How to Put On PPE NGS Respirator Option Place this poster in the clean area where PPE will be put on. Fo ee ceed Put on PPE in clean area Use a trained observer to verify compliance with all steps. TASK — STEPS 7. Find @ Trained Observer ‘Check all PPE is servicsable Gheck at each step that PPE has been put on correctly. Ensure all needed supplies are ready to be taken in Review what will be achieved while in the high-risk area ‘Wear scrubs (washable or disposable) ‘Weer plastic or rubber boots (dedicated) Remove jewelry, watches, cell phones, pagers, pens, ID badges Go to comfort room Secure hair Secure eyeglasses Everything evailable In good condition 3 Sizes are correct. Trained observer and healthcare worker review the steps before beginning. Trained observer reads the following steps 5- 16 to the healthcare worker in a step-by-step fashion 5, Put on Boot covers 6. Hand Hygiene with aicohoi-based hand EE rub (ABHR) or soap and water 7. Put on 1st pair of Gloves (if using & ‘short cuff glove put it on now, under 84 2. Briefing: c4 4 S < “4. inspect PPE Prior to Pulling On: assess sulil) Put on Coverall 7 Coveralls large enough for free movement ¥ Tuck cuffs of inner gloves under sleeves of the coverall + Zip up coverallMake thumb holes at border of cuff and | sloeves: 70, Put on N95 Respirator Cup the respirator in your hand with the nosepiece at your fingertips allowing tho ties fo hang freely below your hand Position the respirator under your chin with the nosepiece up. Pull the top strap over your head resting it high af the back of your heed. ull the bottom strap over your head and position it around the neck botow the ears. ‘Mold the nosepiece (using two fingers of each hand) fo the shape of your nose. Pinching the nosepiece using one hand may result in less effective respirator performance. 77. Complete a user seal check. ‘Exhale sharp Inhale deeply 72. Paton Hood ‘Over the N95 respirator Covers all of hair, ears and neck 13. Put on Our Apron Tee with simple wy 14. Put on Outer Gloves: (with extended | ours). 15. Put on Face Shield or goggles Over the N95 respirator Covers all of hair, ears and neck 16. Trained Gbserver to verily ‘All skin covered Comfortable: able to extend the ams, bend at the waist and do range of motions All areas of the body remain ‘covered during range of movement You are ready to enter the high-risk area NEVER touch or adjust PPE Alert safety officer that you are entering high-risk areaHow to Take Off PPE (N95 Respirstor Option) ‘Take off PPE in a designated PPE removal area (high risk zone) Place poster in the area were PPE will be taken off Put all PPE waste in a leak-proof yellow bags (contaminated waste) ‘The following PPE are recommended for trained observers: + Single-use (disposable) fuid-resistant gown that extends below knees or coverall. ‘Single-use (disposable) full face shield. ‘Two pairs Single-use (disposable) examination gloves with extended cuffs. At a ‘minimum, outer gloves should have extended cuffs, * Single-use (disposabie) fluic-resistant boots or impermeable shoe covers. “TIONS FOR TRAINED OBSERVER ¥ Remind to avoid automatic actions that may put them at risk (eg. touching their face) ¥ Read aloud each step of the procedure YY Healthare wacker repeats back the etep they are about perform (talk-back) ¥ Confirm visualy that the PPE has been removed property ¥ Minimize touching healthcare workers or their PPE ‘during the process ¥ 'f contact with the healthcare worker is made, the trained observer immediately disinfects the outer-gloved hands. TASK STEPS 1. Take off PPE only with supervision of | Trained Observer reads aloud | 2 Trained Observer each step of the procedure Healthcare worker repeats back the step they are about perform | (alk-back) Y Confirm visually that the PPE has | been removed properly2. Inspect the PPE to assess for visible contamination, cuts, or tears before starting to remove. “Y- Any PPE visibly contaminated? Use a 1:10 bleach disinfectant wipe. 3, Disinfect Outer Gloves: with a110 | bleach disinfectant wipe or ABHR. ‘4. Remove Apron Break at neck ¥ Avoiding contaminating gloves by rolling the apron from inside to outside s ¥ Following apron removal. assess the PPE for visible contamination fr cuts or tears. Visibly contaminated? Then disinfect affected PPE using 2 1:10 bleach disinfectant wipe or spray. ¥ Disinfect outor-gloved hands with either a 1:10 bleach disinfectant ‘wipe or sanitizer ¥ Remove boot and discard boot ‘covers using a hands free" ‘approach by stepping on the back of the cover and lift foot. | 8. Disinfect Outer Gloves: | either @ 1:10 bleach disinfectant wipe or ABHR, 8, Remove Outer Gloves | V Remove and discard outer loves (do not to contaminate inner gloves during removal)10. Inspect and Disinfect Inner Gloves: Inspect the inner gloves for visible contamination, cuts, or tears. Any defect? Disinfect gloves, remove gloves, do hand hygiene con bare hands, put on clean gloves. Disinfect the glove with a 1:10 bleach disinfectant wipe or ABHR 11. Remove Face Shield or goggles: Remove the full face shield by {iting the head slightly forward, grabbing the rear strap and pulling it over the head, gently allowing the face shield to fall, forward and discard. Remove goggles but lifting back of strap over your head and pulling out and away. ‘Avoid touching the front surface of the face shield or goggles. 12. Disinfect inner Gloves: Disinfect Inner gloves with either 2 1:10 bleach disinfectant wipe or ABHR. 13. Remove Hood: Untasten (if applicable) hood, grasp the back of the hood and carefully ramave by pulling backwards. Do not touch the inside of the hood. 14.Disinfect Inner Gloves: Disinfect inner gloves with either 2 1:10 bleach disinfectant wipe or ABR.[ Henectminisak | 7 mtacduaucen J outer surface of sult during removal. ¥ Lift chin. Find zip at the level of your belly ‘and carefully trace your fingers up to find the zip tab and ‘fasteners with one hand, Y Hold outside of top of suit with the other hand. Unzip or unfasten | coverall completely before rolling ‘down and turing inside out. Avoid contact of serubs with outer surface of coverall during removal, touching only the inside of the coverall 16.Disinfect Inner Gloves: Disinfect Inner gloves with either 2 1:10 bleach disinfectant wipe or ABHR. 17. Change inner Gloves: Remove and discard gloves taking care not to contaminate bare hands during rerioval process |v Perform hand hygiene with ABHR. Puton a new pair of clean gloves. 18. Remove N95 Respirator: Y Tuethe head sigh forward ‘Grasp frct the bottom te or slat trap ‘Then the top tie or elastic strap. ‘Remove without touching the front ofthe N95 respirator Discard NSS respirator.19.Disinfect Gloves: Disinfect gloves with either @ 1:10 bleach aisinfectant wipe or sanitizer 20. Disinfect Washable Shocs: Sit on a new clean surface Starting at the top and finishing with the sole/underside, use a 4:10 bleach disinfectant wipe to wipe down every external surface of the first boot. Y Do not set down cleaned boot in high-risk area, step into low-risk area, Starting the top and finishing with the sole/underside, wipe down every external surface of the 2nd boot _ Donot set down cleaned boot in high-risk area, step into low-risk area, 6S 21. Disinfect and Remove Gloves: 22. Perform Hand Hygiene: with ABHR. Y Disinfect gloves with either a 1:10 bleach disinfectant wipe or sanitizer. Remove and discard gloves taking care not to contaminate bare hands during removal process. Reach back and place into contaminated waste ccontainar on high-risk side.Final inspection for any indication of contamination ofthe surgical | ‘Scrubs or disposable garments. Scrubs: Healthcare worker can wear | dedicated washable boots anc surgical scrubs in low risk area. Shower: Healthcare workers entering high risk areas may shower or at least ‘change clothes when leaving low risk area, lean Floor of PPE removal area with disposable cloth soaked in 1:19 bleach solution after removal is complete, For breaches in PPE: © Wash skin with soap and water * litigate mucous membranes with copious amounts of water or an eyewash solution = Call immediately