Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

Nurses COVID

Updated:   Published

I'm a senior nursing student and this debate arose with a couple of my classmates and me. I work as an ER tech and they work as patient care techs on the floor. As of right now, CDC guidelines state for PPE:

Quote

Updated PPE recommendations for the care of patients with known or suspected COVID-19:

Based on local and regional situational analysis of PPE supplies, facemasks are an acceptable alternative when the supply chain of respirators cannot meet the demand. During this time, available respirators should be prioritized for procedures that are likely to generate respiratory aerosols, which would pose the highest exposure risk to HCP.

Facemasks protect the wearer from splashes and sprays.

Respirators, which filter inspired air, offer respiratory protection.

When the supply chain is restored, facilities with a respiratory protection program should return to use of respirators for patients with known or suspected COVID-19. Facilities that do not currently have a respiratory protection program, but care for patients infected with pathogens for which a respirator is recommended, should implement a respiratory protection program.

Eye protection, gown, and gloves continue to be recommended

So basically CDC is saying wear an N95 if you have it, but if you don't, wear a surgical mask until you can get an N95.

So if you have a suspected or confirmed COVID-19 patient, and all you have is a surgical mask and no N95, can you refuse to take care of that patient? Do you face any legal repercussions or potential fallout from your employer if you do refuse? Asking not only about tech positions, but RN positions as well.

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Specializes in retired LTC.

Add pulse oximeters to the list, right behind toilet paper.

Becoming scarce to obtain since that article came out.

Toilet paper is the new white gold.

Specializes in retired LTC.

Paper towels and paper napkins are scarce also; I guess they're substitutes for TP. ?

On 3/19/2020 at 5:52 PM, JadedCPN said:

I would understand that concern more if it were coming from the recommendation of the hospital - I wouldn't trust them and would likely assume they were just being cheap. But overall I believe the CDC to be a reliable source and don't believe they would put out a recommendation like that if it were not sound advice.

I do not trust the CDC because I can see with my own eyes what nurses in other countries, namely China and Italy, are wearing--N95s, most importantly. And what we call a "bunny suit". Head to toe coverage and a face shield/eye protection.

Specializes in ICU.

I’m sorry but I have a family and becoming a nurse does not mean that I surrender my responsibility to them. No N95 and I won’t go in a covid room. If that makes me a bad nurse then so be it. I love my job but I love my husband, kids and parents more. Also, exposing myself to a covid patient without a mask and then caring for non covid patients who need care just as much does nothing but make the problem worse.

Hospitals providing Nurses with adequate PPE should be non negotiable. No way should a nurse work with covid patients without the proper PPE. This should not even be up for debate. Hospitals administrators are making enough money provide equipment for your staff.

On 7/9/2020 at 8:34 PM, ChocoChipDip said:

I’m sorry but I have a family and becoming a nurse does not mean that I surrender my responsibility to them. No N95 and I won’t go in a covid room. If that makes me a bad nurse then so be it. I love my job but I love my husband, kids and parents more. Also, exposing myself to a covid patient without a mask and then caring for non covid patients who need care just as much does nothing but make the problem worse.

You brought up a great point. About the potential of transmitting the virus to non Covid pts. Nursing homes and assisted living facilities in NY lost a lot of lives due to placing covid positive pts with non Covid pts and having healthcare workers unwittingly spread the virus.

Specializes in CRNA, Finally retired.
On 5/10/2020 at 4:25 AM, laurinemory said:

I do not trust the CDC because I can see with my own eyes what nurses in other countries, namely China and Italy, are wearing--N95s, most importantly. And what we call a "bunny suit". Head to toe coverage and a face shield/eye protection.

But you did realize the untenable position the CDC had been put in by the administration that ignored the threats and didn't prepare? They wanted N95's saved for medical staff because they knew that help wasn't coming anytime soon from the feds. China's has all the machines to make PPE and Italy got hit early on when the supplies weren't decimated yet but plenty of people had to work in Covid units in Italy without PPE.

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