Step wise description of Donning & Doffing for COVID-19 patients

1. Donning Steps: -
1. Meal intake
2. Washroom
3. Water drinking
4. Removal of all accessories, Mobile
5. Change into washable hospital scrub & foot ware
6. Hand wash with soap & water
7. Hand Hygiene, Sanitiser
8. Wear 1st
pair of gloves
9. Coverall -examine for tear & wearing
10. Leg sleeves – Arm sleeves -Jeep up – Jeep cover flap
11. Shoe covers – Legies inside shoe cover
12. Mask -hold like cup in your hand, both strings hanging down
13. Place the mask on your face by left hand
14. Pull & place lower string below ear behind the head, upper string above head
15. Set the margins of mask linkage proof
16. Hood covering head & cheeks
17. Face shield Eye goggles -make it fit by tightening/loosening the screw at back
18. Wear 2nd
pair gloves -pull & cover the sleeve cuff
19. Proceed to Covid Area
Doffing Steps: -
1. 2 chairs -Dirty & Clean
2. Check any Leak/Soiling in PPE -Disinfect the affected area
3. 3 wins (RED);
➢ Small win -Gloves, Mask
➢ Medium win -Helmet, Face shield
➢ Large win -Coverall
4. Hand sanitization after every step
5. Call observer with Doffing details
6. Observer dressed in -Head Cover/Mask/Coverall/Gloves/Shoe Cover
7. Call observer for check of leak/soiling on PPE
8. Take a turn keeping hands up/leg apart
9. Swab the jeep of coverall
10. Disinfect gloves with alcoholic hand rub
11. Remove the shoe cover by slowly pushing the outer surface up->Down
12. Keep legs apart
13. Discard shoe cover in Small Red win
14. Disinfect outer-glove
15. Remove outer glove -Do not contaminate inner glove
16. Pinch the upper part of 1st
glove -take inside out
17. Hold 1st
glove in 2nd
hand
18. Pinch the upper part of 2nd
glove -take inside out sealing 1st
glove inside the 2nd
19. Discard the gloves in Small Win

2. 20. Disinfect inner-glove -6 steps
21. Remove Face Shield/eye goggles
22. Loosen the screw-Remove by holing it by back handle
23. Discard the face shield in Medium Win
24. Disinfect inner-glove -6 steps
25. Remove Hood & Coverall
26. Slide back the top by holding with finger of R/Hand
27. Extract the jeep flap & un jeep the cover
28. Holding the shoulders with fingers both sides slide it down slightly
29. Pull the side down by side of the waist
30. Roll the arms out one by one
31. Roll out legs one by one carefully
32. Roll the whole coverall, care for not touching it’s outer surface
33. Discard the Coverall in Large Win
34. Remove inner gloves as described earlier
35. Discard the inner gloves in Small Win
36. Hand sanitization -6 steps
37. Wear new (3rd
) pair of gloves before removing mask
38. Do not touch the exposed(outer) surface of the mask
39. Stoop forward & 1st
remove the lower strip of the mask
40. The carefully remove the mask by pulling the upper strip
41. Discard the mask in Large win
42. Hand sanitization -6 steps
43. Sit on clean chair
44. Clean shoe by Alcohol swab -Small win
45. Disinfect by Hand sanitization -6 steps
46. Remove the last pair(3rd
) of the gloves
47. Disinfect by Hand sanitization -6 steps
48. Wipe shoe on a Sod-Hypochlorite towel -Out of doffing area