A protocol which is easily breached, and where one mistake can be disastrous, is a lousy protocol. A good protocol allows occasional single mistakes, and requires multiple failures to happen before disaster occurs.
In Africa, they practice using multiple layers of protective gear. We should do that here too. Coming out of the patient setting, you get sprayed with chlorine bleach, take off the outer layer, get sprayed with chlorine all over, then take off the inner layer.
Great point.
I have worked some with a company that makes an advanced fogging system. It produces a “dry” disinfecting fog at tremendously high concentrations. I would imagine it would be highly effective for people to doff their gear in such a chamber.
The fog concentration is so high they’d have to use a supplied air respirator, though, which would complicate things, I would assume.
The same process would I believe be highly effective for disinfecting spaces, not as a replacement for cleaning, but as separate treatments before standard cleaning and disinfection.