Barrier technique personal protective equipment [compatibility mode]

Infection Control Guidelines for appropriate use of personal protective equipment Barrier technique personal protective equipment
Dr. Nahla Abdel Kader.MD, PhD. �Infection Control Consultant, MOH� Infection Control Surveyor, CBAHI Infection Control Director,KKH. �

2. Barrier Technique
Personal Protective Equipments
(PPE) (IC-P &P 007)

3. End in Mind
1.Introduction to Personal Protective
Equipment (PPE)
2.Understanding the importance of
(PPE)
3.Understanding when to use (PPE)
4.Understanding how to don and
remove (PPE)

4. Definition
“Specialized clothing or
equipment worn by an
employee for protection
against infectious materials”
(OSHA)

5. Training and
administrative controls
Engineering controls
Work practice controls
Personal protective
equipment (PPE)
Hierarchy of Safety and Health Controls
(CDC)

6. Factors Influencing PPE Selection
Type of exposure
anticipated
Fit
Durability and
appropriateness for
the task
Category of isolation
precautions
Splash/spray versus
touch

7. Standard
Precautions
Transmission-
based
Precautions
When to Use PPE

8. •Wearing in public areas
•Failure to discard after use
•Wearing too many
•Failure to remove gloves after each task
When Not to Use PPE

9. Gloves
Head Covers Shoes CoversFace shields Eye protection
Masks Gowns
Types of PPE used in Healthcare

10. ••Purpose –patient care, environmental
services, other
•Glove material –vinyl, latex, or nitrile
•Glove fit
•Sterile or non-sterile
•One or two pair
•Single use or reusable
Gloves

11. Dos and Don’ts of Glove Use
●●Work from “clean to dirty”
●Limit opportunities for “touch contamination” -protect yourself,
others, and the environment
Don’t touch your face or adjust PPE with contaminated gloves
Don’t touch environmental surfaces except as necessary
during patient care
●Change gloves
During use if torn and when heavily soiled (even during use on
the same patient)
After use on each patient
Discard in appropriate receptacle
Never wash or reuse disposable gloves

12. Gowns or Aprons
••Purpose of use
•Material –
Natural or man-made
Reusable or disposable
Resistance to fluid penetration
•Clean or sterile

13. Face Protection
••Masks –protect nose and mouth
Should fully cover nose and mouth and prevent fluid penetration
•Eye Goggle –protect eyes
Should fit snuggly over and around eyes
Personal glasses not a substitute for goggles
Antifog feature improves clarity
●Face shields –protect face, nose, mouth, and
eyes
Should cover forehead, extend below chin and wrap around sides of
face

14. Respiratory Protection
••Purpose –protect from inhalation of
infectious aerosols (example:
Mycobacterium tuberculosis)
•PPE types for respiratory protection
Particulate respirators
Half-or full-face elastomeric respirators
Powered air purifying respirators (PAPR)

15. Sequence for Donning PPE
••Gown first
•Mask or respirator
•Eye protection or face shield
•Gloves

16. ••Select appropriate type and
size
•Opening should be in the back
•Secure at neck and waist
•If gown is too small, use two
gowns
Gown #1 ties in front
Gown #2 ties in back
How to Don a Gown

17. ••Place over nose, mouth and
chin
•Fit flexible nose piece over
nose bridge
•Secure on head with ties or
elastic
•Adjust to fit
How to Don a Mask

18. ••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
How to Don a Particulate Respirator

19. ١٩
••Position eye protection over
eyes and secure to the head
using the ear pieces or
headband
•Position face shield over
face and secure on brow
with headband
•Adjust to fit comfortably
How to Done Eye and Face Protection

20. ••Don gloves last
•Select correct type and size
•Insert hands into gloves
•Extend gloves over
isolation gown cuffs
How to Don Gloves

21. ••Contaminated –outside front
Areas of PPE that have or are likely to have been in contact with body
sites, materials, or environmental surfaces where the infectious
organism may reside
•Clean –inside, outside back, ties on head
and back
Areas of PPE that are not likely to have been in contact with the
infectious organism
How to Safely Remove PPE

22. Remove the most contaminated items first
1. Remove gloves
2. Remove head cover
3. Remove eye protection
4. Remove respirator
5.Remove gown
5. Perform hand hygiene
Sequence for Removing PPE

23. ••At doorway, before leaving patient room or
in anteroom (at least 1 m from the
patient)*
•Remove respirator outside room, after door
has been closed*
Where to Remove PPE

24. ••Grasp outside edge near wrist
•Peel away from hand, turning
glove inside-out
•Hold in opposite gloved hand
How to Remove Gloves (Step 1)

25. ••Slide ungloved finger
under the wrist of the
remaining glove
•Peel off from inside,
creating a bag for
both gloves
•Discard
How to Remove Gloves (Step 2)

26. ••Grasp ear or head pieces
with ungloved hands
•Lift away from face
•Place in designated
receptacle for reprocessing
or disposal
Remove Goggles or Face Shield

27. ••Unfasten ties
•Peel gown away from
neck and shoulder
•Turn contaminated
outside toward the inside
•Fold or roll into a bundle
•Discard
Removing Isolation Gown

28. ••Untie the bottom tie, then
the top tie
•Remove from face
•Discard
Removing a Mask

29. •Lift the bottom elastic
over your head first
•Then lift off the top
elastic
•Discard
Removing a Particulate Respirator

30. Summary
•The correct order of donning and removing
PPE is key to protecting yourself and
coworkers from contamination.
•Expanded precautions are used to supplement
the standard precautions that should be
practiced on all patients.
•Make it a habit to practice the correct
sequence of PPE donning and removal as
drills to make it second nature.