staff who look after him and secured extra funding for the additional care needs, no issue with ppe too, but the nurse won't play ball. The guidance I'm reading states you can suction in the classroom as long as two metres away from others. I know of other parents of children with tracheostomy who don't have a problem but they are in different parts of the country.
What I don't understand is someone with a trachy can cough releasing droplets but turning a filtered suction machine on is not allowed. Pre covid none of this was an issue and he really thrived in school. They want to take him outside to suction which in this weather is not an option.
You have my sympathies, we have many such colleagues who have used these rules to their advantage with seemingly little accountability and thought for the imapact on othersWhat I don't understand is someone with a trachy can cough releasing droplets but turning a filtered suction machine on is not allowed. Pre covid none of this was an issue and he really thrived in school. They want to take him outside to suction which in this weather is not an option.
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