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
ETCOG was honored to support the City of Lindale in its recent search for a new City Manager, providing professional executive recruitment services that helped guide the city through an important leadership transition. The search resulted in the selection of Mike Murray, an experienced local government professional with decades of municipal leadership experience in city administration, economic development, infrastructure planning, budgeting, and public service. For ETCOG, this partnership reflects the organization’s continued commitment to supporting member governments across East Texas, especially smaller communities that may not have full-service human resources, recruitment, or communications teams in-house. “Working alongside our member governments in these moments is incredibly meaningful,” said Brandy Brannon, ETCOG Assistant Executive Director. “Many elected officials serve in volunteer roles while also balancing full-time careers and other responsibilities. When a city is searching for a key leadership position, such as a City Manager, we know how much time and coordination that process requires. Being able to step in, manage the details, and provide qualified candidates through a professional screening process is a tremendous way we can support them.” Through our Executive Recruitment Services, ETCOG assists cities with multiple stages of the hiring process, including job description development, position marketing, applicant screening, resume review, interview coordination, candidate review, and technical assistance. Our team brings experience in recruitment, human resources, public relations, and marketing, allowing the organization to provide comprehensive support for member governments with limited funding and staff capacity. “Our role is to be a trusted facilitator,” Brannon said. “We are not there to make the decision for a city. We are there to help make the process easier, stronger, and more manageable so local leaders can make an informed choice with confidence.” Congratulations to the City of Lindale, Mayor Gavin Rasco, the Lindale City Council, city staff, and Mike Murray on this important milestone! We look forward to seeing Lindale continue to grow and thrive under its new leadership. For more information about this offering, visit www.etcog.org/executive-recruitment .
Whether you're a board member, elected official, community partner, or simply curious about how regional collaboration works—these sessions are for you! ETCOG 101 is a great chance to learn how we serve as the bridge between federal, state, and local governments. From job training and transportation to emergency communications and aging services, we’re here to support what makes East Texas strong. Upcoming Workshops Workforce Solutions East Texas 101 Learn how Workforce Solutions East Texas connects job seekers, employers, students, and families with workforce development services, child care assistance, training opportunities, and business solutions. ETCOG 101 Get a broad overview of the East Texas Council of Governments, our mission, the programs we administer, and the impact our organization has across the 14-county region. GoBus 101 Discover how GoBus provides safe, reliable transportation for thousands of East Texans each year. Learn about the services available, who is eligible to ride, and why public transportation is a vital resource for many people in our communities. Every day, our team works to improve the quality of life for East Texans by delivering trusted solutions. These workshops are a great way to connect with our staff and gain a better understanding of the services available throughout East Texas. View upcoming dates and register at: https://www.etcog.org/etcog-101-workshops
Applications will be open from Monday, August 31, 2026, through Friday, November 27, 2026.
ETCOG's Economic Development District and Grant Writing USA will present a two-day grant writing workshop in Tyler, TX, August 27-28, 2026. This training is for grant seekers from all disciplines. Attend this class to learn how to write winning government grant proposals and find the available grant funding. Beginning and experienced grant writers from city, county, state agencies, K-12, colleges & universities and nonprofits are encouraged to attend. Registration is $525 and includes everything you need: Grant Writing USA Workbook Two days of expert instruction Lifetime access to Grant Writing USA Alumni Resource Center Grant Writing USA is offering ETCOG members a $50 discount. Please use the discount code "less50" at the time of registration. When: August 27 - 28 | 9:00 AM - 4:00 PM Where: 1421 S Beckham Ave, Tyler, TX 75701 For event details visit: https://grantstraining.com/ty0826
Registration is now open for the Texas Illegal Dumping Resource Center Illegal Dumping Class , co-hosted with the East Texas Council of Governments. This two-day training is designed to support city and county officials, enforcement partners, and others who work to address illegal dumping and related environmental concerns in their communities. About the Class Illegal dumping continues to be a challenge for many communities, impacting public health, safety, property, waterways, and the overall quality of life for residents. This class will provide information and resources to help local partners better understand enforcement tools and response strategies. Topics covered will include: Illegal dumping Outdoor burning Public health nuisances Water pollution Hazardous waste City and county enforcement considerations Other related environmental enforcement issues Event Details Dates: August 17–18 Time: 9:00 a.m.–4:00 p.m. Location: Workforce Solutions East Texas Address: 1905 W Loop 281, Suite 40, Longview, TX 75604 Cost: $125 Continuing Education: 12 CEUs included Who Should Attend This class is suitable for professionals involved in environmental enforcement and community response efforts, including: County deputies Constables Fire marshals Code enforcement officers Emergency management coordinators Prosecutors Local officials Others involved in environmental enforcement How to Register Participants can register at https://tidrc.regfox.com/cee-illegal-dumping---longview---aug-18-19 ETCOG is proud to help bring this training opportunity to East Texas and support local partners working to protect public health, safety, and the communities we serve.
TDA is pleased to see interest from many communities in the upcoming 2027 Texas Community Development Block Grant applications. No action is required for communities at this time; however, here are several items that may be useful as you look forward to the release of grant applications this fall: Save the Date for your local governing body resolution. All TxCDBG grant applications require a resolution adopted by the local governing body to authorize submittal of the application, commit to adhere to the requirements of the TxCDBG program, and commit matching funds, if applicable. TDA recommends marking your calendar to complete this task at your October 2026 meeting. The required resolution language will be provided in the Application Guide, to be released in September 2026. Procure a grant administrator. Many Grant Recipients hire a consultant to be responsible for grant administration and reporting requirements. If your community would like to have a grant administrator also assist in preparation of the grant application, the services contract must be competitively procured prior to any participation by the firm in the application process. TDA has compiled a user-friendly guide to procuring a grant administrator according to TxCDBG policies: Solicitation and Contract Documents for Administration Services* Contracts The Unified Scoring Committee will determine at its meeting in September whether to offer an annual or biennial cycle for the Community Development Fund – the sample documents in this guide account for both options. A similar guide for engineering procurement will be made available later this fall. No engineering work is required for the first phase of the application process. Attend your regional meeting to establish Project Priorities (or review the adopted priorities once posted). Consider the projects important to your community in each of the Priority 1 categories, as well as other projects that are important to your community. ETCOG's regional meeting will be held Thursday, August 6, 2026, at 12 noon, at ETCOG headquarters TDA’s default priorities can be used as a reference for the available project categories; each region will identify its own priorities within this structure: 2027 Regional Project Priority Scoring Element - Default.pdf
ETCOG will hold a Public Hearing on Thursday, August 6, 2026, at 12:00 p.m. during its Executive Committee meeting at 3800 Stone Road, Kilgore, Texas. The purpose of the hearing is to gather public input on the Texas Community Development Block Grant ( TxCDBG ) Program Regional Project Priority Types for the East Texas region. As part of the standard TxCDBG process, each Council of Governments region in Texas is encouraged to identify the project types that best reflect regional needs and priorities. During the hearing, ETCOG’s Executive Committee will receive comments from local officials, stakeholders, and members of the public regarding which eligible project categories should be prioritized for East Texas. These priorities may include needs such as water and sewer infrastructure, street improvements, housing, and other eligible community development activities. Regional project priority types play an important role in the TxCDBG application process. The priorities adopted by ETCOG will be submitted to the Texas Department of Agriculture (TDA), which administers the TxCDBG program, for use in the upcoming funding cycle. Regional priorities account for a portion of the scoring used to evaluate grant applications. ETCOG encourages anyone with an interest in community development needs across East Texas to attend the hearing and provide input during the public comment period.
The CO-OP Grant team will host a series of Grant Application Workshops to cover all the elements needed for a competitive application. Offered both online and at sites around the state, the workshop will provide application support and assist potential applicants with an overview of the application process, grant program requirements and priorities, scoring criteria, budget planning and eligible grant expenses, and answer questions from applicants. Opportunities for in-person project consultation appointments with grant staff will also be made available at the site-based workshops. The CO-OP Grant will begin accepting project proposals August 3, 2026, through October 1, 2026, at 5 pm CST. Grant Awards will be announced March 1, 2027, and programs will take place over 18 months. Eligible projects should engage program participants in areas of conservation, outdoor recreation, and environmental education and connect participants to TPWD sites, programs, and staff. Grant funding can support personnel, training, travel, food, fees, and supplies. There is no match requirement. This grant supports outdoor programs for populations that are under-served. The CO-OP grant does NOT fund any type of construction, trails, boat ramps, or vehicles. This is a reimbursement grant. REGISTER To attend at workshop, complete the online registration at: https://www.signupgenius.com/go/10C0F4BA5AD2DA1F5C16-64420560-tpwd#/ ONLINE WEBINAR Monday, July 20th 2 p.m.- 4 p.m Live (Recording will be available on/after 7/22)
$16.5 Million in Grants Available