Are We Using Best Practices for Wearing Masks, or Is It an Exercise in Futility?

Proper Mask Usage: Best Practices for PPE

While the necessity of wearing masks is debated, it's essential to know how to use them correctly if you choose to or need to wear one. Discover the best practices for applying, removing, and disposing of masks to ensure maximum protection and prevent contamination.

This article was written back in March 2020. While it is July 2024, we still see the mask being worn and even mandated in certain cases. As we move our blog posts over, we can't help but remind folks on the propert use of the mask:

The Correct Way to Wear Our PPE - Personal Protective Equipment: The MASK

While contemplating my next topic, it struck me during a recent Saturday outing for errands. In my area, Friday marked the reopening of some businesses, making Saturday's venture into town a surprising change from the previous weeks.

It was bustling. My first stop was Lowe’s, and the parking lot was full. Inside, operations were pleasantly efficient. Social distancing and protective measures were still in place as if they had become the norm. I felt proud of both the staff and the patrons.

Next, I visited Smith’s Grocery, where the scene was similarly busy. Despite the hectic environment, the flow remained efficient, and the staff continued to provide excellent customer service.

However, I noticed several instances of improper mask usage. As a nurse with extensive experience, including working in the OR and with isolated patients, I’m keenly aware of the importance of using masks correctly. Now that masks are a daily necessity, let's discuss how to wear and handle them properly.

Since April 12th, 2020, the CDC has recommended that even healthy people wear masks when venturing out where maintaining distance from others is challenging. While the efficacy of masks won't be addressed here, proper usage will.

In many public spaces like stores, people are appropriately distanced, and clear barriers protect personal spaces. However, in areas where social distancing is compromised, wearing a mask becomes essential. Here are a few basic guidelines:

Proper Application of a Face Mask:

1. Wash Your Hands: Start by washing your hands for at least 20 seconds with soap and water.

2. Check for Defects: Ensure the mask is free of tears or defects. If reusable, make sure it is clean and dry.

3. Positioning:

For disposable masks, the colored side should face out.
If the mask has a metallic strip, it should be placed against the bridge of your nose.

4. Securing the Mask:

Ear Loops: Hold the loops and place them over each ear.
Ties: Tie the top strings first, securing a bow, then tie the bottom strings at your neck.

5. Adjusting the Fit:

Mold the metal strip to the shape of your nose if applicable.
Pull the bottom of the mask over your mouth and chin.
Ensure the mask fits snugly and avoid touching it once in place.

6. Replacement: If the mask becomes soiled or damp, replace it with a new one.

Proper Removal of a Face Mask:

1. Clean Hands: Wash your hands or use hand sanitizer before removing the mask.

2. Avoid Touching the Mask: Handle only the loops, ties, or bands.

3. Removal Process:

Ties: Untie the bottom ties first, followed by the top ties.
Loops: Unhook both ear loops.

4. Disposal: Discard the mask by placing it in a covered bin.

5. Sanitize Again: Wash your hands or use hand sanitizer immediately after.

Additional Tips:

Consider having a to-go kit for your masks, including hand sanitizer and a bag (like a Ziploc) to contain used masks until you can wash or dispose of them.
For reusable masks, ensure they are stored safely until washed, and avoid touching your face or mask while wearing one.
The best defense remains frequent hand washing.

Current Guidelines on Mask Wearing in 2024

As of 2024, mask-wearing guidelines have evolved to reflect the current state of the COVID-19 pandemic and other respiratory illnesses. Here are the key points from the latest recommendations:

1. Situational Use:

High-Risk Individuals: Masks are strongly recommended for people at higher risk of severe illness, including those who are immunocompromised, elderly, or have underlying health conditions (CDC) (CDC).
Exposure and Symptoms: Individuals who have recently been exposed to COVID-19, suspect they have the virus, or show symptoms should wear masks to prevent transmission (CDC) (LLU News).
Crowded and Poorly Ventilated Spaces: Masks are advised in crowded, enclosed, or poorly ventilated areas to reduce the risk of airborne transmission (World Health Organization (WHO)).

2. General Recommendations:

Seasonal Considerations: During flu and COVID seasons, mask-wearing can significantly reduce the spread of respiratory infections (LLU News).
Environmental Threats: Beyond viral protection, masks, especially N95 respirators, are recommended during periods of poor air quality or wildfire smoke to filter out harmful particles (LLU News).

3. Best Practices for Mask Usage:

Fit and Quality: Choose the most protective mask available and ensure a snug fit without gaps to maximize effectiveness (CDC).
Proper Handling: Always wash or sanitize hands before and after handling a mask. Avoid touching the mask while wearing it and follow proper procedures for application and removal to prevent contamination (CDC).

4. Community and Organizational Guidance:

Provision of Masks: Organizations are encouraged to provide high-quality masks to employees and visitors, especially during times of high respiratory virus spread (CDC).
Public Health Measures: Enhanced hygiene practices, such as frequent hand washing, improved indoor air quality, and maintaining social distancing when possible, are important complementary measures (CDC).

Overall, while the necessity of wearing masks is sometimes debated, knowing when and how to use them properly can help protect yourself and others, particularly in high-risk situations and environments.

For more detailed information, you can visit the CDC and WHO websites.