Читать книгу Small Animal Surgical Emergencies - Группа авторов - Страница 103

The impact of aerosolized exposure can significantly impact the systemic health of clinical staff. As a result, due diligence must be exercised to ensure that proper personal protective attire is worn when necessary. Standard operating room attire consists of a clean pair of scrubs, bouffant cap, dedicated surgery footwear (closed toed) or shoe covers, and a surgical mask that will provide the appropriate level of protection the procedure requires. Full radiation safety protection must be worn at all times when obtaining dental radiographs while limiting exposure to radiation as much as possible. Exam gloves must be worn at all times when contact with mucous membranes, excretions, secretions, blood, and bodily fluids is likely to occur. Gloves should be discarded when heavily soiled and immediately following each use. Gloves should also be disposed of during the intraoperative phase when transitioning from dirty to clean areas/procedures on the same patient. Hand hygiene should be practiced before and after donning gloves. Protective eyewear (goggles/full face shield) should be worn during oral procedures involving irrigation. Disposable gowns should be worn when handling patients with infectious diseases. It may be necessary to wear a level‐4 gown to prevent strike‐through from occurring in certain procedures containing infectious fluids. Surgical masks vary in terms of level of protection and filtration. The purpose of N95 masks is to aid in protection against airborne zoonotic infectious diseases. Although the surgical caseload in veterinary medicine in which N95 masks would be required for use is relatively low, it is suggested that individuals involved in dentistry and oral surgery procedures are fit‐tested to secure an appropriately sized N95 mask to wear when needed. The reader is referred to the American Society of Testing Materials guidelines regarding performance criteria for grading masks.