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    Doffing of Personal Protective Equipment (PPE) Procedure Checklist

    Uploaded by

    MonicaElizadePaz
    1. The document provides guidelines for the proper doffing of personal protective equipment (PPE) by healthcare workers in order to prevent the spread of contamination. 2. It outlines 22 steps for carefully removing PPE, including inspecting for tears, disinfecting surfaces, removing individual items like gloves and boots without touching the outer surfaces, and performing hand hygiene. 3. Key principles are to avoid automatic actions that could increase risk of exposure, remove PPE only with supervision, and clean the PPE removal area after doffing is complete to prevent transmission of pathogens.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Doffing of Personal Protective Equipment (PPE) Procedure Checklist

    Uploaded by

    MonicaElizadePaz
    146 views4 pages
    1. The document provides guidelines for the proper doffing of personal protective equipment (PPE) by healthcare workers in order to prevent the spread of contamination. 2. It outlines 22 steps for carefully removing PPE, including inspecting for tears, disinfecting surfaces, removing individual items like gloves and boots without touching the outer surfaces, and performing hand hygiene. 3. Key principles are to avoid automatic actions that could increase risk of exposure, remove PPE only with supervision, and clean the PPE removal area after doffing is complete to prevent transmission of pathogens.

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    1. The document provides guidelines for the proper doffing of personal protective equipment (PPE) by healthcare workers in order to prevent the spread of contamination. 2. It outlines 22 steps for carefully removing PPE, including inspecting for tears, disinfecting surfaces, removing individual items like gloves and boots without touching the outer surfaces, and performing hand hygiene. 3. Key principles are to avoid automatic actions that could increase risk of exposure, remove PPE only with supervision, and clean the PPE removal area after doffing is complete to prevent transmission of pathogens.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    146 views4 pages

    Doffing of Personal Protective Equipment (PPE) Procedure Checklist

    Uploaded by

    MonicaElizadePaz
    1. The document provides guidelines for the proper doffing of personal protective equipment (PPE) by healthcare workers in order to prevent the spread of contamination. 2. It outlines 22 steps for carefully removing PPE, including inspecting for tears, disinfecting surfaces, removing individual items like gloves and boots without touching the outer surfaces, and performing hand hygiene. 3. Key principles are to avoid automatic actions that could increase risk of exposure, remove PPE only with supervision, and clean the PPE removal area after doffing is complete to prevent transmission of pathogens.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Central Mindanao University

    College of Nursing
    FUNDAMENTALS OF NURSING PRACTICE, RLE
    Procedure Checklist

    Name of Student:
    Clinical Instructor:

    Doffing of Personal Protective Equipment (PPE)

    A. Direction: Write your answers on the space provided.

    Assessments:

    Possible Nursing Diagnoses:


    1.
    2.

    Materials:

    B. Directions: Provide your assessment findings/rationale on the box. You are rated based on the
    performance rubrics.

    Key points in Doffing PPE:


    1. Take off PPE in a designated PPE removal area (HIGH-RISK ZONE)
    2. Place poster in the area where PPE will be taken off
    3. Put all PPE waste in a leak-proof yellow bags (contaminated waste)

    Recommended PPE for Trained Observer:

    1. Single-use (disposable) fluid-resistant gown that extends below knees or coverall


    2. Two pairs single-use (disposable) full face shield
    3. Two pairs single-use (disposable) examination gloves with extended cuffs at a minimum, outer
    gloves should have extended cuffs.
    4. Single-use (disposable) fluid resistant boots or impermeable shoe covers

    Instructions for the Trained Observer:

    1. Remind to avoid automatic actions that may put them at risk (e.g. touching their face)
    2. Read aloud each step of the procedure
    3. Healthcare worker repeats back the step they are about to perform (TALK-BACK)
    4. Minimize touching healthcare workers of their PPE during the process
    5. If contact with the healthcare worker is made, the trained observer immediately disinfects the
    outer gloved hands.

    Take off PPE only with supervision of a trained observer:

    1. Check all PPE is Trained observer reads aloud each steps of the procedure
    2. Healthcare workers repeats back the steps they are about to perform (talk-back)
    3. Confirm visually that the PPE has been removed properly

    PROCEDURE RATIONALE
    1. Inspect the PPE to assess for visible
    contamination, cuts, or tears before
    starting to remove.
     For any visible contaminated, use
    1:10 bleach disinfectant to wipe it
    off.

    1
    ASEPSIS
    Central Mindanao University
    College of Nursing
    FUNDAMENTALS OF NURSING PRACTICE, RLE
    Procedure Checklist
    PROCEDURE RATIONALE
    2. Disinfect outer gloves.
     Use a 1:10 disinfectant or an
    alcohol-based hand rub (ABHR).

    3. Remove apron.
     Break the apron by pulling from the
    neck.
     Avoid contaminating glove by rolling
    the apron from inside-out.
     Discard the apron.

    4. Inspect the PPE again.


     Assess the PPE for visible
    contamination or tears.
     If with visible contamination,
    disinfect with 1:10 bleach
    disinfectant wipe.

    5. Disinfect outer gloves.


     Use a 1:10 bleach disinfectant or
    alcohol-based hand rub (ABHR).

    6. Remove boot covers.


     Use a “hands-free” approach by
    stepping on the back of the cover and
    lifting the foot.
     Discard the boot covers by touching
    only the inner surface of the boot
    cover.
    7. Disinfect outer gloves.
     Use a 1:10 bleach disinfectant or
    alcohol-based hand rub (ABHR).

    8. Remove outer gloves.


     Be careful not to contaminate the
    inner gloves when removing the
    outer gloves.
     Pull the cuff of the outer gloves and
    turn it inside out.
     Discard the outer gloves.
    9. Inspect and disinfect inner gloves.
     In case of contamination or tears,
    disinfect and remove gloves and do
    hand hygiene on bare hands and put
    on a new pair of gloves.
     Use a 1:10 bleach disinfectant or
    alcohol-based hand rub (ABHR).
    10. Remove goggles.
     Lift back of strap over your head, put
    out and away.
     Avoid touching the front surface of
    the goggles.
     Discard the goggles.
    11. Disinfect inner gloves.
     Use a 1:10 bleach disinfectant or
    alcohol-based hand rub (ABHR).

    2
    ASEPSIS
    Central Mindanao University
    College of Nursing
    FUNDAMENTALS OF NURSING PRACTICE, RLE
    Procedure Checklist
    PROCEDURE RATIONALE
    12. Remove hood.
     Unfasten hood (if applicable). Grasp
    the back of the hood and carefully
    remove by pulling backwards.
     Do not touch the inside of the hood.

    13. Disinfect inner gloves.


     Use a 1:10 bleach disinfectant or
    alcohol-based hand rub (ABHR).

    14. Remove coverall.


     Avoid contact of scrubs with outer
    surface of coverall.
     Life chin and find the zip at the level
    of your belly.
     Carefully trace your fingers up to find
    the zip tab and fasteners with one
    hand.
     Hold the top of the coverall with the
    other hand.
     Unzip or unfasten completely before
    rolling down and turning inside-out.
     Avoid contact of scrubs with the outer
    surface of the coverall. Touch only
    the inside of the coverall.
     Touch only the inside of the coverall
    when rolling it prior to disposal.
     Discard the coverall.
    15. Disinfect inner gloves.
     Use a 1:10 bleach disinfectant or
    alcohol-based hand rub (ABHR).

    16. Change inner gloves.


     Remove and discard gloves, taking
    care not to contaminate bare hands.
     Perform hand hygiene with alcohol-
    based hand rub (ABHR).
     Put on a new pair of gloves.

    17. Remove the N95 respirator.


     Tilt the head slightly forward.
     Fist, grab the bottom elastic strap
    and then grab the top tie or elastic
    strap.
     Remove without touching the front of
    the N95 respirator.
     Discard the N95 respirator.
    18. Disinfect gloves.
     Use a 1:10 bleach disinfectant or
    alcohol-based hand rub (ABHR).

    3
    ASEPSIS
    Central Mindanao University
    College of Nursing
    FUNDAMENTALS OF NURSING PRACTICE, RLE
    Procedure Checklist
    PROCEDURE RATIONALE
    19. Disinfect washable boots.
     Sit on a clean surface.
     Start at the top and finishing with the
    sole, wipe down the external surface
    of the first boot. Use a 1:10 bleach
    disinfectant.
     Set down the newly-cleaned boot in
    the low-risk zone.
     Discard the 1:10 bleach disinfectant
    wipe.
     Disinfect the other boot following the
    step and using a new 1:10 bleach
    disinfectant wipe.
     Set down the other newly-cleaned
    boot in the low-risk area.
     Discard the 1:10 bleach disinfectant
    wipe.
    20. Disinfect and remove the gloves.
     Use a 1:10 bleach disinfectant or
    alcohol-based hand rub (ABHR).
     Discard the gloves.
    21. Perform hand hygiene.
     Use alcohol-based hand rub (ABHR).

    22. Inspect for any contamination.

    Reminders after removal of PPE:


    1. Wear the dedicated washable boots and surgical scrubs in the low-riisk area.
    2. Shower or at least change clothes when leaving the low-risk area.
    3. Clean the floor of the PPE removal areal with disposable cloth soacked in 1:0 bleach
    solution after PPE removal is complete.

    For breaches in PPE:


    1. Wash skin with soap and water.
    2. Irrigate mucous membranes with copious amounts of water or an eyewash solution.
    3. Report the incident immediately.
    Reference: RITM DOH.

    C. Write medical terms and abbreviations related to this procedure. Provide meaning for each.

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    4
    ASEPSIS

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