1. Doffing PPE (with N95 respirator)

2. Prep
Will need a second donned associate that is a trained observer. This associate will monitor and help by reading each step of the doffing procedure while monitoring that each step is completed accurately. The trained observer will have minimal contact with the contaminated associate. When the trained observer’s hands come in contact with the contaminated associate or their PPE, they must immediately disinfect their gloved hands. If any other part of the observer comes in contact, follow the proper protocol for removal of all PPE.

3. Anteroom Setup 3 sets of non-sterile gloves per associate
Bleach Sani Cloths and alcohol hand sanitizer
Bleach buckets for shoes (off of the matt but close enough so associate can step off mat into the buckets)
Plastic drape on floor with red bag lined garbage can on the drape. Plastic drape should be placed in a manner that allows the contaminated associate to step out of the patient room and directly onto the drape/mat.

4. Inspection
Donned trained observer should visually inspect the PPE for contamination, cuts or tears prior to allowing the associate to remove their PPE.
The trained observer should disinfect all contaminated areas with bleach cloths.

5. Bleach Wipes
Wipe door handle with Bleach Sani-Cloths and then wipe hands- place in garbage. Allow for gloves to dry before proceeding.

6. Blue Impervious Gown
Untie blue impervious gown and remove gown with top layer of gloves in the same motion – taking care to avoid contaminating gloves by rolling the gown from inside to outside. Inspect the gown as you are removing it for any potential tears. Place in garbage.  

7. Sanitize gloved hands
Sanitize gloved hands with alcohol hand sanitizer. Allow for gloves to dry before proceeding.

8. Face Shield
Remove face shield in forward motion and place in garbage

9. Sanitize gloved hands
Sanitize gloved hands with alcohol hand sanitizer. Allow for gloves to dry before proceeding.

10. Hood
Trained observer unties hood. Hood is removed by contaminated associate by pulling hood from behind and not over the face. Place hood in garbage. You do not want material to rip or break at any time.

11. Sanitize gloved hands
Both associates sanitize gloved hands with alcohol hand sanitizer. Allow for gloves to dry before proceeding.

12. White Coverall (1 of 2)
Be sure to peel tape off and not rip it from around the neck. Unzip the suit all the way. Remove the top layer of booties and gloves with the white coverall

13. White Coverall (2 of 2)
Remove the top layer of booties and gloves with the white coverall. After coverall is below buttock, may sit on chair to assist removal of legs from coverall and boots.

14. Sanitize
Observer sanitizes gloved hands if they’ve assisted with removal of coveralls. Then observer puts alcohol sanitizer on the associates hands. Allow hands to dry before proceeding.

15. Gloves #3
Apply 3rd set of gloves

16. Inner Boot/Leg Covers & Gloves
Remove inner boot cover and gloves and place in garbage. Take care not to contaminate bare hands during removal process.

17. Sanitize
Observer puts alcohol sanitizer on the associates hands. Allow hands to dry before proceeding.

18. Gloves #4
Apply 4th set of gloves

19. Eye Protection
Remove in forward motion and place in garbage. Be sure to remove by touching the bands or strap of the glasses and not the lenses. Place in garbage.

20. Sanitize gloved hands
Sanitize gloved hands with alcohol hand sanitizer. Allow
for gloves to dry before proceeding.

21. N95 removal
Remove mask in forward motion by removing the straps. Place in garbage

22. Sanitize gloved hands Wipe gloves with alcohol hand sanitizer. Allow
for gloves to dry before proceeding.

23. Surgical Cap removal
Remove surgical cap away from your face and place in garbage.

24. Remove #4 Gloves
Remove and place in garbage. Take care not to contaminate bare hands during removal process.

25. Sanitize
Observer puts alcohol sanitizer on the associates hands. Allow hands to dry before proceeding.

26. Bleach bath shoes
Do not step back on the mat at any point

27. Observer will roll up the mat and place in the garbage