Personal Protective Equipment

COVID 19

Source Control First!

Direct patient to put on a face mask

Ask patient to perform hand hygiene

Goggles or face shield – eyeglasses do not count!

Mask/respirator and eye protection prevents coughs, sneezes, and sprays from entering our mucous membranes

Gown and gloves keep our hands and clothing clean so that we don’t later accidently bring germs into our eyes, nose and mouth

PPE with Goggles

PPE with Face shield

Face Shield

Surgical Mask (N95 respirator if

performing or assisting with aerosol-

generating procedures)

Gown – isolation or procedure gown

Gloves – standard exam gloves

• Donning should occur in a CLEAN space

• Gather necessary PPE equipment

• Hand sanitizer, trash bin

• Tie long hair back

• Secure hair away from face, eyes

• Secure eyeglasses so they do not slide

• Remove any jewelry that might be a hazard to your PPE

Considerations BEFORE Donning

Gathering PPE Supplies

• Use disposable patient care devices whenever possible – stethoscopes, BP cuffs

• Communication can be impaired in PPE! You may need to speak loudly to be

heard. Consider closed-loop communication (repeating back orders or requests)

or things like white boards to make communication easier

Reminders While Wearing PPE

PPE Behavior

Disinfect gloves

with hand

sanitizer

Use additional

barriers as

needed

Do not adjust

mask, face shield

or goggles

Avoid touching

skin, hair,

eyewear

Avoid

contamination of

PPE

Be aware of your

own condition

Check PPE before

doffing

Doff meticulously

Reduce

environmental

bioburden

Behavior

Doffing Sequence

Start by cleaning gloves

Doffing Sequence

Next, gown and gloves

Doffing ProtocolsDoffing PPE – Gown with Gloves Together

A B C D E

Start with glove hygiene

1. Gloves and Gown together

1. Gown front and sleeves and the outside of gloves are contaminated!

2. If your hands get contaminated during gown or glove removal, immediately wash your hands or use

alcohol-based hand rub (ABHR)

3. Grasp the gown in the front and pull away from your body so that the ties break

• Only touch the outside of the gown with your gloved hands

4. While removing the gown, fold or roll the gown inside-out into the bundle

5. As you are removing the gown, peel off your gloves at the same time, only touch the inside of the gloves

and gown https://www.cdc.gov/hai/pdfs/ppe/PPE-Sequence.pdf

Doffing Sequence

Perform hand hygiene again next!

Doffing Sequence

Now face shield or eye protection

Doffing Sequence

Remove mask or respirator outside room or away from the patient

• Ask the patient if they need anything else before you begin doffing so you are not

tempted to hand them the TV remote or water pitcher after doffing

• Perform hand hygiene between each step

• Always finish doffing with hand hygiene – either ABHR or hand washing

• Do not touch your face, hair or eyeglasses until you have cleaned your hands

Doffing Sequence