By Cheng Few Lee Joseph Finnerty John Lee Alice C Lee Donald Wort
Bhpp Lee Panflu Practice120106
Transcript of Bhpp Lee Panflu Practice120106
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Donning and Removing PersonalProtective Equipment Practicum
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Goal of this PracticumTo learn the correct order to put onand remove biological personalprotective equipment.
Participants will achieve this goal by:
Reviewing the correct order of donning andremoving PPE
Reviewing the precautions surrounding use of
PPE Performing donning and removing PPE during
the practicum
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Lets Start
http://images.google.com/imgres?imgurl=http://z.about.com/d/dermatology/1/0/V/measles.jpg&imgrefurl=http://dermatology.about.com/library/blmeaslesphoto.htm&h=242&w=281&sz=18&hl=en&start=9&tbnid=YYOq63a3h-c5OM:&tbnh=98&tbnw=114&prev=/images%3Fq%3Dmeasles%26svnum%3D10%26hl%3Den%26lr%3D -
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How did you do?
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The most important infection
control measure?
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What is PPE?
Personal Protective
Equipment (PPE):specialized clothingor equipment worn by
an employee forprotection againstinfectious materials(OSHA)
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Which PPE do we use?
Gloves Gowns Goggles/Face Shield Particulate
Respirator/Surgical
masks
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How do I know what type ofPPE to wear?
Type of exposure anticipated Splash/spray versus touch Category of isolation precautions Disease (known vs unknown) If in doubt, ASK!
Medical/Clinical Director, InfectionControl
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What type of PPE would you wear?
Transporting patientin a wheelchair?
Responding to anemergency where
blood is spurting? Drawing blood from avein?
Cleaning anincontinent patientwith diarrhea?
Taking vital signs?
Generally noneneeded
Gowns, gloves,goggles/face shield,
mask Gloves
Gloves with or withoutgown
Generally noneneeded
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Types of Precautions
Standard (formerly Universal Precautions )
Expanded (formerly Transmission-based
Precautions) Contact
Droplet Airborne
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Standard Precautions
Always applicable, no matter what other
Precautions are required;
Treats ALL moist body substances except sweat as potentially infectious;
The basis of all infection control efforts.
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Standard Precautions:
FACE
Mask and eye protection (gogglesor a face shield) Protect the mucous membranes of the eyes,
nose, and mouth during procedures andactivities that are likely to generate splashesor sprays of blood, body fluids, secretions,excretions.
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Standard Precautions:
SKIN and CLOTHING
GOWN: Protect clothing and to prevent soiling of
clothing during procedures and patient careactivities that are likely to generate splashesor sprays of blood, body fluids, secretions, or
excretions; Do NOT wear for non-clinical reasons: e.g.warmth, looks
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Types of Precautions
Standard (formerly Universal Precautions )
Expanded (formerly Transmission-basedPrecautions)
Contact Droplet
Airborne
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Contact Precautions
Gowns and gloves forcontact with patient orenvironment of care.
Importance forhousekeeping staff inclinical settings(fomites).
Examples: scabies,patients with resistantorganisms, herpessimplex virus.
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http://images.google.com/imgres?imgurl=http://www.cdc.gov/drugresistance/healthcare/images/photo4.jpg&imgrefurl=http://www.cdc.gov/drugresistance/healthcare/ltc/ltc2.htm&h=114&w=76&sz=5&hl=en&start=4&tbnid=iEMR7DHBUwL4bM:&tbnh=87&tbnw=58&prev=/images%3Fq%3Dcontact%2Bprecautions,%2Bgloves%26svnum%3D10%26hl%3Den%26lr%3D%26rls%3DRNWE,RNWE:2005-14,RNWE:en -
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Airborne isolation
Precautions Use of Particulate
Respirator (e.g., N95) Use of negative
pressure room, ifavailable Examples:
chickenpox,tuberculosis, measles
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Donning PPE
Gowns Mask or Respirator Goggles or Face shields
Gloves
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Don a Gown
Select appropriate type and size
Opening is in the back
Secure at neck and waist Do not tie in the front
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Don a Mask
Place over nose, mouth and chin
Fit flexible nose piece over nose bridge
Secure on head with ties or elastic
Adjust to fit
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Don a Particulate Respirator
Select a fit tested respirator Place over nose, mouth and chin Fit flexible nose piece over nose bridge
Secure on head with elastic Adjust to fit Perform a fit check
Inhale respirator should collapse Exhale check for leakage around face
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Don Eye and Face Protection Position goggles over
eyes and secure to thehead using the ear pieces
or headband Position face shield over
face and secure on browwith headband
Adjust to fit comfortably
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Don Gloves
Don gloves last
Select correct type and size
Insert hands into gloves
Extend gloves over isolation gown cuffs
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Removing PPE
Gloves
Goggles or Face Shields Gown
Mask or Respirator
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Where to Remove PPE
At doorway, before leaving patient room
or in anteroom * Remove respirator outside room, after
door has been closed*
*Ensure that hand hygiene facilities andtrash receptacles are available at the
point needed, e.g., sink or alcohol-basedhand rub
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Remove Gloves (1)
Grasp outside edge
near wrist Peel away from hand,
turning glove inside-out
Hold in oppositegloved hand
PPE Use in Healthcare Settings
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Remove Gloves (2)
Slide unglovedfinger under thewrist of theremaining glove
Peel off from inside,creating a bag forboth gloves
Discard
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Remove Goggles or FaceShield
Grasp ear or headpieces with unglovedhands
Lift away from face
Place in designatedreceptacle forreprocessing or
disposal
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Removing Isolation Gown Unfasten ties
Peel gown away fromneck and shoulder
Turn contaminatedoutside toward the
inside Fold or roll into a
bundle DiscardPPE Use in Healthcare Settings
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Removing a Mask
Untie the bottom,then top, tie
Remove from face Discard
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Removing a ParticulateRespirator
Lift the bottomelastic over your
head first Then lift off the top
elastic Discard
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Summary
The correct order of donning and removing
PPE is key to protecting yourself andcoworkers from contamination. Expanded precautions are used to
supplement the standard precautions thatshould be practiced on all patients.
Make it a habit to practice the correctsequence of PPE donning and removal asdrills to make it second nature.
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One More Time
You are being called to examine a febrile,coughing patient in the exam room who has arash that might be measles.
The recommended PPE to wear are in front ofyou: Gloves, gowns, mask
Eye protection