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Personal Protective Personal Protective EquipmentEquipment
(PPE)(PPE)
Personal Protective Personal Protective EquipmentEquipment
Gloves – protect handsGloves – protect handsGowns/aprons – protect skin Gowns/aprons – protect skin
and/or clothing and/or clothing Masks and respirators– protect Masks and respirators– protect
mouth/nose mouth/nose Goggles – protect eyesGoggles – protect eyesFace shields – protect face, Face shields – protect face,
mouth, nose, and eyesmouth, nose, and eyes
GlovesGloves
Glove UseGlove Use
Limit opportunities for “touch Limit opportunities for “touch contamination” - protect yourself, contamination” - protect yourself, others, and the environmentothers, and the environmentDon’t touch your face or adjust PPE Don’t touch your face or adjust PPE
with contaminated gloveswith contaminated glovesDon’t touch environmental surfaces Don’t touch environmental surfaces
except as necessary during patient except as necessary during patient carecare
Glove Use (cont)Glove Use (cont)
Change glovesChange glovesDuring use if torn and when During use if torn and when
heavily soiled (even during use on heavily soiled (even during use on
the same patient)the same patient)
After use on each patientAfter use on each patient
Eye ProtectionEye Protection
GogglesGoggles
Face ShieldsFace Shields
Eye ProtectionEye Protection
Goggles – protect eyesGoggles – protect eyesShould fit snuggly over and around Should fit snuggly over and around
eyeseyes
Personal glasses not a substitute Personal glasses not a substitute
for gogglesfor goggles
Antifog feature improves clarityAntifog feature improves clarity
GownsGowns
GownsGowns
MasksMasks
MasksMasks
Masks – protect nose and mouthMasks – protect nose and mouthShould fully cover nose and mouth Should fully cover nose and mouth
and prevent fluid penetrationand prevent fluid penetration
Respiratory ProtectionRespiratory Protection
Purpose – protect from inhalation of Purpose – protect from inhalation of
infectious aerosols (e.g., infectious aerosols (e.g.,
Mycobacterium tuberculosis (TB))Mycobacterium tuberculosis (TB))
Respiratory protection equipment Respiratory protection equipment
varies depending on the degree of varies depending on the degree of
protection requiredprotection required
High Particulate Filter High Particulate Filter Masks (N95 / P2)Masks (N95 / P2)
Half Face RespiratorHalf Face Respirator
Powered Air Purifying Powered Air Purifying RespiratorRespirator
Powered Air Purifying Powered Air Purifying RespiratorRespirator
Elements of a Elements of a Respiratory Respiratory
Protection ProgramProtection Program
Fit testingFit testing
TrainingTraining
Fit checking before useFit checking before use
Key Points About PPEKey Points About PPE Don before contact with the patient, Don before contact with the patient,
generally before entering the roomgenerally before entering the room
Use carefully – don’t contaminate Use carefully – don’t contaminate self or othersself or others
Remove and discard carefully, either Remove and discard carefully, either at the doorway or immediately at the doorway or immediately outside patient room; remove outside patient room; remove respirator outside roomrespirator outside room
Immediately perform hand hygieneImmediately perform hand hygiene
Sequence* for Donning Sequence* for Donning PPEPPE
Gown firstGown first
Mask or respiratorMask or respirator
Goggles or face shieldGoggles or face shield
GlovesGloves
*Combination of PPE will
affect sequence – be practical
How to Don a GownHow to Don a Gown
Select appropriate type Select appropriate type and sizeand size
Opening is in the backOpening is in the back Secure at neck and Secure at neck and
waistwaist If gown is too small, use If gown is too small, use
two gownstwo gowns Gown #1 ties in frontGown #1 ties in front Gown #2 ties in backGown #2 ties in back
How to Don a GownHow to Don a Gown
Select appropriate type Select appropriate type and sizeand size
Opening is in the backOpening is in the backSecure at neck and Secure at neck and
waistwaist If gown is too small, If gown is too small,
use two gownsuse two gowns Gown #1 ties in frontGown #1 ties in front Gown #2 ties in backGown #2 ties in back
How to Don a How to Don a Particulate RespiratorParticulate Respirator
Select a fit tested Select a fit tested respiratorrespirator
Place over nose, mouth Place over nose, mouth and chinand chin
Fit flexible nose piece Fit flexible nose piece over nose bridgeover nose bridge
Secure on head with Secure on head with elasticelastic
Adjust to fitAdjust to fit
HowHow to Don a Particulate to Don a Particulate Respirator (cont)Respirator (cont)
Perform a fit check – Perform a fit check – Inhale – respirator should collapseInhale – respirator should collapseExhale – check for leakage around Exhale – check for leakage around
faceface
How to Don Eye and How to Don Eye and Face ProtectionFace Protection
Position goggles over Position goggles over eyes and secure to the eyes and secure to the head using the ear head using the ear pieces or headbandpieces or headband
Position face shield over Position face shield over face and secure on face and secure on brow with headbandbrow with headband
Adjust to fit comfortablyAdjust to fit comfortably
How to Don GlovesHow to Don Gloves
Don gloves lastDon gloves lastSelect correct Select correct
type and sizetype and size Insert hands into Insert hands into
glovesglovesExtend gloves Extend gloves
over isolation over isolation gown cuffsgown cuffs
PPE SafetyPPE Safety
Keep gloved hands away from Keep gloved hands away from
faceface
Avoid touching or adjusting other Avoid touching or adjusting other
PPEPPE
Remove gloves if they become Remove gloves if they become
torn; perform hand hygiene torn; perform hand hygiene
before donning new glovesbefore donning new gloves
Limit surfaces and items touchedLimit surfaces and items touched
““Contaminated” and Contaminated” and “Clean” Areas of PPE“Clean” Areas of PPE
Contaminated – outside frontContaminated – outside frontAreas of PPE that have or are likely to Areas of PPE that have or are likely to
have been in contact with body sites, have been in contact with body sites, materials, or environmental surfaces materials, or environmental surfaces where the infectious organism may residewhere the infectious organism may reside
Clean – inside, outside back, ties on Clean – inside, outside back, ties on head and backhead and back
Areas of PPE that are not likely to have Areas of PPE that are not likely to have been in contact with the infectious been in contact with the infectious organismorganism
Sequence for Removing Sequence for Removing PPEPPE
GlovesGloves
Face shield or gogglesFace shield or goggles
GownGown
Mask or respiratorMask or respirator
Where to Remove PPEWhere to Remove PPE
At doorway, before leaving At doorway, before leaving
patient room or in anteroompatient room or in anteroom
Remove respirator outside Remove respirator outside
room, after door has been room, after door has been
closedclosed
How to Remove Gloves How to Remove Gloves (1)(1)
Grasp outside Grasp outside edge near wristedge near wrist
Peel away from Peel away from hand, turning hand, turning glove inside-outglove inside-out
Hold in opposite Hold in opposite gloved handgloved hand
How to Remove Gloves How to Remove Gloves (2)(2)
Slide ungloved Slide ungloved finger under finger under the wrist of the the wrist of the remaining gloveremaining glove
Peel off from Peel off from inside, creating inside, creating a bag for both a bag for both glovesgloves
DiscardDiscard
RemoveRemove GogglesGoggles oror FaceFace ShieldShield
Grasp ear or head Grasp ear or head pieces with pieces with ungloved handsungloved hands
Lift away from faceLift away from facePlace in designated Place in designated
receptacle for receptacle for reprocessing or reprocessing or disposaldisposal
RemovingRemoving GownGown Unfasten tiesUnfasten ties Peel gown away from Peel gown away from
neck and shoulderneck and shoulder Turn contaminated Turn contaminated
outside toward the outside toward the insideinside
Fold or roll into a Fold or roll into a bundlebundle
DiscardDiscard
Removing a Particulate Removing a Particulate RespiratorRespirator
Lift the bottom Lift the bottom elastic over your elastic over your head firsthead first
Then lift off the top Then lift off the top elasticelastic
DiscardDiscard
AcknowledgementsAcknowledgements
Centre for Disease Control and Centre for Disease Control and PreventionPrevention
Guidance for the Selection and Use of Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Personal Protective Equipment (PPE) in
Healthcare SettingsHealthcare Settings