1. Fitting of Personal Protective Equipment (PPE) and taking swabs for influenza This presentation is for quick reference only. You must also complete the PPE elearning module on the MLE (Managed Learning Environment) to record that you have completed this training. If you have difficulty accessing the MLE, please contact Amy Hankins on ext. 2631. This module will take about 10 minutes to complete. Infection Prevention and Control Team ext. 4089 or bleep number 1212 Slide 1 of 36

2. You must take care to ensure that PPE is put on and removed correctly. What is PPE Types of face mask How to fit a mask correctly Removal and disposal of PPE Taking swabs for influenza Section 1 - Putting on PPE In this module: Section 2 - Taking off PPE Section 3 - Specimen taking Slide 2 of 36

3. You must take care to ensure that PPE is put on and removed correctly. PPE (Personal Protective Equipment) includes: Disposable apron Face mask (level 1, 2 or 3) Disposable gloves Goggles or visors Water-repellent disposable gown Section 1 – Putting on PPE Slide 3 of 36

4. You must take care to ensure that PPE is put on and removed correctly. Types of masks available Level 1 mask - a level 1 mask is a standard surgical mask Section 1 – Putting on PPE Slide 4 of 36

5. You must take care to ensure that PPE is put on and removed correctly. Types of masks available Level 2 mask Section 1 – Putting on PPE Slide 5 of 36

6. You must take care to ensure that PPE is put on and removed correctly. Types of masks available Level 3 masks There are several different styles of Level 3 mask, some having valves Section 1 – Putting on PPE Principles of fit checking remain the same for Level 2 or Level 3 masks Slide 6 of 36

7. You must take care to ensure that PPE is put on and removed correctly. Masks for suspected/confirmed influenza Level 1 masks These should be worn by staff working in areas where there are patients isolated for suspected or confirmed influenza. Level 3 masks Level 3 masks should be worn, instead of a Level 1 mask, by staff performing aerosol generating procedures, e.g. chest physio, bronchoscopy, intubation and related procedures. Section 1 – Putting on PPE Slide 7 of 36

8. You must take care to ensure that PPE is put on and removed correctly. Other PPE for suspected/confirmed influenza In addition to the correct mask staff need to wear the following PPE: Disposable apron Disposable gloves If performing aerosol generating procedures staff will need to wear: Water repellent gown, instead of an apron Eye protection – visors or goggles Disposable gloves

9. You must take care to ensure that PPE is put on and removed correctly. Mask Fit checking - general principles 1. Separate edges of mask to fully open it Section 1 – Putting on PPE Slide 8 of 36

10. You must take care to ensure that PPE is put on and removed correctly. 2. Pre-bend the nosepiece to conform to face Mask Fit checking - general principles Section 1 – Putting on PPE Slide 9 of 36

11. You must take care to ensure that PPE is put on and removed correctly. 3. Hold mask upside down to expose headbands and separate using thumbs and index fingers Mask Fit checking - general principles Section 1 – Putting on PPE Slide 10 of 36

12. You must take care to ensure that PPE is put on and removed correctly. 4. Cup the mask under chin, and pull headbands up & over the head Mask Fit checking - general principles Section 1 – Putting on PPE Slide 11 of 36

13. You must take care to ensure that PPE is put on and removed correctly. 5. Position headbands at base of neck and crown of head Mask Fit checking - general principles Section 1 – Putting on PPE Slide 12 of 36

14. You must take care to ensure that PPE is put on and removed correctly. 6. Conform nose piece across bridge of nose and continue to adjust the mask to achieve facial seal Fit checking - general principles Section 1 – Putting on PPE Slide 13 of 36

15. You must take care to ensure that PPE is put on and removed correctly. 7. Continue to adjust the mask to achieve a good facial seal The mask will not work properly if it is not snugly fitted around your nose and chin. Airborne contamination could get through any gaps between the mask and your face. Fit checking - general principles Section 1 – Putting on PPE Slide 14 of 36

16. You must take care to ensure that PPE is put on and removed correctly. Do not proceed with your activity until you have successfully fit-checked your mask and put on all appropriate PPE Section 1 – Putting on PPE Slide 15 of 36

17. You must take care to ensure that PPE is put on and removed correctly. Removal of PPE In this section you will learn how to remove PPE. Always assume that your PPE has become contaminated and always follow the correct procedure for taking it off. It is important that PPE is removed safely to prevent contamination. Section 2 – Removing PPE Back to slide 2 Slide 16 of 36

18. You must take care to ensure that PPE is put on and removed correctly. Step 1 Remove gloves Section 2 – Removing PPE Slide 17 of 36

19. You must take care to ensure that PPE is put on and removed correctly. Step 1 Remove gloves Take care not to touch the outside of the gloves Section 2 – Removing PPE Slide 18 of 36

20. You must take care to ensure that PPE is put on and removed correctly. Step 2 Remove gown Section 2 – Removing PPE Slide 19 of 36

21. You must take care to ensure that PPE is put on and removed correctly. Step 2 Remove gown Roll up gown inside out Section 2 – Removing PPE Slide 20 of 36

22. You must take care to ensure that PPE is put on and removed correctly. Step 3 Dispose of gloves and gown as clinical waste Section 2 – Removing PPE Slide 21 of 36

23. You must take care to ensure that PPE is put on and removed correctly. Step 4 Remove visor or goggles Handle only by the sides or headband - do not touch the front of the visor or goggles Section 2 – Removing PPE Slide 22 of 36

24. You must take care to ensure that PPE is put on and removed correctly. Step 4 Remove visor or goggles Drop into clinical waste bin Section 2 – Removing PPE Slide 23 of 36

25. You must take care to ensure that PPE is put on and removed correctly. Step 5 Wash hands with soap & water, dry thoroughly using disposable towels Section 2 – Removing PPE Slide 24 of 36

26. You must take care to ensure that PPE is put on and removed correctly. Step 6 - Remove face mask Depending on type of mask, either break headbands at the side of the mask or stretch the elastic straps over the head Drop discarded mask into clinical waste bin Section 2 – Removing PPE Slide 25 of 36

27. You must take care to ensure that PPE is put on and removed correctly. Step 7 Gel hands with alcohol hand rub gel to remove any contamination from the mask Section 2 – Removing PPE Slide 26 of 36

28. You must take care to ensure that PPE is put on and removed correctly. Step 8 Leave room and wash hands again Section 2 – Removing PPE Slide 27 of 36

29. You must take care to ensure that PPE is put on and removed correctly. Removal of Personal Protective Equipment 1. Remove gloves 2. Remove gown 3. Dispose of gloves and gown as clinical waste 4. Remove visor or goggles and put in clinical waste bin 5. Wash hands with soap and water, dry thoroughly using disposable towels 6. Remove face mask and drop into clinical waste bin 7. Gel hands with alcohol hand rub gel to remove any contamination from the mask 8. Leave room and wash hands again Section 2 – Removing PPE Slide 28 of 36

30. Specimen taking How to take virology swabs for Influenza Slide 29 of 36 Back to slide 2

31. You must take care to ensure that PPE is put on and removed correctly. Type of Swab A combined nose and throat swab should be taken using a viral swab Section 3 – Specimen taking for influenza Slide 30 of 36

32. You must take care to ensure that PPE is put on and removed correctly. Assemble required supplies: 1 swab for each patient Staff member taking the swab must wear disposable apron, gloves and face mask Eye protection must be used if there is a risk of eye splash Section 3 – Specimen taking for influenza Slide 31 of 36

33. You must take care to ensure that PPE is put on and removed correctly. Throat swab collection Using the swab, vigorously swab the posterior pharyngeal wall including tonsil area Section 3 – Specimen taking for influenza Take a specimen from the throat first Slide 32 of 36

34. You must take care to ensure that PPE is put on and removed correctly. Nasal Swabbing Tilt the patient’s head back slightly, and using the same swab insert along the medial part of the septum until it reaches the posterior nares Always take the throat swab before you take the nasal swab Section 3 – Specimen taking for influenza Take a specimen from the throat first, then from the nose using the same swab Slide 33 of 36

35. You must take care to ensure that PPE is put on and removed correctly. Specimen taking When you have taken the specimen: 1.Insert swab into the vial and ‘snap off’ swab at breakpoint. 2.Label appropriately with patient details. 3.Complete a T’Quest request form in full and place vial in a bag and attach the T’Quest form. Section 3 – Specimen taking for influenza Take a specimen from the throat first, then from the nose using the same swab Slide 34 of 36

36. You must take care to ensure that PPE is put on and removed correctly. Specimen taking When you have taken the specimen: Dispose of PPE as clinical waste Wash hands using soap and water Dry hands thoroughly with disposable paper towels Section 3 – Specimen taking for influenza Slide 35 of 36

37. Fitting of Personal Protective Equipment (PPE) quick guide completed End of this quick reference guide to using PPE and taking a combined throat and nasal swab for influenza. You must also complete the PPE elearning module on the MLE (Managed Learning Environment) to record that you have completed this training. If you have difficulty accessing the MLE, please contact Amy Hankins on ext. 2631. Infection Prevention and Control Team ext. 4089 or bleep number 1212 Slide 36 of 36