Recommendations for Nebulization in Clinic Setting
DO perform Nebulization in an Airborne Infection Isolation Room (AIIR), commonly called as a Negative Pressure Room whenever feasible or in a portable anteroom.
DON’T perform nebulization in a room from which air circulates to other areas. E.g: single room with door closed and away from high-risk patients. This will aid in minimizing exposure risks for health care workers HCWs.
DO provide a CAUTION NOTE outside the room where Nebulization is being conducted to restrict people entry.
DON’T allow multiple health care workers in the same room.
DO wash hands thoroughly as per CDC guidelines. CDC recommends the use of alcohol-based hand sanitizers with greater than 60% ethanol or 70% isopropanol or use an anti-microbial soap.
DON’T enter the room where nebulization is being conducted, unless it is very urgent.
DO wear appropriate PPE safety accessories like mask, hand gloves, face-shield and gown to avoid possible contamination through aerosol generation.
DON’T get too close to the patient while Nebulization is being conducted. Maintain distance of at least 6 feet from the patient undergoing nebulization.
DO leave the room vacant with the door closed for 30 minutes after the patient has vacated the room post-nebulization. Sanitize the room after nebulization before letting others to enter.
DON’T reuse the equipment & nebulizer accessories unless they have been washed up using liquid/hospital grade disinfectants like Isopropanol (70%) or Hydrogen Peroxide (3%).
- Minnesota-CDC guidelines: www.health.state.mn.us, April 2020,
- Govt of Canada: Infection prevention and control for coronavirus disease(COVID-19)