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Barrier technique personal protective equipment [compatibility mode]


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Infection Control Guidelines for appropriate use of personal protective equipment Barrier technique personal protective equipment
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.

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Barrier technique personal protective equipment [compatibility mode]

  1. 1. Barrier Technique Personal Protective Equipments (PPE) (IC- P &P 007)
  2. 2. End in Mind 1. Introduction to Personal Protective Equipment (PPE) 2. Understanding the importance of (PPE) 3. Understanding when to use (PPE) 4. Understanding how to don and remove (PPE)
  3. 3. Definition “Specialized clothing or equipment worn by an employee for protection against infectious materials” (OSHA)
  4. 4. Hierarchy of Safety and Health Controls Training and administrative controls Engineering controls Work practice controls Personal protective equipment (PPE) (CDC)
  5. 5. Factors Influencing PPE Selection Splash/spray versus touch Category of isolation exposure precautions Type of anticipated Durability and appropriateness for the task Fit
  6. 6. When to Use PPE Standard Precautions Transmissionbased Precautions
  7. 7. When Not to Use PPE • • • • Wearing in public areas Failure to discard after use Wearing too many Failure to remove gloves after each task
  8. 8. Types of PPE used in Healthcare Gloves Masks Head Covers Shoes Covers Gowns Face shields Eye protection
  9. 9. Gloves • Purpose – patient care, environmental services, other • • • • • Glove material – vinyl, latex, or nitrile Glove fit Sterile or non-sterile One or two pair Single use or reusable
  10. 10. Dos and Don’ts of Glove Use ● ● Work from “clean to dirty” Limit opportunities for “touch contamination” - protect yourself, others, and the environment  Don’t touch your face or adjust PPE with contaminated gloves  Don’t touch environmental surfaces except as necessary during patient care ●     Change gloves During use if torn and when heavily soiled (even during use on the same patient) After use on each patient Discard in appropriate receptacle Never wash or reuse disposable gloves
  11. 11. Gowns or Aprons • Purpose of use • Material –  Natural or man-made  Reusable or disposable  Resistance to fluid penetration • Clean or sterile
  12. 12. Face Protection • Masks – protect nose and mouth  Should fully cover nose and mouth and prevent fluid penetration • Eye Goggle – protect eyes  Should fit snuggly over and around eyes  Personal glasses not a substitute for goggles  Antifog feature improves clarity ● Face shields – protect face, nose, mouth, and eyes  Should cover forehead, extend below chin and wrap around sides of face
  13. 13. Respiratory Protection • Purpose – protect from inhalation of infectious aerosols (example: Mycobacterium tuberculosis) • PPE types for respiratory protection  Particulate respirators  Half- or full-face elastomeric respirators  Powered air purifying respirators (PAPR)
  14. 14. Sequence for Donning PPE • Gown first • Mask or respirator • Eye protection or face shield • Gloves
  15. 15. How to Don a Gown • Select appropriate type and • • • size Opening should be 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
  16. 16. How to Don a Mask • Place over nose, mouth and • • • chin Fit flexible nose piece over nose bridge Secure on head with ties or elastic Adjust to fit
  17. 17. How to Don a Particulate Respirator • • • • • • Select a fit tested respirator Place over nose, mouth and chin Fit flexible nose piece over nose bridge Secure on head with elastic Adjust to fit Perform a fit check –  Inhale – respirator should collapse  Exhale – check for leakage around face
  18. 18. How to Done Eye and Face Protection • Position eye protection over • • eyes and secure to the head using the ear pieces or headband Position face shield over face and secure on brow with headband Adjust to fit comfortably ١٩
  19. 19. How to Don Gloves • Don gloves last • Select correct type and size • Insert hands into gloves • Extend gloves over isolation gown cuffs
  20. 20. How to Safely Remove PPE • Contaminated – outside front  Areas of PPE that have or are likely to have been in contact with body sites, materials, or environmental surfaces where the infectious organism may reside • Clean – inside, outside back, ties on head and back  Areas of PPE that are not likely to have been in contact with the infectious organism
  21. 21. Sequence for Removing PPE Remove the most contaminated items first 1. Remove gloves 2. Remove head cover 3. Remove eye protection 4. Remove respirator 5.Remove gown 5. Perform hand hygiene
  22. 22. Where to Remove PPE • At doorway, before leaving patient room or in anteroom (at least 1 m from the patient)* • Remove respirator outside room, after door has been closed*
  23. 23. How to Remove Gloves (Step 1) • Grasp outside edge near wrist • Peel away from hand, turning • glove inside-out Hold in opposite gloved hand
  24. 24. How to Remove Gloves (Step 2) • Slide ungloved finger • • under the wrist of the remaining glove Peel off from inside, creating a bag for both gloves Discard
  25. 25. Remove Goggles or Face Shield • Grasp ear or head pieces • • with ungloved hands Lift away from face Place in designated receptacle for reprocessing or disposal
  26. 26. Removing Isolation Gown • Unfasten ties • Peel gown away from • • • neck and shoulder Turn contaminated outside toward the inside Fold or roll into a bundle Discard
  27. 27. Removing a Mask • Untie the bottom tie, then • • the top tie Remove from face Discard
  28. 28. Removing a Particulate Respirator • Lift the bottom elastic over your head first • Then lift off the top elastic • Discard
  29. 29. Summary • The correct order of donning and removing PPE is key to protecting yourself and coworkers from contamination. • Expanded precautions are used to supplement the standard precautions that should be practiced on all patients. • Make it a habit to practice the correct sequence of PPE donning and removal as drills to make it second nature.