Article Figures & Data
Figures
- FIGURE 1.
Traffic light system guidance from the British Nuclear Medicine Society during COVID-19 pandemic. Green can be deferred, amber must be discussed with clinician before moving forward, and red is deemed essential and should not be cancelled or rescheduled (unless under extreme circumstances) (10).
- FIGURE 2.
Contingency plan for molecular imaging departments (11,20).
- FIGURE 3.
Recommended PPE for healthcare workers by secondary care inpatient clinical setting, NHS and independent sector. Footnotes: 1This may be single or reusable face/eye protection/full face visor or goggles. 2List of aerosol-generating procedures (AGPs) is included in section 8.1 at www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-personal-protective-equipment-ppe. (Note: AGPs are undergoing further review at present). 3Case is any individual meeting case definition for possible or confirmed case: https://www.gov.uk/government/publications/wuhan-novel-coronavirus-initial-investigation-of-possible-cases/investigation-and-initial-clinical-management-of-possible-cases-of-wuhan-novel-coronavirus-wn-cov-infection. 4Higher-risk acute areas include intensive care units/high-dependency units; emergency department resuscitation areas; wards with noninvasive ventilation; operating theatres; endoscopy units (for upper respiratory; ear, nose, and throat; or upper gastrointestinal endoscopy); and other clinical areas where AGPs are regularly performed. 5Single use refers to disposal of PPE or decontamination of reusable items (e.g., eye protection or respirator) after each patient or after completion of procedure, task, or session; dispose or decontaminate reusable items after each patient contact as per standard infection control precautions. 6Session refers to period during which health-care worker is undertaking duties in specific care setting/exposure environment (e.g., on ward round; providing ongoing care for inpatients). A session ends when health-care worker leaves care setting/exposure environment. Sessional use should always be risk-assessed and considered when there are high rates of hospital cases. PPE should be disposed of after each session or earlier if damaged, soiled, or uncomfortable. 7Risk-assessed use refers to using PPE when there is anticipated or likely risk of contamination with splashes, droplets of blood, or body fluids. 8For explanation of shielding and definition of extremely vulnerable groups, see guidance at https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19. 9Ambulance staff conveying patients are not required to change or upgrade PPE for purposes of patient handover. Patient use of PPE: in cohort wards, communal waiting areas and during transportation, it is recommended that patients with suspected or confirmed cases wear surgical face mask if this can be tolerated. Aim is to minimize dispersal of respiratory secretions and to reduce both direct transmission risk and environmental contamination. Surgical face mask should not be worn by patients if there is potential for their clinical care to be compromised (e.g., when receiving oxygen therapy). (Reprinted from (19).)
- FIGURE 4.
Recommended PPE for primary, outpatient, community, and social care by setting, NHS, and independent sector. Footnotes: 1This may be single or reusable face/eye protection/full face visor, or goggles. 2List of aerosol-generating procedures is included in section 8.1 at www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-personal-protective-equipment-ppe. (Note: aerosol-generating procedures are undergoing further review at present). 3Case is any individual meeting case definition for possible or confirmed case: https://www.gov.uk/government/publications/wuhan-novel-coronavirus-initial-investigation-of-possible-cases/investigation-and-initial-clinical-management-of-possible-cases-of-wuhan-novel-coronavirus-wn-cov-infection. 4Single use refers to disposal of PPE or decontamination of reusable items (e.g., eye protection or respirator) after each patient or after completion of procedure, task, or session; dispose or decontaminate reusable items after each patient contact as per standard infection control precautions. 5Single session refers to period when health-care worker is undertaking duties in specific care setting/exposure environment (e.g., on ward round) providing ongoing care for inpatients. Session ends when health-care worker leaves care setting/exposure environment. Sessional use should always be risk-assessed and considered when there are high rates of hospital cases. PPE should be disposed of after each session or earlier if damaged, soiled, or uncomfortable. 6Nonclinical staff should maintain 2-m social distancing, through marking out controlled distance; sessional use should always be risk-assessed and considered when there are high rates of community cases. 7Initial risk assessment should take place by phone before entering premises or at 2-m social distance on entering; when health or social care worker assesses that individual is symptomatic with suspected/confirmed cases, appropriate PPE should be put on before providing care. 8Risk-assessed use refers to using PPE when there is anticipated/likely risk of contamination with splashes, droplets or blood, or body fluids. 9For explanation of shielding and definition of extremely vulnerable groups, see guidance at https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19. (Reprinted from (19).)
