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    Donning and Doffing

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    sasa
    The correct answer is c. Removing the mask inside the room would put the HCW at unnecessary risk of exposure to respiratory/airborne infection.

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    Donning and Doffing

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    sasa
    427 views54 pages
    The correct answer is c. Removing the mask inside the room would put the HCW at unnecessary risk of exposure to respiratory/airborne infection.

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    Donning and Doffing DEMO

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    The correct answer is c. Removing the mask inside the room would put the HCW at unnecessary risk of exposure to respiratory/airborne infection.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    427 views54 pages

    Donning and Doffing

    Uploaded by

    sasa
    The correct answer is c. Removing the mask inside the room would put the HCW at unnecessary risk of exposure to respiratory/airborne infection.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 54

    DONNING &

    DOFFING
    Personal
    Protective
    Equipment
    August 2012
    CHRISTINE TAUSCHKE
    ICP
    produced for

    Infecton Prevention & Control


    Information Day – Aged Residential
    Care
    GrampiansRegional Infection Control Group

    Powerpoint utilses information from


    NSW Heath
    www.health.nsw.gov.au/resources/quality/hai/tool_protective_ppt.asp
    Department of Health and Human Service - USA
    Guidance for the Selection and Use of Personal
    Protective Equipment (PPE) in Healthcare Settings
    CDC Centre Disease Control
    DONNING AND DOFFING PPE

    ♦ IS IT PROTECTING
    US FROM THE
    STICKY STUFF ?

    ♦ Not Really.. It can


    but smell is not my
    concern it’s ……
    Much More than that
    DONNING AND DOFFING PPE

    ♦ IS IT ABOUT PROTECTING
    US FROM
    THE SHARP
    STUFF ?

    Not Really.. It can help


    ( eye wear) but that is not
    why we don & doff PPE it’s
    Much More than that
    THERE
    ARE

    TECHNIQUES
    and
    EQUIPMENT
    GLOVE USE
    ♦ Used when contact with
    – body fluids anticipated.
    ♦ Single use and MUST BE
    – discarded after patient contact
    ♦ HAND HYGIENE
    – after removal ALWAYS
    GOWNS
    ♦ SHORT
    ♦ LONG
    ♦ PLASTIC

    What are
    we doing?
    DEPENDS ON
    PURPOSE
    MASKS
    ♦ SINGLE USE
    ♦ WHY - splash
    body fluids is anticipated
    ♦ N95/ P 2 for
    – AIRBORNE diseases
    ♦ Replace when moist
    ♦ Dispose of directly
    into waste
    ♦ http://www.bing.com/videos/search?q=Danger+Zone+Song&qpvt=Danger+Zone+Song&FORM=VDRE
    Can’t ask the ill to stop coughing
    PRECAUTION SIGNAGE
    BLOOD & BODY FLUID SPILLS
    PERSONAL PROTECTIVE EQUIPMENT
    MY Aims
    & Objectives
    ♦ Ensure HCW workers are aware of
    the correct sequence for
    (DONNING) PPE
    ♦ Ensure HCW are aware of the
    correct sequence for removing PPE
    in a manner that prevents self-
    contamination and self-inoculation
    ( DOFFING)
    DOFFING ??????
    ♦ Doffing, Texas
    for every100 96.9
    Performed by hand - doffing your gear

    ♦.
    Personal Protective Equipment
    (PPE)
    ♦ PPE refers to whatever protective equipment may
    be used to insulate an individual from the hazards
    presented by the environment in which he or she is
    working.
    ♦ In the healthcare environment it refers to specialised
    clothing or equipment worn by an employee or
    patient for protection against infectious materials
    and other contaminants. ( or VISITOR)
    ♦ The type of PPE used will vary based on the level
    of precautions required; such as, Standard, Contact,
    Droplet or Airborne Infection Isolation
    21
    Some important things to
    remember about PPE
    ♦ Don PPE before contact with patient, generally
    before entering the room.
    ♦ Keep gloved hands away from the face and avoid
    touching or adjusting PPE.
    ♦ Remove and discard PPE carefully. This should
    be done at the doorway (just prior to leaving
    patient’s room) or immediately outside patient
    room. Surgical or particulate masks should be
    removed outside room.
    ♦ Immediately perform hand hygiene using soap
    and water or an alcohol-based gel or rub
    25
    Sequence for Donning PPE

    1. Gown/apron
    2. Surgical or particulate
    mask
    3. Protective Eye wear
    4. Gloves

    26
    Step 1 Perform hand hygiene
    ♦ Perform hand hygiene before
    putting on Personal Protective
    Equipment (PPE)
    ♦ With soap and water, or
    ♦ Alcohol based gel / rub

    BEFORE
    27
    Step 2 Gown/Apron
    ♦ Fully cover torso from
    neck to knee, arms to end
    of wrist, and wrap around
    the back.

    ♦ Fasten at back of neck


    and waist.

    28
    Step 3 Surgical mask or
    particulate (P2 or N95)
    ♦ Secure ties or elastic bands
    at middle of head and neck
    ♦ Fit flexible band to nose bridge
    ♦ Fit snug to face and below chin
    ♦ Fit check particulate
    ♦ (P2 or N95) only

    29
    Step 3 continued,
    Fit Checking P2 or N95 Masks
    • Gently inhale. When you
    breathe in the mask should
    Observe for air leakage
    draw in lightly toward the face around edges of mask
    and collapse
    § Gently exhale.
    § The mask should fill up with
    air.
    It is important at this stage that
    there is no air leakage around the
    edges of the mask

    30
    Step 3 continued,
    Fit Checking P2 or N95 Masks
    If you have not achieved a successful fit check
    as instructed it is important that you seek
    advice or have someone assist you with
    fitting and checking your mask.

    An incorrectly fitted mask will not provide you


    with the intended level of protection from
    airborne infectious diseases 31
    Step 4 Protective Eyewear
    Place goggles or face shield
    /visor over face and eyes
    and secure using the
    ear pieces or headband

    Adjust to
    fit comfortably

    32
    Step 5 Gloves

    ♦ Don gloves last


    ♦ Select correct size& type
    ♦ Insert hands into gloves
    ♦ Extend to cover wrist
    of gown

    33
    You are now ready
    and safe to enter
    the patient’s room
    PHEWW….

    34
    Safe use of PPE
    ♦ Keep gloved hands away from face
    ♦ Avoid touching or adjusting other PPE
    ♦ Change gloves when torn or heavily
    contaminated
    ♦ Limit surfaces and items touched to
    prevent accidental contamination
    Sequence for Removing PPE
    1. Gloves
    2. Face shields or goggles
    3. Gown
    4. Mask or respirator

    36
    Sequence for Removing PPE

    ted
    a
    in
    tam contaminated
    n
    co

    37
    Sequence for Removing PPE
    It is important to remember that the
    sequence for removing PPE is
    intended to limit opportunities for self
    contamination and self inoculation
    ♦ Important to identify what sites or
    areas are considered “clean” and what
    are “contaminated”

    38
    Where to remove PPE
    ♦ At the doorway, before leaving the
    patient’s room or in the anteroom if
    available
    ♦ It is important to remove mask/ respirator
    outside room, after the door to patient’s
    room has been closed
    ♦ Hand washing facilities ( soap and water-
    free skin cleanser) should be readily
    available after all PPE is removed
    39
    Step 1 Gloves

    ♦ Outside of gloves is contaminated


    ♦ Grasp outside of glove with opposite
    gloved hand; peel off
    ♦ Hold removed glove in gloved hand
    ♦ Slide fingers of ungloved hand under
    remaining glove at wrist
    ♦ Peel glove off over first glove
    ♦ Discard gloves into waste container

    40
    Step 2 Hand hygiene

    ♦ Perform hand hygiene following removal of


    gloves
    ♦ Using soap and water, or
    alcohol based gel / rub

    41
    Step 3 Protective Eyewear
    Outside of goggles or face shield
    IS CONTAMINATED
    To remove, handle by head band
    or ear pieces
    Place reusable eyewear in
    designated receptacle for cleaning
    Or
    discard disposable eyewear into waste
    container for disposal

    42
    Step 4 Gown
    /apron

    ♦ Gown front and sleeves are contaminated


    ♦ Unfasten ties at neck and waist
    ♦ Pull away from neck or
    shoulders, touching inside
    of gown only
    ♦ Turn gown inside out
    ♦ Fold or roll slowly into a bundle and
    discard into designated waste container
    43
    Step 5 Surgical or particulate
    mask (P2 or N95)

    ♦ Front of mask is contaminated

    ♦ Remove by touching tapes or ties only

    ♦ Discard in designated waste container

    Remove mask when outside patient’s room


    44
    Step 6 Hand Hygiene

    ♦ Perform hand hygiene following


    removal of all Personal Protective
    Equipment (PPE),
    ♦ Using soap and water, or
    alcohol based gel / rub

    45
    DON - DOFF THE ORDER ????
    Use the mnemonic tip suggested by Susan E. Sammons, RN,
    at Bacharach Institute for Rehabilitation in Pomona, NJ:
    Don PPE from the BOTTOM UP:
    Gown
    Mask
    Goggles
    Gloves (when raised above the head)

    Doff PPE in ALPHABETICAL order:


    Gloves
    Goggles
    Gown
    Mask
    PPE for Additional
    (Transmission Based)
    Precautions
    ♦ Airborne Precautions
    - Particulate (P2 or N95) mask
    ♦ Droplet Precautions
    – Surgical masks within 1 metre of patient and
    protective eyewear
    ♦ Contact Precautions
    – Gown/apron and gloves for contact with
    patient or environment e.g. equipment and
    surfaces in the patient’s environment
    48
    Q 1 Gowns and masks should be
    removed by touching tapes or ties
    only. The reason for this is:

    a. The front of the mask or gown is


    considered contaminated
    b. Risk of tearing the mask or gown
    c. You no longer need the mask or gown
    d. So you cannot see what you are doing
    e. You will ruin your make-up if
    removal is performed from the front
    49
    Q2.Please nominate the correct
    sequence for DONNING -
    PPE

    a. Gloves, gown, mask, eye protection


    b. Gown, mask, eyes protection, gloves
    c. Mask, Eye protection, gown, gloves
    d. Eye protection, gown, gloves, mask

    50
    Q 3. Masks removal ( DOFFING IT )
    should occur once outside the
    patient’s room.
    This is because……..

    a. It is important to remain unidentifiable to the


    patient for as long as possible.
    b. Because the garbage bin allocated for mask
    removal is located outside the room
    c. Removing the mask inside the room would put
    the HCW at unnecessary risk of exposure to
    respiratory/airborne infection
    51
    Q4 Which of the following
    statements are NOT true about
    DONNING & DOFFING
    a. It involves safe work practices and protective
    barriers
    b. DONNING
    GOWN – MASK….. EYEWEAR then GLOVES
    c. DOFFING
    GLOVES then EYEWEAR ….GOWN – MASK…..
    d. When I DOF, Hand Hygiene is only
    performed last ( the after moment )
    52

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