2012

To ensure that “ALL care is SAFE care”To ensure that “ALL care is SAFE care”

by improving proper usage of PPEby improving proper usage of PPE

• Discuss the need to use Discuss the need to use PPEPPE

• Review types of PPEReview types of PPE• Purpose for eachPurpose for each• Discuss the proper usage Discuss the proper usage • DisposalDisposal

Personal Protective EquipmentPersonal Protective Equipment

““specialized clothing or equipment specialized clothing or equipment worn by an worn by an

employee for protection against employee for protection against infectious infectious

materials” (OSHA)materials” (OSHA)

PPE creates a barrier between the healthcare worker PPE creates a barrier between the healthcare worker and any potential infectious material or bodily fluids.and any potential infectious material or bodily fluids.

Protects healthcare workers and patients.Protects healthcare workers and patients.

Required and regulated by OSHA, FDA, Joint Required and regulated by OSHA, FDA, Joint Commission and the CDC.Commission and the CDC.

Required for Universal/Standard Precautions.Required for Universal/Standard Precautions.

Approximately 1 out of every 20 hospitalized patients Approximately 1 out of every 20 hospitalized patients will contract an HAI.will contract an HAI. (CDC, 2010)(CDC, 2010)

Protection for the hands Protection for the hands Available in 4 sizes to accommodate all Available in 4 sizes to accommodate all

healthcare workershealthcare workers Latex, Vinyl, Nitrile, PVC and other Latex, Vinyl, Nitrile, PVC and other

materialsmaterials Sterile and Non-SterileSterile and Non-Sterile

Always wear gloves when touching blood, Always wear gloves when touching blood, other bodily fluids, or contaminated items.other bodily fluids, or contaminated items.

Always touch clean areas before Always touch clean areas before dirty/contaminated areas.dirty/contaminated areas.

Always wash hands prior to putting on gloves Always wash hands prior to putting on gloves and directly after removal.and directly after removal.

Never touch face with contaminated gloves.Never touch face with contaminated gloves. Limit touching objects other than necessary.Limit touching objects other than necessary.

Protection for the mouth and Protection for the mouth and nosenose

Must completely cover mouth Must completely cover mouth and nose for optimum protection.and nose for optimum protection.

Masks offers protection for splashes Masks offers protection for splashes and large droplets.and large droplets.

Respirators offers an additional Respirators offers an additional protection for breathing in very small protection for breathing in very small airborne particles.airborne particles.

Masks are One Size Fits All and Masks are One Size Fits All and readily available to workers.readily available to workers.

Respirators must have annual fit Respirators must have annual fit testing. (N95)testing. (N95)

Protection of clothes and/or skinProtection of clothes and/or skinReusable or DisposableReusable or DisposableResistant to fluid penetrationResistant to fluid penetration

Protection from radiationProtection from radiationLeadLead

Gowns should be worn to cover arms, Gowns should be worn to cover arms, trunk, legs and clothing anytime splatter trunk, legs and clothing anytime splatter from bodily fluids is suspected.from bodily fluids is suspected.

Gowns are always worn during many Gowns are always worn during many isolation procedures.isolation procedures.

Lead aprons are worn anytime within Lead aprons are worn anytime within range of a radiologic procedure (when range of a radiologic procedure (when distance is not an option).distance is not an option).

Protects entire faceProtects entire face Covers from the forehead to past the Covers from the forehead to past the

chin and wraps around both sides of chin and wraps around both sides of the facethe face

• Worn anytime possibility of splashing, Worn anytime possibility of splashing, splattering or spraying of blood, bodily fluids, splattering or spraying of blood, bodily fluids, or infectious materials.or infectious materials.

• Protects the vulnerable membranes of the Protects the vulnerable membranes of the eyes, nose, and mouth from exposure.eyes, nose, and mouth from exposure.

Protects the eyes.Protects the eyes.May be worn over corrective lenses.May be worn over corrective lenses.

Worn to protect the eye from debris, Worn to protect the eye from debris, chemicals, and splatters.chemicals, and splatters.

Protects the mucus membranes in the eye Protects the mucus membranes in the eye from exposure.from exposure.

Waterproof elastic booties worn to protect shoes.Waterproof elastic booties worn to protect shoes.

• Ensures that no harmful substances on Ensures that no harmful substances on shoes will come in contact with the shoes will come in contact with the patient.patient.

• Prevents germs or bodily fluids from Prevents germs or bodily fluids from surgery or isolation areas from being surgery or isolation areas from being transferred.transferred.

• Protects the soles of the shoes from Protects the soles of the shoes from absorbing infectious materials.absorbing infectious materials.

Elastic bonnets that cover the entire hairline area.Elastic bonnets that cover the entire hairline area.

Ensures that hair and other possible debris Ensures that hair and other possible debris from the head does not come in contact with from the head does not come in contact with a patient.a patient.

Aids in prevention of spreading of germs Aids in prevention of spreading of germs from patient to patient.from patient to patient.

Primarily worn in surgery or isolation areas.Primarily worn in surgery or isolation areas.

Hand washingHand washingGownGownShoe CoversShoe CoversMask or RespiratorMask or RespiratorHead coverHead coverGoggles or Face ShieldGoggles or Face ShieldGlovesGloves

Not all circumstances will require all forms of Not all circumstances will require all forms of PPE.PPE.

Always put PPE on prior to entering sterile Always put PPE on prior to entering sterile areas, isolation rooms, and surgery area.areas, isolation rooms, and surgery area.

Always put PPE on prior to contact with Always put PPE on prior to contact with patients that may have broken skin, bodily patients that may have broken skin, bodily fluids exposed, or isolation.fluids exposed, or isolation.

Always begin with hand washing.Always begin with hand washing.

Goggles or Face ShieldGoggles or Face ShieldHead coverHead coverShoe CoversShoe CoversGownGownGlovesGlovesMask or RespiratorMask or RespiratorHand washingHand washing

Always follow proper removal procedures to Always follow proper removal procedures to prevent contamination.prevent contamination.

Always discard in proper receptacles. Always discard in proper receptacles.

Never reuse disposable/single use items.Never reuse disposable/single use items.

Always end with hand washing.Always end with hand washing.

PPE provides a barrier

Barriers can be broken

Replace torn or damaged PPE

Personal Protective EquipmentPersonal Protective Equipment(PPE)(PPE)

In HealthcareIn HealthcareBy: Anita Henson

December 8, 2012

OSH 261