How-to-guide for putting on and removing PPE according to droplet/contact precautions for COVID-19
[Module 1: How-to-guide for putting on and removing PPE according to droplet/contact
precautions for COVID-19 ]
Presenter: [Alice Simniceanu]
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[Introduction] Hello and welcome to the personal protective equipment training video. Based on the current
available evidence, we know that COVID-19 virus is transmitted through droplet and contact transmission.
Droplet transmission occurs when a person is in close contact with someone who has respiratory symptoms.
Droplet transmission may also occur through the contaminated environment around the infected person. It can
occur through indirect contact, when an individual touches a contaminated surface and then their face. The
people most at risk of infection are those who are in close contact with a COVID patient or healthcare workers
who care for COVID patients.
And therefore, we made this video to demonstrate how you can best protect
yourself as a healthcare worker when coming into contact with these patients.
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[Hand hygiene] To begin, ensure you remove all jewelry and personal items and that your hair is tied back if
applicable. Make sure you consider the risk involved in the care you are going to provide to the patient to
ensure you are using the appropriate PPE for the precautions needed. Step one is to perform hand hygiene.
You can clean your hands by rubbing them with an alcohol-based solution. It is the fastest and most effective
method and better tolerated by your skin than other methods. Follow the WHO technique that ensures all the
surfaces of the hands are carefully covered by the product and will eliminate the microorganisms on your
hands.
Follow the following steps:
1. Apply the product into a cupped hand. Next, rub the hands together,
rubbing palm to palm. Rub the back of each hand with interlaced fingers. And then palm to palm with interlaced
fingers. Next, rotate the hands in a cupped shape. And then rub your hands rotationally. The final step is to
rub the tips of your fingers and nail beds in each palm and continue rubbing until hands are completely dry.
Congratulations. Now your hands are clean and safe to proceed with the PPE.
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[Putting on PPE before entering patient’s room] So now that you're ready to put on the equipment, check
the integrity of the equipment and do not use any damaged equipment.
Now you're ready to put on the gown.
So tie back the long hair if applicable and inspect the equipment for damage prior to putting on each piece.
Put on your gown, tie it around the neck and the waist, and secure it around the back. Ensure all clothing is
covered by the gown. Next, place the medical or surgical mask and ensure it is over your nose and mouth.
You can pinch the metal piece to ensure a tight fit around the nose. Try not to touch the mask once it is secured
on your face and if you must do so, perform hand hygiene before and after touching the mask.
Next, you are
ready to put on the eye protection. This involves either goggles or a face shield which can be placed over the
mask with the top of the goggles resting in the middle of your forehead. Finally, put on a pair of gloves and
ensure they are placed over the cuff of the gown and that no skin is exposed. You must check each piece of
equipment at the end thoroughly and ensure the equipment is placed on correctly. It might be helpful to have
a colleague who is competent in this procedure and could perform a visual inspection. You are now ready to
enter the patient's room.
Transcription [English]
OpenWHO: [COVID-19: How to put on and remove personal protective equipment (PPE)]
2
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[Taking off PPE after exiting patient’s room] You are now ready to remove your PPE. Keep in mind the
removal of the PPE poses the highest risk of transmission to healthcare workers. Make sure to avoid any
contact between potentially contaminated PPE and the clothes, skin and especially your face. Respect the
order indicated in front of a colleague or mirror if possible. The first step is to remove the gloves, using the
glove-to-glove and skin-to-skin technique.
This is the most soiled item which needs to be removed first and
discarded safely. Next, remove the gown by undoing the ties and ensure the gown is pulled away from the
body, ensuring there is no contamination of your clothes or the environment. Turn the gown inside out and
dispose of safely in the garbage or laundry hamper. Next, perform hand hygiene with alcohol-based hand for
20 seconds before touching your face to remove the eye protection.
Next, to remove the eye protection. You
can do this by leaning forward and pulling them away from your face. Next, remove the mask or respirator by
pulling it from the straps in the rear and disposing of it in a disposal container or garbage. Avoid touching the
mask. Now as a final step, perform your final hand hygiene with alcohol-based hand rub or with soap and
water if they are visibly soiled. Now you are ready to return to the rest of the healthcare environment with clean
hands.
Course notes: The following text is to accompany the video, and does not appear in the spoken text:
• PPE is part of a larger infection prevention and control approach and should be accompanied
by educational posters and training.
• Only clinical staff who are trained and competent in the use of PPE should be allowed to
enter the patient’s care area.
• Safe putting on and removal of PPE should be done outside of the patient's room, ideally in a
dedicated area and either under the supervision of a trained observer or colleague.
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