Coronavirus (COVID-19) Pandemic: Personal Protective Equipment Preservation Best Practices
FEMA • April 15, 2020
This guidance summarizes best practices for national implementation to sustain personal protective equipment (PPE) while ensuring the protection workers during the coronavirus (COVID-19) pandemic response.
Objective
The objective of the COVID-19 National Strategy for Addressing Personal Protective Equipment (PPE) Shortage is to
ensure protection against COVID-19 for healthcare workers, first responders, and patients by implementing three
pillars of practice: reduce – reuse – repurpose. Due to the COVID-19 pandemic response and associated PPE
shortages, implementation of contingency and crisis capacity plans may be necessary to ensure continued
availability of protective gear.
This fact sheet amplifies Centers for Disease Control and Prevention (CDC) strategies on conventional, contingency
and crisis capacity strategies for optimizing PPE. All U.S. healthcare facilities should begin using PPE contingency
strategies now and may need to consider crisis capacity strategies if experiencing PPE shortages.
What Do I Do and How Do I Do it?
- Reduce Usage Rate of PPE by Modifying Normal Operations and Procedures
- Limit the need for PPE by maximizing use of barrier controls whenever possible (e.g. masking patients,
- Plexiglas barriers, car windows and improved ventilation systems).
- Place IV towers and ventilators outside of patient rooms, as clinically appropriate, to enable appropriate monitoring and management without donning of PPE.
- Automate delivery of food and supplies.Use tele-consultation, internet-based interviews, or remote camera-based observation, as available.
- Limit visitor access and offer technology-enabled alternatives (e.g., video chat).
- Understand PPE requirements and burn-rates - cdc.gov/coronavirus/2019-ncov/hcp/ppe- strategy/burncalculator.html
- Consider extending use-times of undamaged, non-visibly soiled PPE beyond single patient contact and other standard practice durations.
- Note: OSHA has relaxed enforcement of annual fit-testing requirements for N-95 filtering facepiece respirators (FFRs) - osha.gov/news/newsreleases/national/03142020.
- Reuse PPE by Implementing Optimization, Decontamination, and Reuse Procedures
- Implement strategies to optimize supplies and equipment: cdc.gov/coronavirus/2019- ncov/hcp/ppestrategy/index.html
- Implement expanded facility-based PPE reuse policies and procedures.
- Track “check in” and “check out” of PPE designated for reuse. Each worker is provided specific PPE at the beginning of the shift. At the end of the shift, all PPE is labeled, collected, and stored forreuse (which may entail appropriate decontamination using devices with issued Food and Drug Administration (FDA) Emergency Use Authorization (EUA).
- Implement guidance for decontamination and reuse of FFRs:
- cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/decontamination-reuse-respirators.html
- osha.gov/memos/2020-04-03/enforcement-guidance-respiratory-protection-and-n95- shortagedue-coronavirus
- For large-scale decontamination of N-95 FFRs consider using the following methods:
- Industrial or facility-based vaporized hydrogen peroxide sterilization systems: fda.gov/media/136529/download
- Industrial or facility-based moist heat disinfection systems (NOT autoclaves)
- Facility-based ultraviolet germicidal irradiation (UVGI) systems
- For low-volume or personal decontamination of N-95 FFRs consider using commercially available microwavable moist heat disinfection devices following manufacturer’s instructions (e.g. do not put metal parts in microwaves).
- Repurpose Alternative Types or Sources of PPE
- Use alternative NIOSH-approved respirators in lieu of N-95 FFR for activities for which respiratory protection is required. See fda.gov/media/135763/download. Examples include:
- powered, air-purifying respirators (PAPRs);
- reusable air-purifying respirators (elastomeric half and full facepiece respirators);
- other disposable air-purifying particulate FFRs.
- Contingency - Seek alternative supplies of PPE.
- Encourage community members to donate private stocks of unused/unopened surgical masks, gloves, gowns, and N-95 respirators to your facility.
- Seek PPE and other equipment from dentist offices, veterinarians, individuals, and other sources, including business that are not active.
- Use commercial sources of industrial Tyvek coveralls, face shields, goggles, shoe covers, etc.
- Crisis - Use N-95 FFRs beyond their expirations dates if certain conditions are met
- Crisis - Use FDA authorized imported, non-NIOSH-approved disposable FFRs.
Implementation
Organizations need to assemble a team to carefully review existing Health and Safety Plan (HASP) and Respiratory
Protection Plan (RPP) policies and procedures for opportunities to reduce, reuse, or repurpose and should develop
contingency and crisis operational plans. Such a team might include (where available) environmental health officers,
safety officers, industrial hygienists, logistics officers, infection prevention practitioners, operations chiefs, medical
officers, and work-force representatives.
To ensure uniform application of modified practices, processes and procedures, and, concurrently, the safety of
workers, all workers must be trained in the plans, with recommended elements of such training including:
- The rationale for changes, contingency and crisis standards during COVID-19 related PPEshortages
- New PPE guidance (FDA, CDC, DOJ) related to COVID-19
- Proper methods to conduct new or changed work practices (e.g., staffing, social distancing)
- Methods to install or utilize any barrier controls (e.g. patient masking, Plexiglas shields)
- Proper donning and doffing of PPE to minimize self-infection
- Proper hand hygiene
The National Association of Regional Councils (NARC) awarded the East Texas Council of Governments (ETCOG) an Achievement Award for its efforts to build veteran-friendly communities in East Texas. Regional Achievement awards are presented annually to recognize excellence in programs and services of regional councils, metropolitan planning organizations (MPOs), and other regional organizations across the country. The Achievement Awards were presented during a ceremony at the recent NARC 59th Annual Conference & Exhibition in Seattle, Washington, where ETCOG received the Rural Award. Launched in July 2024, the Veteran-Friendly Community Designation Program was developed by ETCOG in collaboration with the Alamo Area Council of Governments, the University of Texas at Tyler, and the University of Texas at San Antonio. The program formally recognizes communities that show strong, lasting support for military veterans through policies, services, and community involvement. It requires each participating city or county to provide a comprehensive community profile, develop a plan focused on veterans, and commit to an annual self-assessment to maintain the designation. Tyler/Smith County and Quitman/Wood County were the first to receive the designation and have become good models of how to support veterans in areas such as housing, employment, healthcare, and education. “We’re proud to be recognized by NARC for a program that recognizes the men and women that lay their lives on the line to keep us free!,” said David Cleveland, Executive Director of ETCOG. “In East Texas, we’ve always believed in taking care of our veterans—not just with words, but with our actions. This award means a great deal to us, and it demonstrates that when communities come together with a clear purpose, we can build something that truly makes a difference. We hope this program becomes a blueprint for how regions can support and encourage those who served all of us.” ETCOG has been a long-time member of NARC, whose member organizations are comprised of multiple local governments that work together to serve American communities, large and small, urban and rural. Eight projects submitted from regional planning agencies across the nation received Achievement Awards. About the National Association of Regional Councils NARC serves as a national voice for regions by advocating for regional cooperation as the most effective way to address a variety of community planning and development opportunities and issues. NARC’s member organizations are composed of multiple local governments that work together to serve American communities – large and small, urban and rural. For more information about NARC awards, conferences, and leadership, visit www.NARC.org .
Executive Director David Cleveland has named Luke Kimbrough as the new Regional Lending Manager for the East Texas Council of Governments (ETCOG). In this role, Kimbrough will oversee the day-to-day operations of the East Texas Regional Development Company’s (ETRDC) small business loan programs. He will work closely with the ETRDC Board, manage financial and administrative services, and ensure the program follows all state and federal guidelines. Kimbrough brings with them more than seven years of experience in banking and employee benefits. Before accepting this position, Kimbrough served as CEO of the Banking Center at Citizens Bank in Gladewater. His previous roles include Vice President at First National Bank of Hughes Springs in Liberty City, Benefits Consultant for Colonial Life in Longview, and Branch Manager for Regions Bank in Kilgore. Before his banking career, Mr. Kimbrough served for several years as the Director of Public Information and Regional Services at ETCOG. “It is a great pleasure for me to welcome Luke back to the ETCOG Family! His exceptional work in the banking community for many years position him for even greater success with our ETRDC Business Lending Programs. I am glad he is back and am even more excited to see the steady growth and expansion of one of our most important economic development programs that will undoubtedly occur under his leadership!” said Executive Director David Cleveland. “I am excited to come back to ETCOG and the East Texas Regional Development Company,” said Kimbrough. “Spending the last decade in banking, I have gained much more experience in financial analysis and commercial lending. There is a lot of work ahead to help the businesses and economy of East Texas.” The ETRDC is a nonprofit organization that is certified and regulated by the U.S. Small Business Administration. Its main purpose is to support local economic development by helping small businesses access long-term, fixed-rate financing. ETRDC offers financing through the SBA 504 Loan Program and Chapman Loan Program. About the ETRDC Since 1983, the East Texas Regional Development Company has provided small businesses in Texas with the financing they need to expand or even start their business. The East Texas Regional Development Company, or ETRDC, is a private, nonprofit organization formed to assist small businesses. The ETRDC is administered and housed within the East Texas Council of Governments. Find out more at www.etrdc.com.
Recently, the Texas Veterans Commission's (TVC) Fund for Veterans' Assistance (FVA) announced its largest funding in the 16-year history of FVA programs, with 213 grants totaling $46,315,000 to provide services to an estimated 40,000 veterans. ETCOG is proud to be one of the grant recipients selected with $250,000 of those funds to provide GoBus transportation services for veterans in our 14-county service region. "It is an honor to receive this funding award from the Texas Veterans Commission and Chair Koerner, which allows us to continue our mission to support all East Texas veterans," said Vince Huerta, GoBus Director. "We are dedicated to growing the program and look forward to assisting more veterans this year." With the grant, our public transit system, GoBus, will fund trips to and from medical, dental, and mental health appointments, as well as trips for basic needs such as grocery stores, community meetings, voting, court appearances, and tax offices. These trips are available to veterans, veteran spouses and dependents, survivor spouses, and active military personnel. The grant is in partnership with over $46.3 million in grants for veterans, Governor Abbott announced on May 20 . “Texas is forever indebted to the brave men and women who answered the call to serve in our nation's military,” said Governor Abbott. “The State of Texas is home to over 1.5 million veterans—more than any other state. This has shaped our mission to provide wide-ranging services for veterans and their families. With over $46,315,000 in state grants, Texas will help thousands of veterans and their families access vital support and resources needed to thrive in our great state. Texas will always support our veterans and honor their sacrifices to our state and our nation.” Find out about all veteran transport services GoBus offers by visiting www.gobustransit.com/govet .
ETCOG is calling on cities and communities across the region to nominate potential Brownfield sites for assessment and revitalization as part of a new initiative to support sustainable development and environmental stewardship. A Brownfield is any property, typically abandoned, underused, or industrial, that may be complicated by the presence or potential presence of hazardous substances, pollutants, or contaminants. Through ETCOG’s Brownfield Assessment Program, local governments and property owners may receive free environmental assessments to determine site conditions and open the door to redevelopment opportunities. ETCOG was awarded a U.S. EPA Brownfield Coalition Assessment Grant in 2023, so our region could access up to $1 million in funding to: Develop an inventory of Brownfield sites Conduct Phase I and Phase II Environmental Site Assessments (ESAs) Evaluate sites impacted by hazardous substances or petroleum Perform site investigations, asbestos and lead-based paint surveys Plan for cleanup and reuse strategies Benefits of Brownfield Redevelopment Include: Increased property values Enhanced public health and environmental safety New job creation and business development Reuse of existing infrastructure Elimination of blight and community eyesores Participation is completely voluntary, and all eligible activities could be covered at no cost to property owners. Communities are encouraged to take advantage of this opportunity to address challenging properties and bring new life to underutilized areas. Submit Your Site Nomination by using the form linked below. If you know of a site in your city that may be a candidate for Brownfield revitalization , please contact: Bridget Booty, Economic Development Specialist (903) 218-6421 Bridget.Booty@etcog.org
The City of Kilgore recently secured two Community Development Block Grants (TxCDBG) in the same round—thanks to strategic timing, guidance from local consultants, and support from the East Texas Council of Governments (ETCOG). One of these grants is helping fast-track long-needed sidewalk improvements in the city’s entertainment district, part of an ongoing downtown revitalization effort. “We were primed to get the maximum amount of points,” said Clay Evers, Kilgore’s Public Works Director. “It made sense to apply for downtown revitalization funding to complete sidewalk improvements along the rest of the corridor, which otherwise would have taken years if the city had to fund it alone.” The area near the historic post office and the newly renovated Texan Theater has seen increased activity, and this grant helps the city keep pace. Previous streetscape improvements had brought upgrades close to Main Street, and this new funding allows that work to continue—connecting key areas of Kilgore’s growing downtown. At the time of the grant application, this project wasn’t even listed in the city’s near-term plans. “It wasn’t on the five-year Capital Improvement Plan (CIP). In fact, it wasn’t even on the ten-year CIP,” said Evers. “This project was so far down the list that without this opportunity, we wouldn’t have touched it for a very long time.” The grant was made possible, in part, by insight from ETCOG and other grant administrators who informed the city that it was likely to score well in the 2022 application cycle. That foresight made all the difference. “The good thing is that ETCOG, along with other partners, generally has a good sense of how your project will score,” Evers noted. “Their guidance helps us pursue opportunities that are truly within reach.” He expressed gratitude for the collaboration and funding that will help transform downtown Kilgore even faster than expected. “We’re grateful to our local partners and the Texas Department of Agriculture for considering our project and deciding it was worth funding,” said Evers. “This is a great boon to our entertainment district—and it’s going to put us five to ten years ahead of where we would’ve been.”
ETCOG is partnering with Halff to assist counties in preparing applications for the upcoming Broadband Equity, Access, and Deployment (BEAD) funding opportunity. Round 1 applications are due August 15.
Throughout May, the Area Agency on Aging of East Texas (AAA) will join organizations across the nation in celebrating Older Americans Month (OAM), led by the Administration for Community Living, honoring the vital contributions of older adults in our communities. AAA will host four special events at senior and community centers across East Texas, each focused on the theme of “Flip the Script on Aging,” — encouraging a shift in how society views and talks about aging, prompting individuals and communities to challenge stereotypes and embrace the opportunities that come with older age. “Older Americans Month is a powerful opportunity to honor the contributions of older adults and recognize the vital role they play in our communities,” said David Cleveland, Executive Director of ETCOG. “This year’s theme, Flip the Script on Aging, challenges us to move beyond outdated stereotypes and embrace the strength, wisdom, and resilience that come with age. We invite everyone to join us at our regional celebration events as we uplift the voices and experiences of older East Texans.” The following OAM celebration events are free and open to the public, featuring food, fun, door prizes, and information on services available to East Texas seniors: May 7 at the Henderson Community Building, 302 Fair Park, Henderson | 10:00 AM – 1:00 PM May 15 at First Methodist Church, 225 Lovers Ln, Athens | 9:30 AM – 2:00 PM May 16 at Jefferson Senior Center, 111 W. Broadway, Jefferson | 9:00 AM – 12:30 PM May 21 at Harrison County AgriLife Extension Office, 2005 Warren Dr, Marshall | 9:00 AM – 12:00 PM The AAA is the region's leader in advocating and providing various services, such as information and referral, benefits counseling, case management, health education classes, senior nutrition, and support through the Ombudsman program for people in nursing and assisted living facilities. These services help older individuals live independent, meaningful, and dignified lives in their own homes and communities for as long as possible. Contact the AAA for questions about the events by calling (903) 218-6500.
ETCOG is excited to share progress on the new GoBus Transportation Facility, which is nearing completion and expected to open this summer. This milestone marks a major step forward in supporting our growing fleet and providing more efficient, reliable transit services across our 14-county region.
ETCOG is always looking for ways to add value for our members. In response to growing interest in collaborative purchasing of employee benefits, we’ve partnered with Gallagher to assess the feasibility of a multiple-employer benefits pool for ETCOG members. So far, we’ve hosted two virtual discussions, with several cities and counties participating to learn more about this opportunity. These meetings have generated strong interest from local governments looking for cost-effective and sustainable employee benefits solutions. If your agency is interested, it’s not too late to join the conversation! ETCOG and Gallagher’s team of experts, who have extensive experience building and managing benefits pools across the U.S., are hosting additional virtual sessions to explore: What a benefits pool is The advantages of joining one Potential impacts on leadership and employees Key legislative considerations Steps and timeline for forming a consortium Eligible member governments include Cities, Counties, ISDs, and Special Districts. Don't miss this opportunity to explore cost-saving and efficiency-driven solutions! Upcoming Virtual Meetings: 📅 April 23rd, 10:00 AM – 11:00 AM 📅 May 8th, 10:30 AM – 11:30 AM 📅 June 26th, 2:00 PM – 3:00 PM To attend, click on the meeting date above you’d like to join to register.