DES MOINES, Iowa (AP) — Health care providers facing a shortage of personal protective equipment must extend the use of their face masks, use washable gowns and shorten hospital stays for some coronavirus patients, the Iowa Department of Public Health said Friday.
The agency directed hospitals to take extraordinary steps to conserve limited supplies of critical masks, gowns, shields, goggles and respirators.
“We understand the issuance of this order may be unsettling, but due to the global shortage of PPE supply, we have determined that now is the time to take this action,” the department’s deputy director, Sarah Reisetter, said at a news conference.
Gov. Kim Reynolds said the state’s requests for equipment from the now-depleted national stockpile have been delayed and that state and local agencies and providers have had challenges procuring adequate supplies.
The order came as the number of people with the coronavirus in Iowa jumped by 118 to nearly 1,400 on Friday. About 20% of those infections have been among health care workers, the testing of whom is prioritized because of the limited number of tests available.
Iowa has reported 31 deaths due to the virus, including two adults from Linn County whose deaths were confirmed Friday. The number hospitalized also ticked up to 119, including a dozen new patients in the last day in the southeastern Iowa region.
The order directed hospitals to reduce demand by limiting contact with patients, canceling all non-essential services and treating more patients over the phone.
Hospitals that have taken those steps but still face shortages were told to have workers use the same face masks for treating several different patients, and wear washable cloth gowns, reusable goggles and face shields.
To preserve respirators, the order directed hospitals to decrease the length of stay for “medically stable patients” infected with COVID-19, the disease caused by the virus.
Hospitals in crisis may also have to consider the use of homemade cloth masks, even though their effectiveness is unknown for preventing virus transmission.
Masks, respirators and other equipment beyond their expiration dates should also be used and re-used in limited situations under the order.
While hospitals are facing PPE shortages, they have sufficient intensive care unit beds and ventilators to manage their caseloads, the governor said.
Reynolds said state officials are “continuing to do everything we can” to provide PPE to health care workers, but that it is a challenge.
State agencies have been trying to make orders, and a Department of Corrections program that uses inmate labor has produced 2,800 gowns and is gearing up to make 1,000 per day, she said. The governor also praised manufacturers and individuals who have started making masks.
“It’s an all-of-the-above approach,” she said. “We are looking at every available opportunity.”