Personal Protective EquipmentPE Guidance for COVID-19 in Long- Term Care Settings

Recommended Personal Protective Equipment (PPE) for COVID-19 in Long-Term Care Facilities

None to Minimum Community Transmission of COVID-19 (Less than 5% Test Positivity)

Resident Categories of Care
PPE to be worn for the care of the resident in: Resident NOT in TBP for any reason. NO potentially AGP being done Resident NOT in TBP for any reason but, DOES have potentially AGP such as CPAP/BIPAP, Nebulizers Resident in TBP for pathogen other than COVID and DOES have potentially AGP such as CPAP/BIPAP, Nebulizers Resident in TBP for suspected or confirmed COVID-19
All routine care and potentially AGP such as CPAP/BIPAP, Nebulizers
Resident is new admission or readmission (quarantine) unless the resident is fully vaccinated or within 90 days of COVID infection
No to Minimal Transmission-NON-OUTBREAK Facemask required Facemask required Facemask required. N95 if respiratory pathogen. By definition one case puts facility into Outbreak. See below for PPE requirements. N95 respirator required
Facemasks only if N95 unavailable
Eye protection-use Standard Precautions Eye protection- use Standard Precautions Eye protection-use Standard Precautions Eye Protection-required
Gown-use Standard Precautions Gown-use Standard Precautions Gown required for Contact Precautions
Droplet Precautions -use Standard Precautions for gown use
Gowns-required
Gloves-Use Standard Precautions Gloves-use Standard Precautions Gloves-required Gloves-required
No to Minimal Transmission-OUTBREAK N95 Respirator required
Facemask only if N95 unavailable
N95 Respirator required
Facemask only if N95 unavailable
N95 Respirator required
Facemask only if N95 unavailable
N95 respirator required
Facemask only if N95 unavailable
N95 respirator required
Facemask only if N95 unavailable
Eye Protection-required Eye Protection-required Eye Protection-required Eye Protection-required Eye Protection-required
Gown-use Standard Precautions Gown-use Standard Precautions Gowns-required Gowns-required Gowns-required
Gloves-use Standard Precautions Gloves-use Standard Precautions Gloves-required Gloves-required Gloves-required

Moderate to Substantial Community Transmission of COVID-19 (5% or greater test positivity)

Resident Categories of Care
PPE to be worn for the care of the resident in: Resident NOT in TBP for any reason. NO potentially AGP being done Resident NOT in TBP for any reason but, DOES have potentially AGP such as CPAP/BIPAP, Nebulizers Resident in TBP for pathogen other than COVID and DOES have potentially AGP such as CPAP/BIPAP, Nebulizers Resident in TBP for suspected or confirmed COVID-19
All routine care and potentially AGP such as CPAP/BIPAP, Nebulizers
Resident is new admission or readmission (quarantine) unless the resident is fully vaccinated or within 90 days of COVID infection
Moderate to Substantial Transmission-NON-OUTBREAK Facemask required N95 respirator required
Facemask only if N95 unavailable
Facemask required
N95 if respiratory pathogen
By definition one case puts facility into Outbreak. See below for PPE requirements. N95 respirator required
Facemask only if N95 unavailable
Eye protection- required Eye Protection-required Eye Protection-required Eye Protection-required
Gown-use Standard Precautions Gowns-required Gowns-required Gowns-required
Gloves-Use Standard Precautions Gloves-required Gloves-required Gloves-required
Moderate to Substantial Transmission-OUTBREAK N95 Respirator required
Facemask only if N95 unavailable
N95 Respirator required
Facemask only if N95 unavailable
N95 Respirator required
Facemask only if N95 unavailable
N95 respirator required
Facemasks only if N95 unavailable
N95 respirator required
Facemask only if N95 unavailable
Eye Protection-required Eye Protection-required Eye Protection-required Eye Protection-required Eye Protection-required
Gown-use Standard precautions Gowns-required Gowns-required Gowns-required Gowns-required
Gloves-use Standard Precautions Gloves-required Gloves-required Gloves-required Gloves-required

Note:
AGP: aerosol generating procedures
TBP: transmission-based precautions

Last Updated:  4/30/2021