MDH Guidance on Administering Nebulized Medications

Nebulized medications are currently not defined or classified as an aerosol generating procedure, according to guidance recently released by MDH. However, since there is a possibility of transmission with nebulizer use, MDH is recommending the following steps to minimize risk to health care providers when administering nebulized medications: 

If the resident can tolerate, switch to metered dose inhalers with a dedicated spacer. You will need to contact the resident’s primary care provider to discuss this alternatives and change any orders if appropriate.

  • Health care workers should wear a mask, eye protection, gloves and gown during the procedure if a respirator is unavailable.
  • Close the resident’s door when administering nebulized medications.
  • During the nebulizer administration, health care workers should remain 6 feet away from the resident.
  • Residents do not need to be transferred to a higher level of care solely for the purpose of administering nebulizers.

Read: Administration of Nebulized Medication to Patients with Suspected or Confirmed COVID-19.

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