Amarissa Alya Tsabita
18/425487/KU/20536
Group 3 - PD IUP 2018
TIMBUL Block D.1Scenario 1
• Explain national standard of PPE for Aerosol Generating Procedure
Determination of the type of PPE used is based on the health service location, the profession,
and the activities of medical personnel.
Specifically for handling COVID-19, PPE consists of masks, gloves, cover all, gowns, eye
protection, face shields, head protection, foot protection, and waterproof boots.
The use of PPE is tiered, including:
1. The first level is for health workers who work in general practice places where their activities
do not pose a high risk and do not generate aerosols. The PPE used consisted of surgical masks,
gowns, and examination gloves.
2. The second level is where health workers, doctors, nurses, and laboratory workers who work
in the patient care room, where non-respiratory samples are also taken in the room or in the
laboratory, the PPE needed is head coverings, google, surgical masks, gowns, and disposable
gloves.
3. The third level is for health workers who work in direct contact with patients who are
suspected of or have confirmed COVID-19 and perform surgical procedures that generate
aerosols, the PPE used must be more complete, namely head coverings, face shields, eye
protection or google, N95 masks , cover all, surgical gloves and waterproof boots.
As for the handling of Covid-19 for health workers who perform surgery, nebulization, or
dentists who may trigger the release of aerosols, it is emphasized that they must wear an N95
mask.
Based on the third revision of “Standar Alat Pelidung Diri (APD) untuk Penanganan COVID-
19 di Indonesia” compiled by Gugus Tugas Percepatan Penanganan COVID-19, aerosol
generating procedure must use level 3 PPE.
Below is more details on level 3 PPE based on the level of protection, group, scope/location,
and type of PPE.
Level of Protection Group Scope / Location Type of PPE
Level 3 Operating room and • N95 mask or
procedure for “ODP” equivalent
• Coverall / gown
Doctors and and “PDP” patients or • Boots / rubber
nurses confirmed COVID-19 boots with shoe
protection
• Eye protection
• Face shield
• Disposable sterile
rubber surgical
gloves
• Headcap
• Apron
Aerosol generating • N95 mask or
procedure (intubation, equivalent
extubation, tracheotomy, • Coverall/gown
cardiopulmonary • Eye protection
resuscitation, • Face shield
bronchoscopy, NGT • Disposable sterile
insertion, gastrointestinal rubber surgical
endoscopy) in “ODP” gloves
and “PDP” patients or • Headcap
confirmed COVID-19 • Apron
Doctors, nurses Sampling respiratory • N95 mask or
or laboratory (nasopharyngeal and equivalent
personnel oropharyngeal swab) • Coverall / gown
• Boots / shoes with
protective rubber
boots
• Eye protection
• Face shield
• Disposable sterile
rubber surgical
gloves
• Headcap
• Apron
References
Covid19.go.id. 2020. Standar Alat Pelidung Diri (APD) untuk Penanganan COVID-19 di
Indonesia. [online] Available at:
<https://covid19.go.id/storage/app/media/Protokol/2020/Agustus/standar-apd-revisi-3.pdf>
[Accessed 24 August 2021].
Sehatnegeriku.kemkes.go.id. 2021. Tingkatan APD bagi Tenaga Medis saat Tangani Covid-
19. [online] Available at:
<https://sehatnegeriku.kemkes.go.id/baca/umum/20200417/0533711/tingkatan-apd-bagi-
tenaga-medis-saat-tangani-covid-19/> [Accessed 25 August 2021].