Donning and doffing (1)-3.pptx

What is standard precautions?
Concept about Transmission based precautions.
Importance of Hand Hygiene
Steps of Hand Hygiene
Steps of donning of PPE's
Steps of doffing of PPE's
Summarize

1. DONNING AND DOFFING OF PERSONAL PROTECTIVE EQUIPMENT 1

2. OBJECTIVES At the end of presentation, learners will be able to : Describe standard precautions. Explain the concept of transmission based precautions. Understand the importance of hand hygiene. Acknowledge the steps of hand hygiene. Elaborate the steps of donning PPEs. Describe the steps of doffing PPEs. 2

3. STANDARD PRECAUTIONS Standard Precautions are the minimum infection prevention practices that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where health care is delivered. 3

4. STANDARD PRECAUTIONS Standard precautions consist of the following practices : Hand hygiene. Use of personal protective equipment . Safe use and disposal of sharps. Use of aseptic "non-touch" technique. 4

5. STANDARD PRECAUTIONS Routine environmental cleaning Respiratory hygiene and cough etiquette 5

6. TRANSMISSION-BASED PRECAUTIONS(TBP) (TBPs) are used in addition to standard precautions. TBPs are for patients who are known or suspected to be infected or colonized with infectious agents. TBPs are not required for patients with blood borne viruses, such as HIV, hepatitis B virus or hepatitis C virus . 6

7. TRANSMISSION-BASED PRECAUTIONS There are three different types of transmission precautions: Contact Precautions used for infections, diseases, or germs that are spread by touching the patient or items in the room (examples: MRSA, diarrheal illnesses, open wounds). Droplet Precautions used for diseases or germs that are spread in tiny droplets caused by coughing and sneezing (examples: pneumonia, influenza, whooping cough, bacterial meningitis). Airborne Precautions used for diseases or very small germs that are spread through the air from one person to another (examples: tuberculosis, measles, chickenpox). 7

8. HAND HYGIENE Hand hygiene is considered one of the most important infection control measures for reducing the spread of infection. Hand hygiene is a general term that refers to any action of hand cleansing, such as handwashing or hand rubbing. 8

9. Hands are the primary carriers of dirt, viruses, and bacteria , as they can come into contact with so many different surfaces throughout the day. Without proper hand hygiene, this could easily lead to something harmful entering the body, spreading elsewhere, or causing cross-contamination. WHY IS HAND HYGIENE SO IMPORTANT? 9

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11. STEPS OF HAND RUB 11

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13. PPEs DONNING SEQUENCE 13

14. Step : 1 GOWN Fully cover torso from neck to knees, arms to end of wrists, and wrap medical gown around the back. Fasten in back of neck and waist 14

15. Step : 2 MASK OR RESPIRATOR Secure ties or elastic bands of face mask/respirator at middle of head and neck Fit flexible band to nose bridge Fit snug to face and below chin Fit-check respirator 15

16. Step : 3 GOGGLES OR FACE SHIELD Place over face and eyes and adjust to fit 16

17. Step : 4 GLOVES While holding the top edge of the cuff, carefully insert hand into the first glove and don Use the folded fingers of the gloved hand to gently ease your other hand into the glove Extend both gloves to cover wrists of gown 17

18. PPEs DOFFING SEQUENCE 18

19. Step : 1 GLOVES Grasp outside of glove with opposite gloved hand and peel off Hold removed glove in gloved hand and slide fingers of hand under remaining glove at wrist Peel glove off over first glove and discard gloves in waste container 19

20. Step : 2 GOGGLES OR FACE SHIELD To remove, handle by headband or ear pieces for goggles and/or face shield Place in designated receptacle for reprocessing or in waste container 20

21. Step : 3 GOWN Unfasten ties and pull away from neck and shoulders touching inside of gown only Turn  medical gown inside out Fold or roll into a bundle and discard in waste container 21

22. Step : 4 MASK OR RESPIRATOR Front of face mask/respirator is contaminated and should not be touched Grasp bottom and top ties or elastics of face mask for removal Discard in waste container 22

23. Let’s Revise How many steps of donning. First step of donning. Last step of donning. Last step of doffing. Hand hygiene movements. Steps of hand rub. 23

24. REFERENCES World Health Organization (WHO) and UNICEF. Joint Monitoring Program (JMP) 2017 2. Health care without avoidable infections. The critical role of infection prevention and control 3. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. 24 Molloy J.  Personal Protective Equipment (PPE): Donning and Removal of PPE.  St. John's: Eastern Health Infection Prevention and Control; 2017. Eastern Health Infection Prevention and Control. Policy: Personal Protective Equipment (PPE) - Donning and Removal of PPE. [ Google Scholar ]

25. 25 THANK YOU