Infection Control PPG

Personal Protective
Equipment
Objective

At the end of the lecture, SmartMed staff and

employees will be able to perform and answer
with confidence the competency assessment for
the use of personal protective equipment.
Purpose
• To provide a practical document to equip all
healthcare staff with the necessary information
to enable them to protect themselves, the
patients and others against transmission of
infectious agents.

• To prevent acquiring occupational diseases

and avoid injuries through the use of
appropriate protective equipment.
Definition of Terms
• Personal Protective Equipment (PPE)-
Specialized clothing or equipment worn for
protection against a hazard.1 PPE includes items
such as goggles, respirators, masks, gloves and
gowns (OSHA)
Policy
• SmartMed Private Medical Services shall
minimize risk factors for transmission of
infectious microorganism from the hands of
healthcare providers to its clients.

• SmartMed Private Medical Services staff and

personnel must use appropriate and adequate
personal protective equipment in potentially
hazardous areas and procedures.
Policy
• SmartMed Private Medical services shall provide
an adequate supply of personal protective
equipment for all personnel and staff as part of
the Infection control program.

• SmartMed staff shall follow proper donning and

doffing of PPE.
Selection of PPE
1. Type of Anticipated Exposure
-touch, sprays, splashes, volume of blood and
body fluids that might penetrate clothing.
-category of isolation precautions.

2. Durability and Appropriateness of the

PPE to the task.
-how resistant to fluids.
Selection of PPE
3. Fit (optional)
Gloves
Gloves
Purpose: Protect the hands

Glove Material: vinyl, latex (allergy), nitrile

Types: sterile or non-sterile

Must be Single use

Gloves
• Should fit the hands- not too loose or too tight

• Work from “clean to dirty”

• Change gloves when torn and heavily soiled

.
4.1.1 Use of gloves does not replace the need for hand hygiene;
4.1.2Wear sterile gloves when performing aseptic procedures;
4.1.3Clean gloves can be worn when performing procedures that do not require aseptic technique.

Gloves

• Use of gloves does not replace the need for hand

hygiene.

• Wear sterile gloves when performing aseptic

procedures

• Clean gloves can be worn when performing

procedures that do not require aseptic
technique.
Gloves
• Staff performing blood extraction and I.V.
cannulation must always wear clean gloves.

• Limit opportunities for “touch

contamination”
PROTECT YOURSELF, OTHERS AND THE
ENVIRONMENT!!!
Gloves
-Don’t touch your face or adjust PPE with
contaminated gloves.

-Don’t touch environmental surfaces except as

necessary during patient care.
Gloves
• Remove gloves as soon as procedure is done and
before leaving the patients in their rooms, at
their homes or in the clinical areas where clinical
procedures are done.
Gown and Apron
Gown and Apron
• Purpose: Protect skin and clothing

• Must be resistant to fluid penetration.

Gown and Apron
• Use sterile gown in procedures requiring aseptic
technique.

• Wear a clean, disposable gown on procedures and

patient-care activities that are likely to generate
splashes or sprays of blood, body fluids, secretions,
or excretions.

• Remove contaminated gown after task completion

and before leaving the patient's environment.
Face Protection: Goggles
Face Protection: Goggles
• Purpose: Protect the eyes

• Must be snug fit over and around the eyes.

• Personal glasses do not substitute goggles.

• Recommended anti-fog features.

Face Protection: Face shields
• Purpose: Protect face, nose, mouth, eyes

• Should cover forehead, extend below chin and

wrap around face.

• Maybe worn with goggles for added protection

• Can substitute mask or goggles (wound

irrigation)
Face Protection: Face shields
Respiratory Protection: Masks
Respiratory Protection: Masks
• Purpose: Protect nose and mouth

• Wear mask before commencing a clinical

procedure when there is an anticipated contact
thru splashes with blood and body fluids.
Respiratory Protection: Masks
• Wear mask before entering the patient’s area, in
clinical areas or during home visits, if patient is
suspected for a respiratory infection or high risk
of spreading infection.

• Should fully cover nose and mouth.

Respiratory Protection: Masks
• not intended to be used more than once. If mask
is damaged or soiled, or if breathing through the
mask becomes difficult, remove the facemask,
discard it safely, and replace it with a new one.
Respiratory Protection: Respirators
• Purpose: Protect mouse/nose; protect
respiratory tract from airborne infections.

• Face mask were designed to protect the sterile

field and work environment from spit and
mucous generated by the wearer.
Face masks vs. N95 Respirator
Respiratory Protection: Masks and
Respirators
• Face mask: < 70% protection

• N95 Respirator: Filters 95 to 99% aerosol

particles
Respiratory Protection: Masks and
Respirators
• <70% is not too bad when compared to zero
percent protection

• N95 particulate mask are recommended to

protect Healthcare workers. But if you're going
to use it, make sure it Fits well, NO GAP. make
sure you are able to Breathe well, and make sure
you don't reuse it. If not, you'll still be better
off with the <70% protection you get from
a regular face mask.
Donning PPE
• Donning = Putting On
Sequence of Donning PPE
1. Hand hygiene
2. Gown
3. Respiratory Protection
4. Eye protection
5. Gloves

HAGOREYGLO
Donning PPE: Gown
Donning PPE: Mask
Donning PPE: Mask
1. Secure ties or elastic band at middle of head
and neck . For earloop facemask securely place
the loops to the ears.

2. Fit flexible band to nose bridge.

3. Fit snug to face and below chin.

Donning PPE: Respirator
Donning PPE: Respirator
1. Select a fit tested respirator.
2. Place over nose, mouth and chin.
3. Fit flexible nose piece over nose bridge.
4. Secure on head with elastic and adjust to fit.
5. Perform a fit check:
• Inhale – respirator should collapse
• Exhale - check for leakage around face.
Donning PPE: Goggles and Face Shields
Donning PPE: Goggles and Face Shields
1. Position goggles over eyes and secure to the
head using the ear pieces or headband.
2. Position face shield over face and secure on
brow with headband.
3. Adjust to fit comfortably.
Donning PPE: Gloves
1. Don gloves last.
2. Select according to hand size to fit.
3. Extend to cover wrist of gown when gown is
worn.
Donning PPE: Gloves
Donning PPE: Sterile Gloves
Donning PPE: Sterile Gloves
• Never touch anything other than what is
required for the procedure with the sterile
gloves.

• If the sterile gloving process is broken at any

point, use new gloves from a new package.

• Wear sterile gloves only when necessary.

Donning PPE: Sterile Gloves
• Never wash gloves and reuse them.

• Never use gels and alcohol to clean gloves, use a

new pair each time.

• Use a new set of gloves on each patient and each

procedure.
Donning PPE: Sterile Gloves
• Gloves do not substitute the proper cleaning of
hands before using sterile gloves.
Sequence of Donning PPE
1. Hand hygiene
2. Gown
3. Respiratory Protection(Mask,Respirator)
4. Eye protection(Goggles, Face shield)
5. Gloves

HAGOREYGLO
Doffing of PPE
• Doffing = Removing
Sequence of Doffing PPE (A)
1. Gloves
2. Eye protection
3. Gown
4. Respiratory protection
5. Hand hygiene

GLEYGOREHA
Doffing PPE: Gloves
1. Grasp outside of glove with opposite gloved
hand; peel off. Outside of the
gloves are contaminated.
2. Hold removed glove in gloved hand.
3. Slide fingers of ungloved hand under
remaining glove at wrist.
4. Carefully dispose in biohazard bag.
Doffing PPE: Gloves
Doffing PPE: Goggles and Face Shields
• Untie or remove goggles and/or face shields by
lifting headbands or ear pieces.

• If reusable, place in designated receptacle for

decontamination and reprocessing.

• If hands get contaminated after gloves removal

and during or after eye protection removal, do
hand hygiene.
Doffing PPE: Goggles and Face Shields
Doffing PPE: Gown
1. Front sleeves and front area are contaminated.
Unfasten neck and then waist ties.
2. Remove gown using a peeling motion; pull
gown from each shoulder toward the same
hand.
3. Gown will turn inside out. Hold removed gown
away from body
4. Roll into a bundle and discard into waste or
linen receptacle.
Doffing PPE: Gown
Doffing PPE: Mask and Respirator
1. Do not touch the outer area of the mask or
respirator, it is contaminated.
2. Grasp ONLY bottom then top ties/elastics and
remove. For ear loop masks, remove the loops
from the ears.
3. Properly dispose in a biohazard bag.
Doffing PPE: Mask and Respirator
Sequence of Doffing PPE (A)
1. Gloves
2. Eye protection
3. Gown
4. Respiratory protection
5. Hand hygiene

GLEYGOREHA
Sequence of Doffing PPE (B)
1. Gown and Gloves
2. Eye protection
3. Respiratory protection
4. Hand Hygiene

GOGLEREHA
Remember:
• Perform Hand hygiene Before Donning and
After Doffing PPE.

• You are in charge of your own safety.

• Follow the policies and procedures in using PPE

and waste segregation, handling and disposal of
used PPE.
THANK YOU!!!