Professional Documents
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Proper Donning and Doffing of Personal Protective Equipment (PPE)
Proper Donning and Doffing of Personal Protective Equipment (PPE)
Doffing of Personal
Protective Equipment (PPE)
Juan Paulo V. Chavez, RN
Board Member, Philippine Hospital Infection Control Nurses Association (PHICNA), Inc.
Senior Infection Prevention & Control Nurse Specialist,
University of Perpetual Help DALTA Medical Center – Las Pinas City 1
Personal Protective Equipment (PPE)
http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/GeneralHospitalDevicesandSupplies/PersonalProtectiveEquipment/default.htm 3
Types of PPE Used in Healthcare Settings
http://www.cdc.gov/HAI/prevent/ppe.html 4
Factors Influencing PPE Selection
• Mask
A term that applies collectively to items used to
cover the nose and mouth and includes both
procedure masks and surgical masks.
1. Procedure Mask
A covering for the nose and mouth that is
intended for use in general patient care situations.
These masks generally attach to the face with ear
loops rather than ties or elastic.
www.fda.gov/cdrh/ode/guidance/094.html#4 7
Key Definitions
2. Surgical Mask
A device worn over the mouth and
nose by operating room personnel
during surgical procedures to protect
both surgical patients and operating
room personnel from transfer of
microorganisms and body fluids.
www.fda.gov/cdrh/ode/guidance/094.html#4 8
WHAT IS
THE
TRUTH
BEHIND
THIS? 9
How do I know that the mask is on correctly?
• Goggles
These are tight-fitting eye protection
that completely cover the eyes, eye
sockets and the facial area
immediately surrounding the eyes
and provide protection from impact,
dust and splashes.
https://www.osha.gov/Publications/osha3151.pdf 12
Key Definitions
• Face Shields
These transparent sheets of plastic
extend from the eyebrows to below the
chin and across the entire width of the
employee’s head. Face shields protect
against nuisance dusts and potential
splashes or sprays of hazardous liquids
but will not provide adequate protection
against impact hazards.
https://www.osha.gov/Publications/osha3151.pdf 13
Facts about Eye Protection
• Nitrile Gloves
Are made of a copolymer and provide
protection from chlorinated solvents such as
trichloroethylene and perchloroethylene.
They offer protection when working with oils,
greases, acids, caustics and alcohols but are
generally not recommended for use with
strong oxidizing agents, aromatic solvents,
ketones and acetates.
https://www.osha.gov/Publications/osha3151.pdf 16
Facts about Gloves
• Gown
“Fluid-resistant Gown” apply to protective
clothing tested against water as the liquid
challenge.
“Impermeable Gown” materials that have
demonstrated blockage of microorganisms
using a recognized standard test method.
http://www.cdc.gov/niosh/npptl/topics/protectiveclothing 19
GOWN vs. COVERALL
23
PPE Checklist and Posters
24
Proper DONNING of PPE
25
General Considerations (Donning of PPE)
http://singaporemotherhood.com/articles/wp-
27
content/uploads/2012/10/8-step-handwashing-technique.jpg
2. GOWN
http://www.cdc.gov/hai/pdfs/ppe/PPE-Sequence.pdf 30
5. GLOVES
http://www.cdc.gov/hai/pdfs/ppe/PPE-Sequence.pdf 31
Proper DOFFING of PPE
32
General Considerations (Doffing PPE)
http://www.cdc.gov/hicpac/pdf/isolation/Isolation2007.pdf 33
1. GLOVES
• Outside of gloves are contaminated!
• If your hands get contaminated during glove removal, immediately
wash your hands or use an alcohol-based hand sanitizer.
• Using a gloved hand, grasp the palm area of the other gloved hand and
peel off first glove.
• Hold removed glove in gloved hand.
• Slide fingers of ungloved hand under remaining glove at wrist and peel
off second glove over first glove.
• Discard gloves in a waste container.
http://www.cdc.gov/hai/pdfs/ppe/PPE-Sequence.pdf 34
2. GOGGLES or FACE SHIELD
• Outside of goggles or face shield are contaminated!
• If your hands get contaminated during goggle or face
shield removal, immediately wash your hands or use
an alcohol-based hand sanitizer.
• Remove goggles or face shield from the back by lifting
head band or ear pieces.
• If the item is reusable, place in designated receptacle
for reprocessing. Otherwise, discard in a waste
container. http://www.cdc.gov/hai/pdfs/ppe/PPE-Sequence.pdf 35
3. GOWN
http://singaporemotherhood.com/articles/wp-
38
content/uploads/2012/10/8-step-handwashing-technique.jpg
THANK YOU FOR YOUR KIND
ATTENTION…
40