USE OF PERSONAL PROTECTIVE EQUIPMENT.pptx

Personal protective equipment,
Use of PPE

1. USE OF PERSONAL PROTECTIVE EQUIPMENT MS. MILAN SAWANT

2. USE OF PPE A variety of barriers to protect HCW’s mucous membranes, airways, skin, and clothing (whenever blood/body fluids splashes are expected)

3.   Gloves – Use when touching blood, body fluids, secretions, excretions, contaminated items; for touching mucus membranes and non intact skin. Gowns – Use during procedures and patient care activities when contact of clothing/ exposed skin with blood/body fluids, secretions, or excretions is anticipated. Mask, goggles or face shield – Use during patient care activities likely to generate splashes or sprays of blood, body fluids, secretions, or excretions

4. GOWN Select appropriate type and size (Covers arms, body front, neck to mid- thigh) Opening is 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

5. REMOVING GOWN   Unfasten ties . Peel gown away from neck and shoulder. Turn contaminated outside toward the inside. Fold or roll into a bundle. & Discard.

6. MASK SURGICAL MASK  to protect patients from HCWs respiratory secretions.  placed on coughing patients.  procedures that generates splashes and sprays.

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

8. N95 Respirator Fit flexible nose piece over nose bridge • Secure on head with elastic band. • Perform the seal check – • Inhale – respirator should collapse • Exhale – check for leakage around face.

9. FOR AIRBORNE PRECAUTION   Well sealed check Done every time you are wearing N95 respirator

10. FIT TEST Performed annually Each staff should be aware about his fitted Type and size

11. REMOVING OF N95 Lift the bottom elastic over your head first Then lift off the top elastic Discard you should remove the N95 respirator Just outside the patient room

12. EYE GOGGLES & FACE SHIELD Position goggles over eyes and secure to the head using the ear pieces or headband. Position face shield over face and secure on brow with headband.

13. GLOVESUSED IN   Direct contact with blood, body fluids, non intact skin, mucous membrane and potentially infectious materials Dealing with patients under contact isolation Put on last PPE and first to be removed

14. GLOVE PYRAMID  The Glove Pyramid-to aid decision making on when to wear (and not wear) gloves  Gloves must be worn according to STANDARD and CONTACT PRECAUTIONS  Hand hygiene should be performed when appropriate regardless of indication for glove use

15. STERILE GLOVES INDICATED (any surgical procedure, vaginal deliveries, invasive radiological procedures, performing vascular access & procedures (central lines) (preparing TPN, chemo agents)

16. CLEAN / EXAMINATION GLOVES INDICATED IN CLINICAL SITUATION Potential direct/indirect exposure to blood, body fluids, secretions, excretions and items visibly soiled by body fluids DIRECT PATIENT EXPOSURE: Contact with blood; contact with mucous membrane and with non-intact skin; potential presence of highly infectious and dangerous organism; epidemic or emergency situations; IV insertion and removal; drawing blood; discontinuation of venous line; pelvic and vaginal examination; suctioning non-closed systems of endotracheal tubes INDIRECT PATIENT EXPOSURE: Emptying emesis basins; handling/cleaning instruments; handling waste; cleaning up spills of body fluids

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

18. How to Remove Gloves Grasp outside edge near wrist . Peel away from hand, turning glove inside-out. Hold in opposite gloved hand. 2. Slide ungloved finger under the wrist of the remaining glove Peel off from inside, creating a bag for both gloves. Discard.

19. “Hand Hygiene and Medical Glove use” - Remove the gloves to perform hand hygiene when an indication occurs while wearing gloves - Discard gloves after each task and clean your hand – gloves may carry germs - Wear gloves only when indicating to Standard and Contact precautions, otherwise they become a major risk for germ transmission

20. How to Safely Use PPE Keep gloved hands away from face. Avoid touching or adjusting other PPE. Remove gloves if they become torn; perform hand hygiene before donning new gloves. Limit surfaces and items touched to avoid contamination. Proper donning of Personal Protective Equipment  Proper removing of Personal Protective Equipment

21. SEQUENCE OF DONNING PPE Gown first. Mask or respirator. Goggles or face shield. HAND HYGIENE Gloves. Don before contact with the patient, generally before entering the room.

22. SEQUENCE FOR REMOVING PPE Gloves Hand Hygiene Face shield or goggles. Gown . Mask or respirator ..

23. WHERE TO REMOVE PPE At doorway, before leaving patient room or in anteroom. Remove respirator outside room, after door has been closed