How to Don and Doff Personal Protective Equipment (PPE)

Introduction

• Speaker: Sarah
• Purpose: Demonstrate how to don (put on) and doff (take off) PPE
• Importance: Ensuring the right PPE is used based on infectious agents and correct size is crucial
• Protocols: Follow hospital protocols for PPE sequence

Donning PPE

• Sequence for Donning PPE:
  1. Perform hand hygiene
  2. Gown: Slide arms in, use thumb inserts if available, secure by tying at the back
  3. Mask or Respirator:
     • For face masks: Place ear loops over ears, adjust nose piece, and pull under chin
     • For N95 respirators:
       • Hold with the front touching the inside of the hand
       • Place over nose, mouth, and chin
       • Use one hand to hold, other to adjust straps (top strap above ears, bottom strap below ears)
       • Ensure straps are not twisted
       • Perform seal test:
         • Inhale sharply to check seal
         • Exhale to check for leaks
         • Adjust as needed for proper seal
  4. Goggles or Face Shield: Apply over eyes, secure straps
  5. Perform hand hygiene again
  6. Gloves: Pull gloves over hands, extend cuffs over gown sleeves

Doffing PPE

• Sequence for Doffing PPE:
  1. Gloves:
     • Avoid touching the outside
     • Use one hand to remove the other glove, then slide a finger under the remaining glove to remove
  2. Gown:
     • Front and sleeves are contaminated, ties are clean
     • Untie or break ties, remove gown from thumbs, peel off by rolling inside out
  3. Perform hand hygiene
  4. Face Shield or Goggles:
     • Do not touch outside
     • Remove by lifting bands over the head
  5. Mask or Respirator:
     • Mask: Grasp ear loops to remove
     • Respirator: Remove outside patient area, grasping straps to lift over the head
  6. Perform hand hygiene again

Conclusion

• Video demonstrates one possible sequence for donning and doffing PPE.
• Emphasizes importance of following protocol and performing hand hygiene.
• Part of a nursing skills series.