WHAT WE ARE DOING TO SOLVE THE PROBLEM
In mid-March of 2020, as businesses began to shut down and the PPE shortage became the nation’s biggest concern, FABRIC began its transformation from fashion incubator to PPE manufacturer. By mid-May FABRIC has made over 20,000 reusable isolation gowns for Arizona’s large and small healthcare facilities and is only just beginning.
As desperate inquires for PPE came flooding in, the team at FABRIC immediately decided to pivot to help fill the need. As an incubator that offered no-minimum manufacturing, FABRIC was set up to produce no more than a couple hundred items at a time. In order to ramp up to fill orders for hundreds of thousands of items, a lot more equipment and staff were needed. The rest of March and April were spent making the necessary changes.
FABRIC spearheaded a taskforce internally to research PPE standards and then joined a special task force appointed by the AZ governor along with many local healthcare facilities, the AZ Commerce Authority, ACA's Manufacturing Extension Partnership, Arizona Department of Health Services, Department of Emergency and Military Affairs, and countless government and healthcare organizations. Then FABRIC's non-profit began fundraising efforts to acquire the equipment needed, the team started working with what it had.
After extensive research into FDA and CDC standards for PPE, the decision was made to focus on Level 2 and 3 reusable isolation gowns which were in high demand and leave mask manufacturing up to other manufacturers with with the specialized equipment that is needed to make the N95 and surgical masks that are required for HCP dealing directly with COVID-19. FABRIC's community of designers and sewists are actively making home made masks for the public. Find more information about the difference between masks meant for HCP dealing with COVID-19 and masks meant for the public HERE.
Then it was time to get FDA certified, design the gowns, acquire the scarce AAMI-approved materials, and implement the complex FDA protocols. FABRIC worked with a Quality and Regulatory Consultant specializing in medical devices to secure FDA certification and worked closely with doctors at Banner Health and Dignity Health to design their own unique, ideal isolation gowns. Each gown can be washed approximately 100 times making them a sustainable and financially sound alternative to the typical disposable gowns. Even after they’ve reached 100 washes, they can be designated for lower level uses ultimately extending their lifespan.
By the end of March, as an emergency measure, the first order for gowns was complete by using a design and pattern created by FABRIC and sewn from a substantially equivalent material, available at home improvement stores. This design became an open source project provided by FABRIC for the community to participate in called the HCP 1 Million Gown Challenge. The challenge enables the community to make substantially equivalent gowns from home to provide immediate emergency help to the smaller facilities who were completely out of gowns, including those on the Navajo Nation. Community members are currently still participating in the challenge.
Once a source for the AAMI-approved material was finally secured, it was intersected and seized by the Canadian government for their own PPE mitigation efforts. When a new source was secured, the AZ National Guard was called in to help fly the shipment to FABRIC so production could begin.
By the end of April, FABRIC's fundraising goal was achieved and raised $350,000 to purchase the additional equipment needed to fill these desperate orders as quickly as possible. 46 machines were added to what once was FABRIC’s runway. 54 sewing technicians and staff members were added to the team. Two additional factories were recruited. Two months in and over 20,000 gowns had been produced and every day as the team gels, the efficiency increases. Additionally, FABRIC also donated a large portion of the labor costs toward gowns made for the Navajo Nation, which has received over 5000 gowns to date, and has been donated thousands of yards of medical grade material. This material can continue to be made into more gowns by community members.
As businesses begin to open and life tries to return to some form of "normal" there are many unknowns. Will new team members return to their regular jobs? What will a balance of PPE manufacturing with regular FABRIC programs and services look like? When can events return? Will the PPE manufacturing need to be moved to another facility and how would that effect the cost to produce the gowns? Will elasticity in the supply chain return and shift back to an overseas supply? How long will FABRIC make PPE?
Each day is a new experience and a new challenge. Each member of the team has had to learn new skills and pitch in to make it happen. It has been messy, exhausting, emotional, and stressful, but at the end of the day, everyone on the team is motivated by a common goal to help protect Arizona’s healthcare workers and be of service to our community.
Photo by Xposed Capture