fitting of personal protective equipment (ppe) and taking swabs for influenza

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


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


Types of masks available

Level 1 mask - a level 1 mask is a standard surgical mask


Slide 4 of 36



Level 2 mask


Slide 5 of 36



Level 3 masks

There are several different styles of Level 3 mask, some having valves


Principles of fit checking remain the same for Level 2 or Level 3 masks

Slide 6 of 36


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.


Slide 7 of 36


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


Mask Fit checking - general principles

1. Separate edges of mask to fully open it


Slide 8 of 36


2. Pre-bend the nosepiece to conform to face



Slide 9 of 36


3. Hold mask upside down to expose headbands and separate using thumbs and index fingers



Slide 10 of 36


4. Cup the mask under chin, and pull headbands up & over the head



Slide 11 of 36


5. Position headbands at base of neck and crown of head



Slide 12 of 36


6. Conform nose piece across bridge of nose and continue to adjust the mask to achieve facial seal

Fit checking - general principles


Slide 13 of 36


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


Slide 14 of 36


Do not proceed with your activity until you have successfully fit-checked your mask and put on all appropriate PPE


Slide 15 of 36


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


Step 1

Remove gloves


Slide 17 of 36


Step 1

Remove gloves

Take care not to touch the outside of the gloves


Slide 18 of 36


Step 2

Remove gown


Slide 19 of 36


Step 2

Remove gown

Roll up gown inside out


Slide 20 of 36


Step 3

Dispose of gloves and gown as clinical waste


Slide 21 of 36


Step 4

Remove visor or goggles

Handle only by the sides or headband - do not touch the front of the visor or goggles


Slide 22 of 36


Step 4

Remove visor or goggles

Drop into clinical waste bin


Slide 23 of 36


Step 5

Wash hands with soap & water, dry thoroughly using disposable towels


Slide 24 of 36


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


Slide 25 of 36


Step 7

Gel hands with alcohol hand rub gel to remove any contamination from the mask


Slide 26 of 36


Step 8

Leave room and wash hands again


Slide 27 of 36


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


Slide 28 of 36

Specimen taking

How to take virology swabs for Influenza

Slide 29 of 36

Back to slide 2


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


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


Slide 31 of 36


Throat swab collection

Using the swab, vigorously swab the posterior pharyngeal wall including tonsil area


Take a specimen from the throat first

Slide 32 of 36


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


Take a specimen from the throat first, then from the nose using the same swab

Slide 33 of 36


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.


Take a specimen from the throat first, then from the nose using the same swab

Slide 34 of 36


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


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

fitting of personal protective equipment (ppe) and taking swabs for influenza

Documents