1. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company Chapter 14 Donning and Removing Personal Protective Equipment

2. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company Donning Personal Protective Equipment (PPE)  What PPE is needed  Standard precautions  Transmission based precautions  Allergies?  Gather supplies

3. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Gloves  Proper size non-sterile gloves  Small  Medium  Large  Correct glove size prevents open areas around the wrists where microorganisms or fluids might enter

4. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Gown  Don PPE outside patient room—near doorway or in anteroom  Perform hand hygiene  Hold gown by the shoulders and allow to unfold  Slip arms in sleeves

5. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Gown  Pull gown onto shoulders by grasping inside of gown at shoulders  Fasten the gown in the back at the neck, then the waist to keep back covered and gown in place

6. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company Isolation Gown

7. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Mask  Place mask over your mouth and nose  Tie upper ties above ears first, then tie lower ties at neck  Goal—protect mouth and nose from airborne microorganisms—do not want any gaps

8. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Mask  Bend flexible band across bridge of nose for snug fit—preventing gaps  Pull bottom edge of mask down below the chin to cover entire mouth and nose area

9. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company Mask

10. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Eye Protection  Put on goggles or face shield  Protect eyes from splashing of blood or body fluids

11. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company

12. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company Face Shield

13. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Gloves  Pull sleeve edges of the gloves down over proximal half of hand before donning gloves  To help keep glove cuff over gown sleeve  To prevent gaps  Bring glove up over the wrist

14. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company

15. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE--Gloves  Change gloves if they become torn or heavily soiled  Use hand hygiene before regloving

16. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company Properly Removing PPE  Where to take off the PPE?  Anteroom is present or just inside the patient’s room (doorway)  Do not just tear off—there is a proper order for removal to prevent contamination

17. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE Removal  Must treat the outside or front side of all PPE as contaminated  Proper order for removal  Gloves  Goggles  Gown  Mask

18. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE Removal--Gloves  Grasp the outside of the first glove at the palm on your non-dominant hand  Pull downward to remove  Hold the removed glove in your dominant hand (gloved hand)  Slide your fingers of ungloved hand under the glove on dominant hand at wrist

19. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Removal  To protect ungloved hand from contact with the soiled gloves  Pull the remaining glove off from wrist toward fingers—turning inside out—first glove will remain within the second glove

20. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Removal  This allows the contaminated outside of gloves to be contained within themselves  Drop the gloves into appropriate waste receptacle without touching it

21. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Removal  Touch only the earpieces of the goggles  Remove goggles  Drop goggles into appropriate waste receptacle

22. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Removal  Unfasten gown ties at neck  Careful not to touch front of gown  Unfasten ties at waist  Lean forward to remove gown  Helps with removal and prevent contamination of uniform

23. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Removal  Grasp gown from one shoulder move toward hand  Then the other shoulder toward the hand  Turning gown inside out  Keeping contaminated part of gown on inside  Hold the gown away from body

24. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Removal  Roll the gown into ball  Drop the gown into waste receptacle

25. Fundamentals of Nursing Care: Concepts, Connections, & Skills Copyright © 2011 F.A. Davis Company PPE—Removal  Touch only the ties or elastic of mask  Front of mask contaminated  Always untie the bottom ties first, then the top ties—prevents flipping of contaminated mask on your neck  Drop into waste receptacle  Perform hand hygiene