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Hospital facilities have been tasked with developing and implementing personal protective equipment (PPE) protocols to protect both medical providers and patients. Texas Children's Hospital has created a set of protocols for donning and doffing PPE while managing surgical pediatric patients. These requirements have undergone numerous modifications as a result of our internal infrastructural recommendations and the Centers for Disease Control and Prevention guidance, which has led to more lenient regulations. While these perioperative PPE protocols were less stringent compared to the original guidelines, we were able to create a safe surgical environment without further exposing patients and health care providers to SARS\u2010CoV\u20102. In this article, we detail the design, distribution, implementation, and modification of our institutional surgical PPE protocols.<\/jats:p>","DOI":"10.1002\/jhrm.21460","type":"journal-article","created":{"date-parts":[[2021,1,26]],"date-time":"2021-01-26T04:39:38Z","timestamp":1611635978000},"page":"38-44","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The use of personal protective equipment during the COVID\u201019 pandemic in a tertiary pediatric hospital"],"prefix":"10.1002","volume":"40","author":[{"given":"Rami P.","family":"Dibbs","sequence":"first","affiliation":[{"name":"Michael E. DeBakey Department of Surgery Baylor College of Medicine  Houston Texas USA"},{"name":"Division of Plastic Surgery, Department of Surgery Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew M.","family":"Ferry","sequence":"additional","affiliation":[{"name":"Michael E. DeBakey Department of Surgery Baylor College of Medicine  Houston Texas USA"},{"name":"Division of Plastic Surgery, Department of Surgery Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joyce","family":"Enochs","sequence":"additional","affiliation":[{"name":"Department of Surgery Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Ward","sequence":"additional","affiliation":[{"name":"Department of Surgery Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris D.","family":"Glover","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nakeisha","family":"Archer","sequence":"additional","affiliation":[{"name":"Department of Surgery Texas Children's Pavilion for Women  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly D.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judy","family":"Almaguer\u2010Bravo","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9810-9578","authenticated-orcid":false,"suffix":"Jr.","given":"Larry H.","family":"Hollier","sequence":"additional","affiliation":[{"name":"Michael E. 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