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Your manager or organisation should send out a communication to all patients and their families explaining why this is important and encourage them to look at government advice. Wearing PPE can be uncomfortable and can lead to heat stress, fatigue and heat related illness. It is recognised that wearing PPE for long periods can also create additional health and safety risks for staff. It is recognised that wearing PPE for long periods can also create additional health and safety risks for nursing staff. PPE can be uncomfortable and potentially lead to heat stress, fatigue and heat related illness. Open the fabric with the right side still facing down. You should see the outline and seam allowance you made on the right-hand side of the material.

Your employer should work with you to ensure that any risk of PPE affecting your impairment and ability to continue in your role is recognised and processes put in place to mitigate the risk. This may mean adjusting processes around donning and doffing of PPE, exploring options for adapted PPE and/or opportunities to fit PPE, and be confident that it is fit for purpose prior to use in a clinical setting. The RCN expects all health and social care organisations to have and to follow their policies on the management of latex allergy in staff and patients. If families refuse to support these actions, discuss with your manager what additional steps could be taken to encourage the family/carers to be more proactive.When considering gloves members should also review if a plastic apron is required. Aprons should not be worn routinely and only if required. Our publication Removing disabling barriers at work and our online guide on health ability passportscover the benefits of a diverse workforce including those with impairments and the reasonable adjustments process. Place your fabric template over the left side of the main fabric and draw a mirroring outline and seam allowance on the left-hand side. HSC Business Services Organisation procurement and Logistics Service manage procurement to all public health and social care organisations in Northern Ireland. Wales

Fit tests must also be carried out whenever there is a change to the type or model of FFP3 mask or whenever there is a change in circumstances of the wearer that could alter the fit of the mask e.g. weight loss or gain or substantial dental work. The RCN expects that all employers support their staff to make known their needs in respect of PPE. For those experiencing symptoms due to menopause, this can sometimes add to the burden of working in intensive areas of practice. The Health and Safety Executive also provides guidance for employers and employees on reasonable adjustments. Raising concerns Remember, PPE is just one way of protecting staff at work. Handwashing, social distancing measures, training, workplace cleaning practices, ventilation, vaccination and risk assessments for staff health also play an important role in infection prevention and control and managing the safety of staff and patients.The RCN also recognise that certain health conditions will make it more difficult to tolerate wearing PPE. Employers should assess any risks to these individuals and make necessary adjustments under both health and safety and equality law. See ‘PPE for staff with disabilities or impairments’ above. You can also see our Health ability passport guidance. Further information Our guidance on skin health is here along withour publication on maintaining skin health when using PPE. Raising concerns The NMC statement on personal protective equipment during the COVID-19 pandemic(April 2020) supports the RCN guidance and reflects the realities of clinical decision-making in the context of this pandemic. It is always important to recognise that for many reasons the impact of the menopause may differ greatly for individuals.

the workplace temperature: while there is no upper legal limit on workplace temperatures, the regulations state that workplace temperatures should be reasonable; the Chartered Institute of Building Engineers recommend that hospital environments should be 18 degrees centigrade. The Equality Act 2010 (and in Northern Ireland the Disability Discrimination Act 1995) states that employers have a duty to make reasonable adjustments for employees who meet the definition of disabled. This applies to PPE equipment and the processes around administering PPE. The RCN believes that reasonable adjustments should be granted whether this definition is met or not, on the grounds that reasonable adjustments help us to work to the best of our abilities. The RCN’s advice guide on disability discrimination provides lots of helpful information on disability and your employer’s responsibilities. For information on how to reduce the risk of heat stress and related illness, please see Rest, Rehydrate and Refuel. HSE have also produced a heat stress risk assessment toolkit for employers Your organisation should provide accessible information on this and on what the household can do to reduce risks, in advance of and during any visits. You can also see our COVID-19 workplace risk assessment toolkit. Guidance for adult social careis also available Some of the patients I visit refuse to have the window open where I am working to increase ventilation. What should I do? Current Resuscitation Council UK (RCUK)Resuscitation Guidelines(2021) maintains early CPR and defibrillation give people the best chance of survival in any setting. RCUK have also published guidance on COVID-19.The advice states that for those working in health care settings, the use of FFP3 masks or respirators as well as eye protection, is still recommended when performing chest compressions for patients with suspected or confirmed COVID-19. Aerosol generating procedures PPE, in particular FFP3 mask/respirator and eye protection, should be donned as swiftly as possible to avoid any delays in treatment.

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Additional guidance is available in the collaborative document Ethical dimensions of COVID-19 for frontline staff. Raising concerns regular rest breaks during the shift: manufacturers’ recommendations on maximum time for wearing FFP3 face masks should always be followed (see RCN workplace risk assessment toolkit) Any allergic type reactions to PPE, including skin rashes, should be reported using the organisations incident reporting form and through the yellow card reporting system to the MHRA. Next, draw an inch-wide seam allowance around the outline you just drew. Remove the template and set it aside. Symptoms can be compounded when having to wear PPE, especially for long periods of time, and it is important that staff are supported to enable them to cope in these challenging times.

Where no safer alternatives are available and the risk of exposure to a biohazard exists, then a COSHH risk assessment will inform whether the use of PPE containing NRL is acceptable for use by staff without NRL allergy. Incident reporting Fit testing must be carried out by a competent person as described by the Health and Safety Executive (HSE). What if I have concerns about fit testing? Where risk assessments require staff to wear FFP3 masks, all staff must have passed a face fit test for the mask being worn. Further informationMenopause at work: managing hot flushes and PPE - Nursing Standard article which may require signing in to access in full