Personal Protective

Equipment

PPE

THE USE OF PPE

A variety of barriers to protect

HCW’s mucous membranes,

airways, skin, and clothing

(whenever blood/body fluids

splashes are expected)

THE USE OF PPE• Gloves – Use when touching blood, body fluids,

secretions, excretions, contaminated items; for touching mucus membranes and nonintact skin.

• Gowns – Use during procedures and patient care activities when contact of clothing/ exposed skin with blood/body fluids, secretions, or excretions is anticipated.

• Mask, goggles or face shield – Use during patient care activities likely to generate splashes or sprays of blood, body fluids, secretions, or excretions

Select appropriate type and size

(Covers arms, body front, neck to mid-

thigh) Opening is in the back

Secure at neck and waist

If gown is too small, use two

gowns

Gown #1 ties in front .

Gown #2 ties in back

• Unfasten ties.

• Peel gown away from neck and shoulder.

• Turn contaminated outside toward the inside.

• Fold or roll into a bundle. & Discard.

REMOVING GOWN

SURGICAL MASK

to protect patients from HCWs respiratory

secretions.

placed on coughing patients.

procedures that generates splashes and sprays.

How to Don a Mask

Place over nose, mouth and chin

Fit flexible nose piece over nose bridge

Secure on head with ties or elastic

Surgical Mask

• Fit flexible nose piece over nose

bridge

• Secure on head with elastic

band.

• Perform the seal check –

• Inhale – respirator should

collapse

• Exhale – check for leakage

around face

N95 Respirator

Well sealed check

• Done every time you are wearing N95 respirator

For Airborne Precautions

FIT TEST

•Performed

annually

•Each staff

should be

aware about his fitted

Type and size

Removing of N95

• Lift the bottom elastic

over your head first

• Then lift off the top

elastic

• Discard

Removing of N95

you should remove the N95 respirator Just

outside the patient room

Eye goggles & face shield

Position goggles over eyes and secure to

the head using the ear pieces or headband.

Position face shield over face

and secure on brow with headband.

13

Used in :

-Direct contact with blood, body fluids, non intact

skin, mucous membrane and potentially

infectious materials

- Dealing with patients under contact isolation

• Put on last PPE and first to be removed

GLOVE PYRAMID

“The Glove Pyramid”

The Glove Pyramid-to aid decision making

on when to wear (and not wear) gloves

Gloves must be worn according to

STANDARD and CONTACT

PRECAUTIONS

Hand hygiene should be performed when

appropriate regardless of indication for

glove use

STERILE

GLOVES

INDICATED

(any surgical procedure, vaginal

deliveries, invasive radiological

procedures, performing vascular

access & procedures (central

lines) (preparing TPN, chemo

agents)

CLEAN / EXAMINATION

GLOVES INDICATED IN

CLINICAL SITUATION

Potential direct/indirect exposure to blood, body fluids, secretions, excretions and items

visibly soiled by body fluids

DIRECT PATIENT EXPOSURE:

Contact with blood; contact with

mucous membrane and with non-intact skin; potential presence of

highly infectious and dangerous organism; epidemic or emergency

situations; IV insertion and removal; drawing blood; discontinuation

of venous line; pelvic and vaginal examination; suctioning non-closed

systems of endotracheal tubes

INDIRECT PATIENT EXPOSURE:

Emptying emesis basins; handling/cleaning instruments; handling waste; cleaning

up spills of body fluids

How to Don Gloves

• Don gloves last

• Select correct type and

size

• Insert hands into gloves

• Extend gloves over

isolation gown cuffs

How to Remove Gloves

(1)1. Grasp outside edge near wrist.

2. Peel away from hand, turning glove

inside-out.

3. Hold in opposite gloved hand.

How to Remove Gloves

(2)1. Slide ungloved finger under the wrist of

the remaining glove

2. Peel off from inside, creating a bag for

both gloves.

3. Discard.

“Hand Hygiene and Medical Glove use”

-Remove the gloves to perform hand hygiene when an

indication occurs while wearing gloves

-Discard gloves after each task and clean your hand –

gloves may carry germs

- Wear gloves only when indicating to Standard and

Contact precautions, otherwise they become a major

risk for germ transmission

How to Safely Use PPE

Keep gloved hands away from face.

Avoid touching or adjusting other PPE.

Remove gloves if they become torn; perform hand

hygiene before donning new gloves.

Limit surfaces and items touched to avoid

contamination.

Proper donning ofPersonal Protective Equipment

Proper removing ofPersonal Protective Equipment

SEQUENCE OF

DONNING PPE

• Gown first.

• Mask or respirator.

• Goggles or face shield.

• HAND HYGIENE

• Gloves.

Don before contact with the

patient, generally before

entering the room.

Sequence for Removing PPE

Gloves

Hand Hygiene

Face shield or goggles.

Gown.

Mask or respirator.

Where to Remove PPE

At doorway, before leaving patient room or in anteroom.

Remove respirator outside room, after door has been closed.