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* Coronavirus advice from NALC can be found on this link

* From the Severn Healthcare Website: Care for laryngectomees during the Coronavirus outbreak:

“Clean technique is good practice at any time and involves limiting the number of germs in a patient’s vicinity.
Clean technique does not require the use of sterile instruments and equipment. The aim of this technique is to avoid directly contaminating instruments and materials that will come into contact with the patient or others in the vicinity. Some examples of clean technique practices include thorough handwashing, wearing gloves, and maintaining a clean environment or work area. Clean technique uses "non-touch" practices. Non-touch practices prohibit touching key parts of objects, such as syringe tips and the inside of sterile dressings, even when wearing gloves.
The corona virus is transmitted into the bloodstream via the mucus membrane, and you can also imbibe it via the digestive tract. It cannot penetrate intact skin, as skin is waterproof. For laryngectomees and people with tracheostomy there is an additional route to infection - via the open stoma.
A very important aspect is to prevent the virus staying on our hands and accessing those routes – always wash hands before eating and avoid touching eyes, lips, nose and the face, carefully dispose of used tissues or items which may be contaminated and use clean technique when managing your stoma.
When managing your own stoma you don’t need to use gloves, but you should wash your hands afterwards to prevent contamination of items and surfaces which may put others at risk.
Our best advice to reduce the risk of infection to protect yourself and those you live and work with includes:
    - as with the general population maintain good hand hygiene by washing regularly with soap and hot water, for at least 20 seconds

    - avoid touching the face, mouth, nose and eyes, and the stoma

    - regularly clean mobile phones and door handles and other surfaces which may be contaminated

    - wash your hands thoroughly before attending to your stoma/voice prosthesis/tube

    - use clean technique when cleaning and storing tubes, voice prosthesis and brushes – keep soiled and clean items separate to avoid cross     contamination and always clean the surfaces you have placed soiled items on

    - use clean technique when cleaning the stoma and the neck around the stoma, and when changing the voice prosthesis, baseplate, HME     and laryngectomy/tracheostomy tube

    - don't use your saliva as a lubricant for inserting the laryngectomy tube

    - maintain “non-touch” technique - use a proprietary lubricant, put a small amount onto a clean tissue, and use a clean finger to apply to         your clean tube, rather than touch the tube to the nozzle

    - clean re-useable items such as dilators and brushes and store in clean containers

    - catch your cough in a tissue

    - dispose of soiled items such as tissues where they do not pose a risk to others

    - keep hydrated, wear your usual HME/stoma cover, and be vigilant for tracheal crusting

Some clinicians also already advise using additional layers of protection, using bibs and neck snoods, for people who need additional filtration, such as builders and cyclists. This is not evidence-based, but it does provide an additional barrier for warmth and for larger particles.”