Fitting of Personal Protective Equipment (PPE) and taking swabs for influenza
This presentation is for quick reference only.
You must also complete the PPE elearning module on the MLE (Managed Learning Environment) to record that you have completed this training.
If you have difficulty accessing the MLE, please contact Amy Hankins on ext. 2631.
This module will take about 10 minutes to complete.
Infection Prevention and Control Teamext. 4089 or bleep number 1212
Slide 1 of 36
You must take care to ensure that PPE is put on and removed correctly.
What is PPE Types of face mask How to fit a mask correctly
Removal and disposal of PPE
Taking swabs for influenza
Section 1 - Putting on PPE
In this module:
Section 2 - Taking off PPE
Section 3 - Specimen taking
Slide 2 of 36
You must take care to ensure that PPE is put on and removed correctly.
PPE (Personal Protective Equipment) includes:
Disposable apron Face mask (level 1, 2 or 3) Disposable gloves Goggles or visors Water-repellent
disposable gown
Section 1 – Putting on PPE
Slide 3 of 36
You must take care to ensure that PPE is put on and removed correctly.
Types of masks available
Level 1 mask - a level 1 mask is a standard surgical mask
Section 1 – Putting on PPE
Slide 4 of 36
You must take care to ensure that PPE is put on and removed correctly.
Types of masks available
Level 2 mask
Section 1 – Putting on PPE
Slide 5 of 36
You must take care to ensure that PPE is put on and removed correctly.
Types of masks available
Level 3 masks
There are several different styles of Level 3 mask, some having valves
Section 1 – Putting on PPE
Principles of fit checking remain the same for Level 2 or Level 3 masks
Slide 6 of 36
You must take care to ensure that PPE is put on and removed correctly.
Masks for suspected/confirmed influenza
Level 1 masks These should be worn by staff
working in areas where there are patients isolated for suspected or confirmed influenza.
Level 3 masks Level 3 masks should be worn,
instead of a Level 1 mask, by staff performing aerosol generating procedures, e.g. chest physio, bronchoscopy, intubation and related procedures.
Section 1 – Putting on PPE
Slide 7 of 36
You must take care to ensure that PPE is put on and removed correctly.
Other PPE for suspected/confirmed influenza
In addition to the correct mask staff need to wear the following PPE: Disposable apron Disposable gloves
If performing aerosol generating procedures staff will need to wear: Water repellent gown, instead of an apron Eye protection – visors or goggles Disposable gloves
You must take care to ensure that PPE is put on and removed correctly.
Mask Fit checking - general principles
1. Separate edges of mask to fully open it
Section 1 – Putting on PPE
Slide 8 of 36
You must take care to ensure that PPE is put on and removed correctly.
2. Pre-bend the nosepiece to conform to face
Mask Fit checking - general principles
Section 1 – Putting on PPE
Slide 9 of 36
You must take care to ensure that PPE is put on and removed correctly.
3. Hold mask upside down to expose headbands and separate using thumbs and index fingers
Mask Fit checking - general principles
Section 1 – Putting on PPE
Slide 10 of 36
You must take care to ensure that PPE is put on and removed correctly.
4. Cup the mask under chin, and pull headbands up & over the head
Mask Fit checking - general principles
Section 1 – Putting on PPE
Slide 11 of 36
You must take care to ensure that PPE is put on and removed correctly.
5. Position headbands at base of neck and crown of head
Mask Fit checking - general principles
Section 1 – Putting on PPE
Slide 12 of 36
You must take care to ensure that PPE is put on and removed correctly.
6. Conform nose piece across bridge of nose and continue to adjust the mask to achieve facial seal
Fit checking - general principles
Section 1 – Putting on PPE
Slide 13 of 36
You must take care to ensure that PPE is put on and removed correctly.
7. Continue to adjust the mask to achieve a good facial seal
The mask will not work properly if it is not snugly fitted around your nose and chin.
Airborne contamination could get through any gaps between the mask and your face.
Fit checking - general principles
Section 1 – Putting on PPE
Slide 14 of 36
You must take care to ensure that PPE is put on and removed correctly.
Do not proceed with your activity until you have successfully fit-checked your mask and put on all appropriate PPE
Section 1 – Putting on PPE
Slide 15 of 36
You must take care to ensure that PPE is put on and removed correctly.
Removal of PPE
In this section you will learn how to remove PPE.
Always assume that your PPE has become contaminated and always follow the correct procedure for taking it off.
It is important that PPE is removed safely to prevent contamination.
Section 2 – Removing PPE
Back to slide 2
Slide 16 of 36
You must take care to ensure that PPE is put on and removed correctly.
Step 1
Remove gloves
Section 2 – Removing PPE
Slide 17 of 36
You must take care to ensure that PPE is put on and removed correctly.
Step 1
Remove gloves
Take care not to touch the outside of the gloves
Section 2 – Removing PPE
Slide 18 of 36
You must take care to ensure that PPE is put on and removed correctly.
Step 2
Remove gown
Section 2 – Removing PPE
Slide 19 of 36
You must take care to ensure that PPE is put on and removed correctly.
Step 2
Remove gown
Roll up gown inside out
Section 2 – Removing PPE
Slide 20 of 36
You must take care to ensure that PPE is put on and removed correctly.
Step 3
Dispose of gloves and gown as clinical waste
Section 2 – Removing PPE
Slide 21 of 36
You must take care to ensure that PPE is put on and removed correctly.
Step 4
Remove visor or goggles
Handle only by the sides or headband - do not touch the front of the visor or goggles
Section 2 – Removing PPE
Slide 22 of 36
You must take care to ensure that PPE is put on and removed correctly.
Step 4
Remove visor or goggles
Drop into clinical waste bin
Section 2 – Removing PPE
Slide 23 of 36
You must take care to ensure that PPE is put on and removed correctly.
Step 5
Wash hands with soap & water, dry thoroughly using disposable towels
Section 2 – Removing PPE
Slide 24 of 36
You must take care to ensure that PPE is put on and removed correctly.
Step 6 - Remove face mask
Depending on type of mask, either break headbands at the side of the mask or stretch the elastic straps over the head
Drop discarded mask into clinical waste bin
Section 2 – Removing PPE
Slide 25 of 36
You must take care to ensure that PPE is put on and removed correctly.
Step 7
Gel hands with alcohol hand rub gel to remove any contamination from the mask
Section 2 – Removing PPE
Slide 26 of 36
You must take care to ensure that PPE is put on and removed correctly.
Step 8
Leave room and wash hands again
Section 2 – Removing PPE
Slide 27 of 36
You must take care to ensure that PPE is put on and removed correctly.
Removal of Personal Protective Equipment1. Remove gloves
2. Remove gown
3. Dispose of gloves and gown as clinical waste
4. Remove visor or goggles and put in clinical waste bin
5. Wash hands with soap and water, dry thoroughly using disposable towels
6. Remove face mask and drop into clinical waste bin
7. Gel hands with alcohol hand rub gel to remove any contamination from the mask
8. Leave room and wash hands again
Section 2 – Removing PPE
Slide 28 of 36
Specimen taking
How to take virology swabs for Influenza
Slide 29 of 36
Back to slide 2
You must take care to ensure that PPE is put on and removed correctly.
Type of Swab
A combined nose and throat swab should be taken using a viral swab
Section 3 – Specimen taking for influenza
Slide 30 of 36
You must take care to ensure that PPE is put on and removed correctly.
Assemble required supplies:
1 swab for each patient
Staff member taking the swab must weardisposable apron, gloves and face mask
Eye protection must be used if there is a risk of eye splash
Section 3 – Specimen taking for influenza
Slide 31 of 36
You must take care to ensure that PPE is put on and removed correctly.
Throat swab collection
Using the swab, vigorously swab the posterior pharyngeal wall including tonsil area
Section 3 – Specimen taking for influenza
Take a specimen from the throat first
Slide 32 of 36
You must take care to ensure that PPE is put on and removed correctly.
Nasal Swabbing
Tilt the patient’s head back slightly, and using the same swab insert along the medial part of the septum until it reaches the posterior nares
Always take the throat swab before you take the nasal swab
Section 3 – Specimen taking for influenza
Take a specimen from the throat first, then from the nose using the same swab
Slide 33 of 36
You must take care to ensure that PPE is put on and removed correctly.
Specimen taking
When you have taken the specimen:
1. Insert swab into the vial and ‘snap off’ swab
at breakpoint.
2. Label appropriately with patient details.
3. Complete a T’Quest request form in full and
place vial in a bag and attach the T’Quest
form.
Section 3 – Specimen taking for influenza
Take a specimen from the throat first, then from the nose using the same swab
Slide 34 of 36
You must take care to ensure that PPE is put on and removed correctly.
Specimen taking
When you have taken the specimen:
Dispose of PPE as clinical waste
Wash hands using soap and
water
Dry hands thoroughly with
disposable paper towels
Section 3 – Specimen taking for influenza
Slide 35 of 36
Fitting of Personal Protective Equipment (PPE)quick guide completed
End of this quick reference guide to using PPE and taking a combined throat and nasal swab for influenza.
You must also complete the PPE elearning module on the MLE (Managed Learning Environment) to record that you have completed this training.
If you have difficulty accessing the MLE, please contact Amy Hankins on ext. 2631.
Infection Prevention and Control Teamext. 4089 or bleep number 1212
Slide 36 of 36