What are Aerosol Generating Procedures?
Aerosol Generating Procedures (AGPs) are medical interventions that can release airborne particles (aerosols) into the environment. These aerosols may contain infectious agents, increasing the risk of
healthcare-acquired infections (HAIs) among healthcare workers and patients. Common AGPs include tracheal intubation, non-invasive ventilation (e.g., CPAP, BiPAP), open suctioning of respiratory tract, and cardiopulmonary resuscitation (CPR).
Why are AGPs Important in Nursing?
AGPs are crucial in various
clinical settings to manage respiratory distress, ensure airway patency, and support patients with severe respiratory conditions. However, they pose a significant risk of airborne transmission, especially in the context of diseases like COVID-19. Understanding the risks and implementing appropriate safety measures are critical for
patient safety and
nurse safety.
1. Personal Protective Equipment (PPE): Use of N95 respirators, face shields, gowns, and gloves.
2. Hand Hygiene: Rigorous hand washing before and after procedures.
3. Isolation Rooms: Conduct AGPs in negative pressure rooms when possible.
4. Training: Regular training on the correct use of PPE and AGP protocols.
1. Patient Assessment: Evaluate the patient's condition to determine the need for AGPs.
2. Equipment Check: Ensure all necessary equipment is available and functioning.
3. Environment Preparation: Set up the procedure area, ideally in a designated AGP room.
4. Communication: Inform the healthcare team and patient about the procedure and safety measures.
What is the Role of PPE in AGPs?
PPE plays a critical role in protecting healthcare workers from aerosolized pathogens. The correct use of PPE, such as N95 respirators, provides a barrier against airborne particles. It is crucial to follow guidelines for
donning and doffing PPE to avoid contamination.
1. Monitor Vital Signs: Continuously monitor the patient's oxygen levels, heart rate, and other vital signs.
2. Emergency Protocols: Have emergency equipment and protocols readily available.
3. Team Coordination: Work closely with the healthcare team to manage any complications promptly.
1. Decontamination: Clean and disinfect the procedure area and equipment.
2. Waste Disposal: Dispose of PPE and other waste materials according to biohazard protocols.
3. Patient Monitoring: Continue to monitor the patient for any adverse effects.
4. Documentation: Record the procedure details in the patient's medical chart.
Conclusion
Performing AGPs in nursing requires meticulous preparation, adherence to safety protocols, and effective teamwork. By understanding the risks and implementing appropriate precautions, nurses can minimize the risk of infection and ensure high-quality patient care. Regular training and adherence to
best practices are essential for maintaining safety and efficacy in the performance of AGPs.
