Emergency Medicine Book

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Donning and Doffing PPE

Aka: Donning and Doffing PPE, Donning and Doffing Personal Protection Equipment
  1. See Also
    1. Personal Protection Equipment
    2. Respiratory Personal Protective Equipment
    3. Chemical Weapon
    4. Biological Weapon (Bioterrorism)
    5. Biological Neurotoxin
    6. Decontamination in Children
    7. Decontamination
  2. Precautions
    1. Method described here is for basic donning and doffing of PPE
    2. High level protection for Ebola is described on CDC website
      1. http://www.cdc.gov/vhf/ebola/hcp/ppe-training/index.html
  3. Technique: Donning (putting on) PPE
    1. Step 1: Gown
      1. Surgical gowns are rated on a 4 level scale (level 4 for the smallest infectious particles such as Ebola)
      2. Cover the torso and extremities (neck to knees, arms to wrists, wrapped to back)
      3. Fasten gown at neck and waist
    2. Step 2: Mask or respirator
      1. See Respiratory Personal Protective Equipment
      2. Respirator should be fit checked
      3. Secure mask
        1. Bands at mid-head and neck and fit band at nose
        2. Mask should fit snuggly over face and below chin
    3. Step 3: Googles or Face Shield
      1. Mask applied over face and eyes
      2. Adjust to fit
    4. Step 4: Gloves
      1. Should cover end of gown at the wrist
  4. Technique: Doffing (taking off) PPE
    1. Step 1: Gloves
      1. Do not touch the outside of gloves (contaminated)
      2. Grasp outside of glove with opposite gloved hand, remove glove, and hold
      3. Slide ungloved hand's fingers under glove at wrist and peel glove off hand
    2. Step 2: Goggles or Face Shield
      1. Do not touch the front of the goggles or Face Shield (contaminated)
      2. Remove goggles by grasping at head bands and pull over and away from face
    3. Step 3: Gown
      1. Do not touch the front or arms of the gown (contaminated)
      2. Unfasten gown ties
      3. Touching only the inside of the gown, pull it away from the neck and Shoulders
      4. Turn the gown inside out while removing, roll into a bundle and discard
    4. Step 4: Mask or respirator
      1. Do not touch the front of the mask (contaminated)
      2. Grasp bottom ties, then top ties, and pull over head and away to remove mask
  5. References
    1. CDC Donning and Doffing
      1. http://www.cdc.gov/HAI/prevent/ppe.html
      2. http://www.cdc.gov/hai/pdfs/ppe/ppeposter8511.pdf

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