COVID 19

TRAINING TO STAFF
ANJUMOL.M. ANTONY(ICN)
 TOPICS

Hand hygiene
Understanding Medical Masks
COVID-19 Transmission based precautions
Donning and doffing of PPE
Hand hygiene - regular and thorough hand-washing
 Understanding Medical Masks
Fit the mask to
your face and
Taking Off a Mask
Clean your hands under your chin

Check the medical Tie the bands of

mask for defects the mask Clean your hands. 

Orient the top of

the mask
. 
Adjust the nose
piece
.
Remove the
properly mask carefully

Ensure the proper Placing the mask

side of the mask Dispose of your Wash your hands
on your face.
 RATIONAL USE OF MASKS
DO’S DON’TS
Always hold it by its strings Don’t touch/ hold front/ back part of mask

Fitting: compress the mask to ensure a seal across

nose bridge, face and cheeks Do not allow tangling
of mask around neck
Discard surgical mask after use Do not wash surgical mask and reuse
Dispose mask in yellow bag Do not throw mask here and there after use

Use N95 mask for aerosol generating procedures

for any Covid 19 suspected patients
Aerosol generating procedures are: ET intubation,
ET suction, non invasive ventilation, tracheostomy,
CPR, Manual ventilation, bronchoscopy ( For corona
patients: chest physiotherapy, nebulization,
sputum induction, throat swab)
 Transmission based precautions
Modes of transmission of the COVID-19
virus
Droplet transmission
Droplet transmission occurs when a person is
in in close contact (within 1 m) with someone
who has respiratory symptoms (e.g.,
coughing or sneezing) and is therefore at risk
of having his/her mucosae (mouth and nose)
or conjunctiva (eyes) exposed to potentially
infective respiratory droplets. Transmission
may also occur through fomites in the
immediate environment around the infected
person. Therefore, transmission of the
COVID-19 virus can occur by direct contact
with infected people and indirect contact with
surfaces in the immediate environment or
with objects used on the infected person
(e.g., stethoscope or thermometer).  pressure ventilation, tracheostomy, and
Modes of transmission of the COVID-19 virus
Airborne transmission
Airborne transmission is different from droplet
transmission as it refers to the presence of microbes
within droplet nuclei, which are generally considered
to be particles <5μm in diameter, can remain in the
air for long periods of time and be transmitted to
others over distances greater than 1 m.
 In the context of COVID-19, airborne transmission
may be possible in specific circumstances and
settings in which procedures or support treatments
that generate aerosols are performed; i.e.,
endotracheal intubation, bronchoscopy, open
suctioning, administration of nebulized treatment,
manual ventilation before intubation, turning the
patient to the prone position, disconnecting the
patient from the ventilator, non-invasive positive-
cardiopulmonary resuscitation. 
 Transmission based precautions

WHO continues to recommend droplet and

contact precautions for those people caring for
COVID-19 patients.
WHO continues to recommend airborne
precautions for circumstances and settings in
which aerosol generating procedures and
support treatment are performed, according to
risk assessment.
https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implic
 Social
Distancing

2m
DONNING AND DOFFING OF PPE
DONNING AND DOFFING OF PPE
DONNING AND DOFFING OF PPE
WITH COVER ALL GOWN
DOFFING SEQUENCE
DONNING SEQUENCE
Disinfect gloves
Wash hands
02 03 Shoe cover
Hand rub Disinfect gloves
Inner glove Outer gloves
Cover all gown Disinfect inner gloves
Shoe cover Hood
Mask goggle
Goggles Coverall gown
Hood Hand rub
Goggle mask
Outer gloves Inner glove
Hand rub
Hand wash
THANK YOU