Skip to content

Instantly share code, notes, and snippets.

@andtheWings
Last active June 29, 2022 22:02
Show Gist options
  • Save andtheWings/b210371fd12808c540a3452bc48fd934 to your computer and use it in GitHub Desktop.
Save andtheWings/b210371fd12808c540a3452bc48fd934 to your computer and use it in GitHub Desktop.
A decision flow diagram for action to take if a healthcare employee is exposed to monkeypox

HIGH RISK:

  • Characteristics:
    • A. Unprotected contact between a person’s skin or mucous membranes and the skin, lesions, or bodily fluids from a patient (e.g., any sexual contact, inadvertent splashes of patient saliva to the eyes or oral cavity of a person, ungloved contact with patient), or contaminated materials (e.g., linens, clothing) -OR-
    • B. Being inside the patient’s room or within 6 feet of a patient during any procedures that may create aerosols from oral secretions, skin lesions, or resuspension of dried exudates (e.g., shaking of soiled linens), without wearing an N95 or equivalent respirator (or higher) and eye protection -OR-
    • C. Exposure that, at the discretion of public health authorities was recategorized to this risk level (i.e., exposure that ordinarily would be considered a lower risk exposure, raised to this risk of level because of unique circumstances)
  • Employee needs monitoring and PEP.

INTERMEDIATE RISK:

  • Characteristics:
    • D. Being within 6 feet for 3 hours or more of an unmasked patient without wearing, at a minimum, a surgical mask -OR-
    • E. Activities resulting in contact between sleeves and other parts of an individual’s clothing and the patient’s skin lesions or bodily fluids, or their soiled linens or dressings (e.g., turning, bathing, or assisting with transfer) while wearing gloves but not wearing a gown -OR-
    • F. Exposure that, at the discretion of public health authorities, was recategorized to this risk level because of unique circumstances (e.g., if the potential for an aerosol exposure is uncertain, public health authorities may choose to decrease risk level from high to intermediate)
  • Employee needs monitoring. Informed clinical decision making is recommended on an individual basis to determine whether benefits of PEP outweigh risk.

LOW RISK:

  • Characteristics:
    • G. Entered the patient room without wearing eye protection on one or more occasions, regardless of duration of exposure -OR-
    • H. During all entries in the patient care area or room (except for during any procedures listed above in the high-risk category), wore gown, gloves, eye protection, and at minimum, a surgical mask -OR-
    • I. Being within 6 feet of an unmasked patient for less than 3 hours without wearing at minimum a surgical mask -OR-
    • J. Exposure that, at the discretion of public health authorities, was recategorized to this risk level based on unique circumstances (e.g., uncertainty about whether Monkeypox virus was present on a surface and/or whether a person touched that surface)
  • Employee needs monitoring, but no PEP.

NO RISK:

  • Exposure that public health authorities deemed did not meet criteria for other risk categories
  • No monitoring or PEP needed.
Sign up for free to join this conversation on GitHub. Already have an account? Sign in to comment