National preparedness survey of pediatric intensive care units with simulation centers during the coronavirus pandemic

Table 3 Personal preparedness efforts by pediatric intensive care units

The use of PPEs	n (%)
Current issues/limitations in regards to the utilization of PPE
Lack of access to PPE
Shortage in PPE	7 (31.82)
Inability to reuse PPE	1 (4.55)
No issues	14 (63.64)
Conducting training to appropriately don and doff PPE for PICU staff
Yes	21 (95.45)a
No
Unsure
Format of PPE training
Hands-on training	16 (72.73)a
Video-based content	18 (81.82)a
Didactic/small group training	7 (31.82)
Email material	13 (59.09)
Other	2 (9.09)
Procedures to enhance safety of PPE
Buddy system	8 (36.36)
Increased staff	6 (27.27)
Dedicated staff, spotter	11 (50.00)
Distribution of printed safety	13 (59.09)
Other	1 (4.55)
None	2 (9.09)
Auditing PPE competencies
Assess the performance of doffing team	14 (63.64)
Written examination
Simulation assessment	7 (31.82)
Provide structured feedback around key competency areas	4 (18.18)
Regularly assess competencies with spot checks and/or video	6 (27.27)
None	1 (4.55)
Optimization of PPE doffing areas
Dedicated doffing area to avoid team members from bumping into one another or equipment	4 (18.18)
Zoning to distinguish clean area from potentially contaminated areas to reduce the likelihood that team members cross over between areas spreading contamination	8 (63.64)
Use the same space for donning and doffing of PPE	14 (63.64)
Dedicated staff to observe the doffing process, Doffing spotters	7 (31.82)
Other	5 (22.73)

^aP < 0.05.

PICU: Pediatric intensive care unit; PPE: Personal protective equipment.