PERSONAL PROTECTIVE EQUIPMENT AND THE ANAESTHETIST
This survey is being conducted to gauge the knowledge, attitude and practices towards use of personal protective equipment (PPE) and its psychological impact among Indian Anesthesiologists during the COVID-19 pandemic.
Please note:
1. This anonymous questionnaire will take around 10 minutes of your valuable time. We will ensure confidentiality of answers.
2. There may be more than one response for some of the questions.
3. Kindly base your answers on actual clinical practice followed at your centre.
4.    This questionnaire based survey has been approved by the IRB, Christian Medical College, Vellore

1. Gender *
2. Age *
3. Familial status *
4. Do you have any other people who are vulnerable to the COVID-19 infection living with you? *
5. I am *
6. I work in: *
7. Years of experience in anaesthesia? *
8. Hours of work per day? *
9. I have received formal training at my institute regarding the use of appropriate PPE for the COVID-19 pandemic? *
10. I have the experience of working during a respiratory epidemic /pandemic? (eg: Swine flu pandemic in 2011) *
11. Do you have any objection if the result of the survey is presented in a scientific forum or journal? *
Knowledge regarding PPE use
1. Aerosol generating procedures requiring donning of adequate PPE includes all the following EXCEPT?
2. The following PPE have to be strictly donned during aerosol-generating procedures on COVID-19 patients/suspects:
3. Which of the following methods are appropriate for the storage of N95 Masks after use, (planned for re-use):
4. Disposable filtering facepiece respirators (FFRs), like N95s, are not approved for routine reuse. But during times of shortage, which of the following are FDA approved for decontamination:
5. All are precautionary measures before using a decontaminated N95 Mask EXCEPT:
6. Percentage of alcohol hand rub recommended for hand sanitizer:
7. Alcohol based hand sanitizing is superior to hand washing techniques.
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9. Appropriate PPE should be donned in all the following cases scenarios
10. According to the ACLS AHA protocols, ALL the following additions to the guidelines have to be practiced during the COVID-19 pandemic EXCEPT:
Attitude regarding PPE use
1. Adherence to hospital policies on PPE use is mandatory.
2. It is important to read out a check list prior to anaesthetizing a patient who is COVID-19 positive / suspect.
3. While intubating a patient who is tested COVID negative, anaesthetist doing the procedure should wear appropriate PPE same as COVID suspect /positive.      
4. Appropriate PPE reduces my concerns about acquiring COVID-19 infection during an anesthetic procedure
5.  It is our professional duty to care for patients with COVID-19 infection.
Practice regarding PPE use
1. In your opinion which is the SINGLE BEST method to disseminate information regarding appropriate PPE use:
2. During laryngoscopy and intubation in COVID-19 patients/suspects, I PRACTICE the following precautionary measures: (multiple checks)
3. In YOUR PRACTICE how do you minimize exposure during anaesthesia for ECT. (multiple checks)
4. I FEEL the MOST important step during donning and doffing is:
5. After donning PPE, touching and adjusting your PPE unnecessarily must be avoided. How difficult DO YOU find this step?
6. How accessible is appropriate PPE in your hospital for anaesthesia related procedures?
7. In MY INSTITUTION, a check list is read out prior to donning and doffing:
8. In MY INSTITUTION we ensure that ONLY the essential staff are present in the operating room when aerosol generating procedures are performed on the patient.
9. When I TRANSFER a post-operative COVID positive patient from the theatre to the ICU, the following statements are TRUE:
10. In YOUR INSTITUTION, importance is given for training and spreading of awareness regarding appropriate PPE use for anaesthetic procedures?
Psychological aspect of PPE use
1. Health of the health care workers being prioritized at my institution makes me feel confident / safe.
2. Did you experience any of the following physical symptoms while using PPE or within a day of using PPE for prolonged (>8hrs) period. (multiple checks)
3. Did you experience any of the following emotions while using PPE or within a day of using PPE (>8hrs)? (multiple checks)
4. With appropriate PPE donned I feel more confident in anaesthetizing a patient diagnosed with COVID19?
5. Do you find that health care workers, after donning of full PPE, are more easily irritable during procedures in the operating room?
6. Do you find that working is more stressful in the operating room during this pandemic?
7. Do you find it challenging to communicate effectively and clearly while using PPE?
8. Some procedures are made challenging due to the restrictions in movement and visibility attributed to PPE, attributing too work stress:
9. Are there instances when you have chosen not to use any part of recommended PPE due to the above-mentioned reasons?
10. Non-availability of recommended PPE is a reason for stress in my workplace
11. Physical and psychological support reduces psychological stress and helps with adherence to PPE use.
12. In your opinion, which of the following factors increase the psychological stress at your workplace? (multiple checks)
13. The following factors help in coping during stress.
14. What are the things you practice at workplace to reduce stress during Covid time? (multiple checks)
15. What are the things you practice at home to cope with stress during this COVID-19 Pandemic? (multiple checks)
Would you like to know the results of the survey *
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