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When should staff wear face masks?

Nursing practice often involves undertaking procedures about which there is debate or uncertainty. In Practice Questions, we ask experts to determine how nurses should approach these procedures

Masks were introduced into clinical practice at the beginning of the 20th century to protect patients from microorganisms being expelled from healthcare workers’ respiratory tracts during clinical procedures (Wilson, 2006).

Interest in the effectiveness of masks has been raised by the swine flu pandemic.

In discussing effectiveness of masks, it is important to differentiate between standard surgical face masks and respirators.

The Health Protection Agency (2009) advises people with flu to use face masks when they are in contact with other people and healthy people to wear a face mask when they are caring for a person with flu in non-clinical situations.

Where healthcare staff are involved in caring for a patient with a probable/confirmed diagnosis, they should wear a face mask, plastic apron and gloves as a standard precaution, with the addition of eye protection if splashing is likely to occur. Where aerosol-generating procedures such as physiotherapy are being undertaken, an FFP3 respirator is required in addition to a gown, gloves and eye protection.

The same precautions also apply to caring for patients with severe respiratory illness as a result of swine flu as they are likely to be shedding high quantities of virus.

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