This guidance is for ECT services and should be read in conjunction with official guidance for maintaining services within health and care settings.
- bag-mask ventilation
- coughing as a result of airway manipulation or use of airway adjuncts.
Patients in this group should meet all the following criteria:
- the patient has none of the following symptoms:
- a high temperature or fever
- a new, continuous cough
- a loss or alteration to taste or smell.
- neither the patient, nor any household/family member, nor any inpatient on the same ward:
- has had a confirmed diagnosis of Covid-19 in the last 10 days
- has been advised to isolate by any NHS organisation in the last 10 days
- is awaiting a non-routine PCR test result.
- the patient has had a negative, witnessed LFD test on the day of treatment.
For these patients:
- support workers, trainees, students and others may be present during treatment
- only a standard level of PPE need be worn by staff, comprising gloves (single-use) and a fluid-resistant surgical mask (extended use possible); additionally, an apron (single-use) and eye protection (single use or re-usable) can be considered in unusual cases where the spraying or splashing of bodily fluids, such as saliva, is anticipated
- there is no requirement to dispose of all waste as infectious waste
- there is no requirement for additional cleaning of the treatment room
- patients can be recovered in a recovery room, even if an AGP has been performed
- there is no additional requirement for ventilation or 'down time' prior to treating the next patient.
- depending upon the degree of risk in individual cases, consideration should be given by clinical team leaders as to whether support workers, trainees, students and others may be present during treatment
- patients should be treated last on the list
- airborne PPE should be available to all staff present, comprising: gloves (single-use); gown (single-use or re-usable); FFP3 respirator mask (extended use possible) or hood (re-usable); and eye protection (single-use or re-usable).
- all waste generated in the treatment and recovery rooms should be treated as infectious waste
- all re-usable equipment, including the ECT equipment and monitoring equipment, and all surfaces in the treatment room, should be decontaminated after each patient using a chlorine-based product
- patients should be recovered in the treatment room following an AGP, but may be transferred to a recovery room if no AGP has been performed or if the treatment room is a negative-pressure environment
- following an AGP, 'down time' for required ventilation should be observed prior to the treatment room being cleaned.