Guidance on the use of Personal Protective Equipment (PPE) for health workers.

Due to an increased risk of transmission of coronavirus (COVID-19) the PPE Taskforce has updated its advice for all healthcare workers in Victoria.

This advice will be reviewed on 9 September.

Updated Conventional Use of PPE Guide

The Guide to Conventional use of PPE has been updated; 

  • Tier 0 is currently not applicable.
  • Tier 1 – Eye protection is now a mandatory item.
  • Tier 2 – The definition of Tier 2 has been redefined
  • Tier 3 – The definition of Tier 3 has been expanded to include a broader range of settings

Download the updated Guide to the conventional use of PPE (Word).

P2/N95 respirators

  • Health Care Workers must wear a N95/P2 respirator
    • in settings where suspected or confirmed coronavirus (COVID-19) patients are cohorted and where frequent, prolonged episodes of care are provided (i.e. providing care for a patient on a dedicated COVID-19 ward).
    • in uncontrolled settings where suspected or confirmed coronavirus (COVID-19) patients are cohorted, to avoid the need for frequent changes of N95/P2 respirators.
    • where suspected or confirmed coronavirus (COVID-19) patients are cohorted and there is risk of unplanned aerosol generating procedures (AGPs) and/or aerosol generating behaviours.
    • when undertaking an AGP on suspected or confirmed coronavirus (COVID-19) patient.
  • Use of N95/P2 respirators are not required for health care workers
    • undertaking surgery or AGPs on patients who are not suspected or confirmed to have coronavirus (COVID19) risk factors (Tier 1 PPE  precautions)
    • working at a coronavirus (COVID-19) testing site and/or undertaking testing for coronavirus (COVID-19) (Tier 2 PPE precautions)
    • undertaking procedures (e.g. sample collection) at hotel quarantine sites (Tier 2 PPE precautions)
    • patients with aerosol generating behaviours who are not confirmed or suspected of coronavirus (COVID-19) (Tier 1 PPE Precautions)
  • If the risk of bodily fluid splash is low, staff may wear a non-fluid resistant P2/N95 respirator with a face shield.
  • Do not use P2/N95 respirators with a valve. The air you exhale is likely to not be filtered and may expose other Healthcare Workers and patients.

Eye protection

  • Health care workers who are directly involved in treating patients should wear a face shield (where practical).
  • Reusable face shields should be chosen over single-use face shields, where possible. For reusable face shields, a process needs to be in place to ensure appropriate decontamination and storage between uses (i.e. meal breaks) and at the end of a shift/use.

Surgical masks

  • All staff must wear (at a minimum) a level 1 or type 1 surgical mask while at work. This now includes non-public facing staff.
  • Do not use cloth masks at work.

Staffing

  • Keep staffing in high-risk areas to the minimum required to provide appropriate care and ensure patient safety. 
  • Wherever possible, avoid situations where other staff attend these areas and/or use critical PPE (i.e. P2/N95 respirators). 

Extended use

  • Unless damp or soiled, staff may wear a surgical mask, P2/N95 respirator for up to four hours.
  • Isolation gowns may be used for extended periods in specific cohorting environments.
  • Single-use goggles and face shields can be worn for an entire shift, if there is shortage of these items. However, eye protection must be replaced after assisting with an aerosol generating procedure.
  • Where single-use face masks/face shields/goggles are used for extended periods and are needed to be removed to eat and/or drink, hand hygiene and sanitising should be maintained.
  • For reusable face shields a process needs to be in place to ensure appropriate decontamination.
  • Remove and dispose of all items before going on a break and replace before resuming work.
  • Change gloves between every patient interaction.

Read Coronavirus disease 2019 infection prevention and control guidelines for more on extended use.

For health service PPE supply enquiries, please contact the following:

Service type Primary source of PPE
GPs, private allied health, community pharmacies Private suppliers. Where no local commercial supply is available please contact your local Primary Health Network
NDIS The Commonwealth Department of Health: NDISCOVIDPPE@health.gov.au
Private aged care services The Commonwealth Department of Health: agedcarecovidppe@health.gov.au
Private hospitals Private suppliers

Public Hospitals can request PPE through the Zycus online ordering portal. Other DHHS-funded services can request PPE through Covid19PPErequest@dhhs.vic.gov.au

What is the correct PPE use and when should PPE be used?

Take a look at our Guide to the conventional use of PPE (Word).

We also have other resources:

Further advice can be found in the COVID-19 infection control guidelines - Version 4.1 - 10 September 2020 (Word).

Infection control posters and signage for workplaces are also available:

What is the current advice on use of masks by the general population?

See the Chief Health Officer’s latest for Victorian communities advice.

Where can GPs gain access to gown supplies?

If you are having trouble sourcing single use fluid repellent gowns from your normal supplier, there are steps to consider: 

Do I need to wear full PPE when examining a patient with an upper respiratory tract infection?

The current clinical criteria for testing for coronavirus (COVID-19) include an acute respiratory tract infection (for example, cough, sore throat, shortness of breath, runny nose or anosmia). For anyone who meets these clinical criteria, full PPE will be required to examine the patient.

Can we wear the same PPE and swab multiple people?

The use of some PPE can be extended for sessions such as swabbing multiple people in a testing clinic. Masks, protective eye wear and gowns can be used for an extended period in these circumstances.

Gloves must be changed, and hand hygiene performed between each patient. Masks may be worn for up to 4 hours or unless damp or soiled. Goggles and gowns may be used for a similar period but must be replaced if they become soiled. 

When single-use PPE is removed it must be disposed of and not reused. If reusable, it must be cleaned and disinfected before reuse.

Further resources