Steps of Donning & Doffing of PPE (Personal Protective Equipment) for COVID-19 Care:
Steps of Donning & Doffing of PPE (Personal Protective Equipment) for COVID-19 Care:
Donning steps: [Should be in a dedicated room, better if 2 person do at a time so one can look after another, even one can read loudly the steps from a written paper to help other]
[Hand hygiene>Shoe cover>Hand hygiene> Inner gloves>Gown except hood>N95 mask>Hood>Googles+Face shield>Outer Gloves]
- Remove regular clothes with surgical gown.
- Wear plastic/rubber boots.
- (Remove wrist watch/jewellaries/pocket contents.
- Secure hair (Female)
- Put on a boot cover.
- Hand hygiene (Hexisol 20 second. Allow hands to dry before the next step.)
- Put on inner gloves(1st, later to take 2nd gloves).
- Wear a Gown, except hood (Check any hole before wearing).
- N95/equivalent Mask:
- Wear by holding outside/front: (Not between inside & outside).
- Pull the upper strap above the ear.
- Pull lower strap in nape of neck.
- Mold started from nose by both hands (don't use 1 hand that may cause distortion)
- Seal test:[Ideally need fit test that is probably not possible at this moment]
- Exhale any air leak by sides: If it leaks, readjust.
- Inhale deeply to see the mask is sucked in (mostly for mask with valve).
- Put on hood (check hair, ear all are covered, no skin exposed)
- Goggles/ Face shield
- Gloves: put on outer (2nd) gloves. Ensure cuffs are pulled over the sleeve of the gown.
- If you suspect any contamination use hexisol on gloves.
- All parts of the body should remain covered during a range of movements. (e.g. Extended arm, bent waist etc.)
Doffing steps:
[NB:
- Among these, the most important part is Doffing because this is one of the mostvulnerable time to catch infection .
- Take adequate time for it, Don't hurry after exhausted duty.
- Note that the Last part to remove mask, don't touch mask before everything is removed,may be until outside the isolation room)
[Any Gross contamination>Hand hygiene> Boot cover>Hand hygiene>Outer gloves>Hand hygiene>face shield/goggles>hood>Hand hygiene>Gown>Hand hygiene>Inner gloves>Hand hygiene>Mask>Hand wash with soap & water>Shower)
- Go to the Dedicated doffing room [ It may be marked with RED text “High risk area”.
- Observe any gross contamination of the gown, if so clean with 1: 10 bleach.
- Remove gross contamination of gloves by tissue.
- Remove boot cover by rubbing between the feet. Hold only the inner side & trash.
- Hexisol wash of outer gloves.
- Remove outer gloves. Do not touch inner gloves(Gloves & gloves technique).
- Hexisol (on inner gloves)
- Remove face shield/goggles without touching face/head.
- Uncover hood (don't touch inside)
- Hexisol hand hygiene.
- Remove gown (if disposable, rip it off along with gloves(- Keep it in trash/leak proof container/Biohazard bag). If reusable follow the steps:
- Lift chin.
- Find Zip at level of belly. (note inner gloves are still in hand)
- Carefully trace fingers up to find the zip fastener with 1 hand, hold the outer part of the gown with the other hand.
- Unzip completely.
- Roll down the gown completely without touching the inside.
- Keep it in trash.
- Hexisol wash (of inner gloves).
- Remove inner gloves.
- Hexisol wash on hand 20 sec..
- If possible, use new gloves.
- Remove mask.: You can go far from the aerosolized area & then remove the mask.
- Bend forward.
- Grab the lower strap 1st, pull it in front & release.
- Grab the upper strap, pull in the front and the mask will be hanging without touching the mask.
- Remove hair bonnet if have.
- Hexisol 20 sec.
- Disinfect washable boot.
- Hexisol wash & remove 3rd gloves (if used 3rd gloves) .
- Hexisol.
- Clean the floor with bleach.
- Hand wash with soap & water.
- If possible take a shower immediately. Try Don't touch your face, eyes until you take a shower.
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