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Guidance for the Selection and

Use of Personal Protective


Equipment (PPE) in Healthcare
Settings
The Program of Hospital Epidemiology
Telephone: 6-1606

PPE Use in Healthcare


Settings:
Program Goal
Improve personnel and patient safety in
the healthcare environment through
appropriate use of PPE.

PPE Use in Healthcare


Settings:
Program Objectives
Provide information on the selection and
use of PPE in healthcare settings
Practice how to safely put on and
remove PPE

Personal Protective
Equipment
Definition

specialized clothing or equipment worn


by an employee for protection against
infectious materials(OSHA)

Types of PPE Used in


Healthcare
Settings
Gloves protect hands
Gowns/aprons protect skin and/or clothing
Masks and respiratorsprotect mouth/nose
Respirators (N95 and PAPR)protect respiratory
tract from airborne infectious agents

Goggles protect eyes


Face shields protect face, mouth, nose, and
eyes

Factors Influencing PPE


Selection
Type of exposure anticipated
Splash/spray versus touch
Category of isolation precautions

Durability and appropriateness


for the task
Fit
Think! Think! Think!

Gloves
Purpose patient care, contaminated
surfaces
Glove material vinyl, latex, nitrile,
Sterile or nonsterile

Do
s and Don
ts of Glove Use
Work from
clean to dirty
Limit opportunities for
touch
contamination-protect yourself, others,
and the environment
Don
t touch your face or adjust PPE with
contaminated gloves
Don
t touch environmental surfaces except
as necessary during patient care

Do
s and Don
ts of Glove Use
(cont
d)
Change gloves
During use if torn and when heavily soiled (even
during use on the same patient)
Change gloves when moving from a dirty site to a
clean site on the same patient
After use on each patient

Discard in appropriate receptacle


Never wash or reuse disposable gloves

Perform hand hygiene after glove removal!

Gowns or Aprons
Determine purpose of use-type of
anticipated exposure
Material
If moisture or fluid is
anticipated choose a
fluid resistant gown

Clean or sterile
Order disposable gown using
the Processed Stores number
MH07621.

Face
Protection
Masks protect nose and mouth
Should fully cover nose and mouth and
prevent fluid penetration

Goggles protect eyes


Should fit snuggly over and around eyes
Personal glasses not a substitute for
goggles

Face Protection
Face shields protect face, nose,
mouth, and eyes
Should cover forehead, extend below chin
and wrap around side of face

Order face shields using the


Processed Stores number
MH07691.

Respiratory Protection
Purpose protect from inhalation of
infectious aerosols (e.g., Mycobacterium
tuberculosis)
PPE types for respiratory protection
N 95 respirators
Powered air purifying respirators (PAPR)
Health Care Workers receive fit testing &
education in University Employee Health
Clinic prior to use

PPE Use in Healthcare


Settings:
How to Safely Put On, Use,
and
Remove PPE
In the Operating Room and other Procedural Areas where
aseptic technique is used, follow the established protocols
for putting on and removing PPE.

Key Points About PPE


Put on before contact with the patient,
generally before entering the room
Use carefully don
t spread contamination
Remove and discard carefully, either at the
doorway or immediately outside patient room;
remove respirator outside room
Immediately perform hand hygiene

Sequence* for Donning PPE


Gown first
Mask or respirator
Goggles or face shield
Gloves
*Combination of PPE will affect sequence be
practical

How to Put on a Gown


Select appropriate type and size
Opening is in the back
Secure at neck and waist

How to Put on a Mask


Place over nose, mouth and chin
Fit flexible nose piece over nose bridge
Secure on head with ties or elastic
Adjust to fit

How to Put on a N95 Respirator


Select your fit tested respirator
Place over nose, mouth and chin
Fit flexible nose piece over nose bridge
Secure on head with elastic
Adjust to fit
Perform a fit check
Inhale respirator should collapse
Exhale check for leakage around face

How to Put on Eye and Face


Protection
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
Adjust to fit comfortably

How to Put on Gloves


Don gloves last
Select correct type and size
Insert hands into gloves
Extend gloves over isolation gown cuffs

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

PPE Use in Healthcare


Settings:
How to Safely Remove PPE


Contaminatedand
Clean
Areas of PPE
Contaminated
Outside front
Areas that have had
contact with body sites,
or body fluids
Areas that have had
contact with
contaminated
environmental surfaces

Clean
Inside, outside back,
ties on head and back
Areas that have not
been in contact with
body sites, body fluids,
or contaminated
environmental surfaces

Sequence for Removing PPE


Gloves
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*
* Ensure that hand hygiene facilities are available at the
point needed, e.g. sink or alcohol-based hand rub

How to Remove Gloves (1)


Grasp outside edge near
wrist
Peel away from hand,
turning glove inside-out
Hold in opposite gloved
hand

How to Remove Gloves (2)


Slide ungloved finger under the wrist of
the remaining glove
Peel off from inside,
creating a bag for
both gloves
Discard

Remove Goggles or Face


Shield
Grasp ear or head pieces with ungloved
hands
Lift away from face

Removing Isolation Gown


Unfasten ties
Peel gown away from
neck and shoulder
Turn contaminated
outside toward the
inside
Fold or roll into a bundle
Discard

Removing a Mask
Untie the bottom, then top, tie
Remove from face
Discard

Removing a Particulate
Respirator
Lift the bottom elastic over your head
first
Then lift off the top elastic
Discard

Hand Hygiene
Perform hand hygiene immediately after
removing PPE.
If hands become visibly contaminated during PPE
removal, wash hands before continuing to remove
PPE

Wash hands with soap and water or use an


alcohol-based hand rub
* Ensure that hand hygiene facilities are available at the
point needed , e.g. sink or alcohol-based hand rub

Resources
Infection Control Manual
located on IPR Browser,
UIHC Policies/Procedures,
IC Manual, Policy 300

Safety Reference Card


Personal Protective Equipment
Guidelines

Infection Control is Everyone's


Responsibility

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