There’s No Crying in Hospice

This essay was written by Keri Linardi, RN, BSN, PHN, CHPCA, chief clinical officer at RVNAhealth. In her role, Linardi oversees all of RVNAhealth’s clinical service lines – home health, hospice, rehabilitation, and community health — as well as the Quality Assurance and Performance Improvement teams. Continue reading

So Many Thanks

Joseph Cleary, MD, and Mary Ciarcia prepare clinician treat bags for RVNAhealth field staff.
Joseph Cleary, MD, and Mary Ciarcia prepare bags of treats and PPE from The Chefs' Warehouse for RVNAhealth field staff. Continue reading

Protect a Caregiver with PPE

In early March, many of us were unaware of the acronym PPE - for Personal Protective Equipment, the gear worn by health care workers to prevent the transmission of infection. Now, a month later, PPE is practically a household term .... and every day RVNAhealth works hard to secure this gear to protect our staff and patients. .. Continue reading

Abandon All Viruses .. Ye Who Enter Here

We are all becoming well educated on proper hygiene and hand washing techniques to avoid the spread of the coronavirus.  But one area of uncertainty for many remains around the virus’ ability to live on and spread from various surfaces.  This creates concern for some around handling packages such as mail deliveries, food takeout, and bringing groceries into the home.

On March 17, the New England Journal of Medicine published a study conducted by scientists from the National Institutes of Health, CDC, UCLA and Princeton University. The study showed that coronavirus can live on cardboard for 24 hours and on stainless steel and plastic for up to three days. While this finding has not been made an official position from the CDC, this information has spurred many recommendations on sterilization techniques of packages and food items brought to the home.

The FDA and USDA currently say there is no evidence showing that COVID-19 can be passed on through handling of packages.  Specific to food handling, the FDA states, “Currently there is no evidence of food, food containers, or food packaging being associated with transmission of COVID-19.  [But] like other viruses, it is possible that the virus that causes COVID-19 can survive on surfaces or objects.”  The CDC concurs with this statement but adds that infection spread via air droplets remains the primary mode for spreading.

There will certainly be more information to come on this topic. For now, continued hygiene and handwashing remain as best defenses when handling of any packages entering the home.

For additional precautions, consider the following to minimize surface contact risk.   

  • Minimize trips to the grocery store by planning ahead
  • Consider your re-usable bags to be contaminated and be mindful where you place them in your home 
  • For items in packages, sanitizing wipes may be used if any concerns
  • Continue to wash fruits and vegetables as normal
  • Wash hands when returning home with any packages, and again after putting contents away
  • Continue to wash and disinfect household surfaces such as countertops; handles, knobs, and fronts of doors, cabinets and appliances; light switches and plates; staircase railing; cell phones; keys; computer keyboards and mice; remote controls

We will continue to update you as information becomes available or official.

Glove-Wearing by the General Public

It is a common sight these days to find people out for essential errands wearing disposable gloves.  Disposable gloves are currently in high demand from the general public.  This is exacerbating an urgent shortage in the medical community.  The CDC has not made a recommendation for glove-wearing by the general public, with the exception for those caring for individuals diagnosed with COVID-19.  Hand washing and sanitizing remain, for the general public, some of best defenses against surface contact risk. 

Doctors warn that gloves may actually hurt by providing a dangerous and false sense of security.  While wearing gloves, people are still at risk of touching their face, a common way for COVID-19 to spread.  Additionally, common latex gloves are not intended for normal daily activities and can rip easily without notice.  People are also very prone to taking disposable gloves off to use their phone or grab a personal item in a bag, and then put the glove back on.  This is a big no-no. 

Once a disposable glove is taken off, it must be disposed of immediately.  And, speaking of glove removal, the CDC provides important guidance on proper removal of gloves to avoid contact with any possible contaminants a glove may have come in contact with. Their recommendation ends with washing hands thoroughly after disposing the gloves.

With the continued shortage of personal protective equipment nationwide, RVNAhealth encourages the public to follow current CDC recommendations for protection against COVID-19.  We also continue our call for donations of personal protective equipment, including gloves.  Please contact RVNAhealth at 203-438-5555 or contact Community Health Nurse Manager, April Rodriguez, RN for any donations or questions.