to verify & assess the PPE technique in a format based on score

1. PPE Technique Checklist
Observation-Date: -…………………… Name of the patient: -………………………………………….
Duration: …………………… Place: -……………………………………………………………….….
S/No Procedure Yes No
Puttingon
PPE
a) Correct order of PPE (Gown first/Mask/Gloves last)
b) Gown tied (Circle 1 at the front/back)
c) Visible skin at wrist
RemovalofPPE
a) Order of gloves removal (Before / with / after) gown
b) Correct gloves removal technique (using gloved hand, grab
palm area of the other glove & peel off; slide finger of
ungloved hand under remaining glove at wrist & peel off)
c) Tearing of gloves during removal
d) Inappropriate gown removal
Comment: -
e) Contact with environment while removing PPE
f) Gown folded or rolled inside out into a bundle during
removal
g) Hand hygiene performed after PPE removal
other observations
Have you been taught how to put on & take off PPE?
How were you taught & when?
Results; Glo Germ present: - Skin / Clothes / Both / Neither