1. Training structure EFFO Ebola Safety and good quality work
Module 1: Knowledge about Ebola Virus Disease
Module 2:
Community response
Module 3:
Standard pre-cautions
Module 4:
Triage & isolation
Module 5:
Personal protective equipment
Module 6:
Water, disinfection and cleaning
Support from the community
Support from the hospital administration
Support from the population

2. Personal Protective Equipment (PPE) Module 5

3. Learning objectives module 5
General objective
To know how to put on and take off PPE, and being prepared to work in PPE
Specific objectives
To know the principles of PPE
To know the conditions for working in PPE
Know how to use every element of PPE
To be able to put on PPE 
To be able to take off PPE

4. Principle of PPE
Completely cover skin and mucosa→ protection against contact with infectious agent
Thereby
Protecting yourself
Protecting hospital staff
Protecting other patients
Protecting the community

5. Which PPE is the most suitable?
Examples:
These are examples, and the skin is not protected.
PPE may need to be adapted depending on the situation and the equipment available.
Any PPE is better than nothing! However, even if you have the perfect PPE but do not know how to use it, the PPE will not protect you.
RKI

6. Always work in twos (pairs)!
Demonstration
N.B.:
There are different types of each component of PPE, and several methods for dressing and undressing. HERE: MSF method!
Repeated practice in using PPE is essential, because in critical scenarios, there is a zero tolerance for errors.
Always work in twos (pairs)!
Here: MSF standard!!!

7. Elements of PPE
Explanation/demonstration of PPE and exercise with gloves, goggles and hats
RKI

8. How to don personal protective equipment

9. Before getting dressed
Before getting dressed, check the following:
Have you taken the time to drink sufficient fluids and go to the toilet?
Have you made sure you have removed all jewellery?
Long hair should be securely tied back.
Is all the equipment available?
Is the decontamination area prepared (-> mirror, poster, doffing instructor etc.)?
Is your buddy ready and did you assign your roles (clean/ dirty person) in the red zone?
Enter your name on the list when entering isolation

10. Checklist I 1 liquid-proof suit (type 3)
2 pairs of gloves adapted for long sleeves
1 mask (FFP3, without valve)
1 pair of goggles
1 liquid-proof apron
1 hood (MSF)
1 pair of boots
surgical cap (for persons with long hair)
PPE FOR ONE PERSON
adhesive tape
1 pen
1 binbag
1 pair of scissors
1 large poster: How to don PPE
1 mirror
List of persons in PPE, attendance sheet, time of entry and exit

11. First, put on the suit and then the boots.
Step 1
Cut the legs of the suit.
First, put on the suit and then the boots.
Be familiar with all the component parts of your PPE, especially the suit (where the fastenings are, etc.).
Cut the legs to a sufficient length. 1. Put on the legs of the outfit; 2. Put on the boots.
Sit down on a chair for this step.
MSF

12. Finish putting on the suit. Put on the inner pair of gloves.
Step 2
Finish putting on the suit.
Put on the inner pair of gloves.
MSF

13. Put on an FFP3 mask. Step 3 MSF
For person with long hair: wear a surgical cap.
Always perform a seal check!
MSF

14. Step 4
Put on the hood.
Make an opening in the hat mask only if necessary.
MSF

15. Put on the liquid-proof apron.
Step 5
Put on the liquid-proof apron.
The apron must be as high as possible. Tie the knot on a specific side.
MSF

16. Step 6
Put on goggles.
Use an anti-fog spray for the goggle lenses.
MSF

17. Step 7
Put on the second pair
of gloves.
MSF

18. Self-inspection Mutual inspection Before beginning work RKI RKI

19. MSF

20. How to doff personal protective equipment

21. Checklist II Basin with 0.5% bleach for foot bath
Sprayer with 0.5%bleach
0.5% bleach for glove-disinfection in yellow zone
0.05% bleach for hand-disinfection in green zone
1 large dustbin
Basin with 0.05% bleach for reusable equipment
Bin bags
1 pair of gloves
large poster: How to doff PPE
1 large mirror
List of persons in PPE, attendance chart
Cellulose or paper towels
Mop
Is there sufficient bleach available?

22. Spray the back with bleach. Spray the front of the PPE with bleach.
Step 1
Bleach: 0.5 %
Take off the apron.
Spray the back with bleach.
Spray the front of the PPE with bleach.
MSF

23. Spray the back of the PPE with bleach.
Step 2
Spray the back of the PPE with bleach.
MSF
MSF

24. Take off the first pair of gloves.
Step 3
Bleach: 0.5 %
Take off the first pair of gloves. OR
Correct procedure for removing gloves!
MSF

25. Step 4 Take off the apron. Bleach: 0.5 % MSF
Do not touch the front of the apron! Hold the apron by the string at the back of your neck and take it off without it touching your head. Always bend over!
MSF

26. Step 5 Take off the mask. Take off the outfit. Take off the goggles.
Bleach: 0.5 %
Take off the mask.
Take off the outfit.
Take off the goggles.
Always bend over! Hold the front of the goggles and pull them off and down without touching your head.
MSF

27. Step 6 Take off the mask. Take off the hood. Take off the outfit.
Bleach: 0.5 %
Take off the mask.
Take off the outfit.
Take off the hood.
Always bend over. Ensure that the strings are hanging laterally when they are torn/open.
MSF

28. Step 7 Open the fastening. Bleach: 0.5 % MSF
Use the mirror and follow the instructions of the doffing instructor; work slowly and carefully!
MSF

29. Step 8 Take off the mask. Take off the suit. Bleach: 0.5 % MSF
Use the mirror and follow the instructions for the decontaminator; work slowly and carefully! Touch only the inside of the outfit! If you touch the outside, wash your hands! Do not touch your clothing!
MSF

30. Use your feet to finish removing the PPE.
Step 9
Use your feet to finish removing the PPE.
Pull down the suit without touching your boots or your clothing. Touch only the inside of the suit!
MSF

31. Step 10
Spray the suit.
MSF

32. Step 11 Take off the mask. Bleach: 0.5 % MSF
Hold the mask from the front and pull it down and off without touching your head.
MSF

33. Step 12 Take off the gloves. Bleach: 0.5 % MSF
Correct procedure for gloves!
MSF

34. Spray the boots all over.
Step 13
Spray the boots all over.
MSF

35. Spray the soles of the boots. Leave the high-risk area.
Step 14
Spray the soles of the boots.
Leave the high-risk area.
MSF

36. Step 15
Wash your hands with a 0.05% bleach solution as soon as you leave the high-risk area
MSF

38. Store PPE in its original packaging Store it above ground
Storing PPE
Store PPE in its original packaging
Store it above ground
Store it in a dry place
The recommended temperature range is theoretically -10 °C to + 40°C
Follow instructions on package
The recommended temperature range depends on the manufacturer's recommendations.

39. Maximum working time in PPE
45-60 minutes, because:
The breathing mask leads to exhaustion from the resistance it causes during breathing.
Dehydration from perspiration.

40. Thank you for your attention!