The document provides guidance on selecting and using personal protective equipment (PPE) such as gloves, gowns, masks, and respirators to protect against infectious materials. It outlines the proper procedures for donning PPE like gowns first then masks or respirators followed by goggles or face shields and gloves, as well as removing PPE carefully to avoid contamination. The guidance stresses that PPE should be donned before contact with patients or infectious materials and removed and discarded properly after use followed by hand hygiene.

1. Guidance for the
Selection and Use of
Personal Protective
Equipment (PPE)
ΔϳΎϣΣϟ΍ΓίϬΟ΃ϝΎϣόΗγ΍ϭέΎϳΗΧ΍ϝϳϟΩ
ΔϳλΧηϟ΍
Dr Atika Berry
Head of The Communicable Diseases Dpt
Responsible of IHR Implementation at POE

2. PPE Use:
Training Objectives
ΏϳέΩΗϟ΍ϑ΍Ωϫ΃
• Provide information on the selection and use
of PPE
• Practice how to safely don and remove PPE
•
ΓίϬΟϷ΍ϩΫϫϝΎϣόΗγ΍ϭέΎϳΗΧ΍ϥϋΕΎϣϭϠόϣ˯Ύρϋ·
•
Δϧϣ΁ΔϘϳέρΑΎϬΗϟ΍ί΍ϭΓίϬΟϷ΍ϩΫϫϊοϭϰϠϋαέϣΗϟ΍

3. Personal Protective Equipment
Definition
“specialized clothing or equipment worn by an
employee for protection against infectious
materials”
(Occupational Safety and
Health Administration-OSHA)
ϑϳέόΗ
“
ΔΛϭϠϣϟ΍Ω΍ϭϣϟ΍ΩοΔϳΎϣΣϠϟϑυϭϣϟ΍ΎϬϳΩΗέϳΔλΎΧΓίϬΟ΃ϭ΃ΏΎϳΛ
”

4. Recommendations for PPE
ΔϳλΧηϟ΍ΔϳΎϣΣϟ΍ΓίϬΟ΃ϝΎϣόΗγϻΕΎϳλϭΗϟ΍
• Provide appropriate PPE ΔΑγΎϧϣΔϳΎϣΣΓίϬΟ΃ϥϳϣ΄Η
• Ensure that PPE is disposed or reusable PPE is cleaned,
laundered, repaired and stored after useιϠΧΗϟ΍ϥϣΩϛ΄Ηϟ΍
ΔΑγΎϧϣϟ΍ΔϘϳέρϟΎΑΎϬΑϳοϭΗϭΎϬϔϳυϧΗϭ΃ΩΣ΍ϭϟ΍ϝΎϣόΗγϻ΍Ε΍ΫΓίϬΟϸϟΏγΎϧϣϟ΍
έΧ΁ωϭϧϝΎϣόΗγ΍ϝΎΣϲϓ
• circumstances for which PPE is indicatedϲΗϟ΍ΕϻΎΣϟ΍
ΔϳλΧηϟ΍ΔϳΎϣΣϟ΍ΓίϬΟ΃ΎϬϳϓϝϣόΗγΗ
• when, what kind and how to use PPEˮϑϳϛˬΎϬϋϭϧˬϰΗϣ

5. Types of PPE
ω΍ϭϧϷ΍
• Gloves – protect handsΕ΍ίΎϔϘϟ΍
• Gowns/aprons – protect skin and/or clothingαΎΑϠϟ΍
• Masks and respirators– protect mouth/nose ΔόϧϗϷ΍
– Respirators – protect respiratory tract from airborne
infectious agents
• Goggles – protect eyesϥϳϧϳόϟ΍˯ΎρϏ
• Face shields – protect face, mouth, nose, and eyes
ϪΟϭϟ΍ωΎϧϗ

6. Factors Influencing PPE Selection
ΔϳλΧηϟ΍ΔϳΎϣΣϟ΍ΓίϬΟ΃έΎϳΗΧ΍ϰϠϋΓέΛ΅ϣϟ΍έλΎϧόϟ΍
• Type of exposure anticipatedνέόΗϟ΍ωϭϧ
– Splash/spray versus touchαϣϟˬΫ΍Ϋέ
– Category of isolation precautionsϝίόϟ΍ΕΎρΎϳΗΣ΍ΕΎ΋ϓ
• Durability and appropriateness for the task
ϝϣόϟ΍ΔόϳΑρϟΔϣ˯ϼϣϟ΍ϭΓΩϣϟ΍
• FitαΎϳϘϟ΍

7. Gloves
Ε΍ίΎϔϘϟ΍
• Purpose – patient care, environmentalϑΩϬϟ΍
services, other
• Glove material – vinyl, latex, nitrile, otherΩ΍ϭϣϟ΍
• Sterile or nonsterile ϡϘόϣ
/
ϡϘόϣέϳϏ
• Single use or reusableΩΩόΗϣϭ΃ΩΣ΍ϭϝΎϣόΗγ΍

8. Do’s and Don’ts of Glove Use
Ε΍ίΎϔϘϟ΍ϝΎϣόΗγ΍ϯΩϟϝόϔΗϻϭϝόϓ΍
• Work from “clean to dirty”έΫϘϟ΍ϰϟ΍ϑϳυϧϟ΍ϥϣ
• Limit opportunities for “touch contamination”αϣϠϟ΍ΩϳΩΣΗ
– Protect yourself, others, and the environment ˬϙγϔϧϡΣ΍
Δ΋ϳΑϟ΍ϭϥϳέΧϵ΍
– Don’t touch your face or adjust PPE with contaminated
glovesΔΛϭϠϣΕ΍ίΎϔϘΑΔϳΎϣΣϟ΍ΓίϬΟ΃ϝΩόΗϻϭαϣϠΗϻ
– Don’t touch environmental surfaces except as necessary
during patient careΓέϭέοϠϟϻ·ΔρϳΣϣϟ΍΢ργϷ΍αϣϠΗϻ

9. Do’s and Don’ts of Glove Use (cont’d)
Ε΍ίΎϔϘϟ΍ϝΎϣόΗγ΍ϯΩϟϝόϔΗϻϭϝόϓ΍
)
ϊΑΎΗ
(
• Change glovesΕ΍ίΎϔϘϟ΍έϳϳϐΗ
– During use if torn and when heavily soiled (even
during use on the same patient)
– After use on each patient
• Discard in appropriate receptacleϲϓΎϬϧϣιϠΧΗϟ΍
ΏγΎϧϣΏϋϭΗγϣ
– Never wash or reuse disposable gloves

10. Gowns or Aprons
Γέίϭϟ΍ϭ΃˯΍Ωέϟ΍
• Purpose of useϝΎϣόΗγϻ΍ϑΩϫ
• Material Δϳϋϭϧϟ΍
– Natural or man-made
– Reusable or disposable
– Resistance to fluid penetration
• Clean or sterileϡϘόϣέϳϏϭ΃ϡϘόϣ

11. Source: Rosie Sokas, MD MOH UIL at Chicago
Face Protection (1) ϪΟϭϟ΍ΔϳΎϣΣ
Role of Surgical Masks
A surgical mask is NOT respiratory
protection
ƒ 1º intent: preventing wound
contamination by infectious
droplets from HCW’s respiratory
tract
ƒ 2º use: barrier protecting HCW’s
nose and mouth from large droplet
splashes, sprays of infectious
material
Particles can enter at edges of mask
Some not constructed using
particulate filter media

12. Face Protection (2)
ϪΟϭϟ΍ΔϳΎϣΣ
• Masks ΔόϧϗϷ΍
– protect nose and mouth
– Should fully cover nose and mouth and prevent
fluid penetration
• Goggles ϥϳϧϳόϠϟΕΎϳϗ΍ϭ
– protect eyes
– Should fit snuggly over and around eyes
– Personal glasses not a substitute for goggles
– Antifog feature improves clarity

13. Face Protection (3)
ϪΟϭϟ΍ΔϳΎϣΣ
• Face shieldsϪΟϭϠϟΔϳΎϣΣ
– protect face, nose, mouth, and eyes
– Should cover forehead, extend below chin and wrap
around side of face

14. Respiratory Protection (1)
αϔϧΗϠϟΔϳΎϣΣ
N-95 Filtering Facepiece Respirators

15. Respiratory Protection (2)
αϔϧΗϠϟΔϳΎϣΣ
• Purpose ϑΩϬϟ΍
– protect from inhalation of infectious aerosols (e.g.,
Mycobacterium tuberculosis)
• PPE types for respiratory protection ω΍ϭϧϷ΍
– Particulate respirators
– Half- or full-face elastomeric respirators
– Powered air purifying respirators (PAPR)

16. PPE Use:
How to Safely Don, Use, and
Remove PPE
ΔϳΎϣΣϟ΍ΓίϬΟ΍ωίϧϭϊοϭϟΔϣϳϠγϟ΍ΔϘϳέρϟ΍
ΔϳλΧηϟ΍

17. Key Points About PPE
ρΎϘϧϟ΍ϡϫ΃
• Don before contact with the patient, infectious
material νϳέϣϟΎΑϙΎϛΗΣϻ΍ϝΑϗΓίϬΟϷ΍ΩΗέ΍
/
ΔΛϭϠϣϟ΍Ω΍ϭϣϟ΍
• Use carefully – don’t spread contamination ΎϬϠϣόΗγ΍
ΔϳΎϧόΑ
/
ΙϭϠΗϟ΍έηϧΗϻ
• Remove and discard carefullyιέΣΑΎϬϧϣιϠΧΗϭΎϬϋίϧ΍
• Immediately perform hand hygieneΩόΑ΍έϭϓϙϳΩϳϝγϏ΍
ΎϬϋίϧ

18. Sequence* for Donning PPE
ΔϳλΧηϟ΍ΔϳΎϣΣϟ΍ΓίϬΟ΃˯΍ΩΗέ΍ϝγϠγΗ
• Gown firstϻϭ΍˯΍Ωέϟ΍
• Mask or respiratorωΎϧϘϟ΍
• Goggles or face shieldϪΟϭϟ΍ΔϳΎϣΣϭ΃ϥϳϧϳόϟ΍ΔϳΎϗϭ
• GlovesΕ΍ίΎϔϘϟ΍

19. How to Don a Gown
˯΍Ωέϟ΍˯΍ΩΗέ΍Δϳϔϳϛ
• Select appropriate type and sizeωϭϧϟ΍έΎϳΗΧ΍
ϥϳΑγΎϧϣϟ΍αΎϳϘϟ΍ϭ
• Opening is in the backϑϠΧϟ΍ϥϣΔΣΗϔϟ΍
• Secure at neck and waistέλΧϟ΍ϭϕϧόϟ΍ΩϧϋΔϳΎϣΣ
• If gown is too small, use two gownsϝϣόΗγ΍
έϳϐλαΎϳϗϝΎϣόΗγ΍ϝΎΣϲϓϥϳ˯΍Ωέ
– Gown #1 ties in front
– Gown #2 ties in back

20. How to Don a Mask
ωΎϧϘϟ΍ϊοϭΔϳϔϳϛ
• Place over nose, mouth and chinϡϔϟ΍ˬϑϧϷ΍ϝϭΣϪόο
ϥϗΫϟ΍ϭ
• Fit flexible nose piece over nose bridgeΔϧέϣϟ΍ΔϬΟϟ΍ΕΑΛ
ϑϧϷ΍ϕϭϓ
• Secure on head with ties or elasticρΎΑέϟΎΑα΃έϟ΍ϝϭΣϪΗΑΛ
ϲρΎρϣϟ΍ϭ΃ϱΩΎόϟ΍
• Adjust to fitϙϬΟϭϡ΋ϼϳϟϪόοϭϡϛΣ΃

21. How to Don a Particulate
Respirator (Ex:N95)
ιΎΧϟ΍ωΎϧϘϟ΍ϊοϭΔϳϔϳϛ
• Select a fit tested respirator Δϣ˯ϼϣϟ΍έΎΑΗΧ΍
• 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

22. How to Don Eye and Face Protection
ϪΟϭϟ΍ϭϥϳϧϳόϟ΍ΔϳΎϗϭϊοϭΔϳϔϳϛ
• Position goggles over eyes and
secure to the head using the ear
pieces or headbandϥϳϧϳόϟ΍ϝϭΣΎϬόο
• Position face shield over face and
secure on brow with headbandϊο
ΎϳϟΎΗϪΟϭϟ΍ΔϳΎϗϭ
• Adjust to fit comfortablyΔϣ˯ϼϣϟΎϬΗΑΛ
ΔΣϳέϣ

23. How to Don Gloves
Ε΍ίΎϔϘϟ΍ϊοϭΔϳϔϳϛ
• Don gloves last΍έϳΧ΃Ε΍ίΎϔϘϟ΍ϊο
• Select correct type and sizeαΎϳϘϟ΍ϭωϭϧϟ΍έΗΧ΍
ϥϳΣϳΣλϟ΍
• Insert hands into glovesΕ΍ίΎϔϘϟ΍ϲϓϙϳΩϳϊο
• Extend gloves over isolation gown cuffsϕϠϏ΃
˯΍Ωέϟ΍ϡΎϣϛ΃ϕϭϓΕ΍ίΎϔϘϟ΍

24. How to Safely Use PPE
ΔϣϳϠγΔϘϳέρΑΓίϬΟϷ΍ωίϧΔϳϔϳϛ
• Keep gloved hands away from faceϪΟϭϟ΍ϥϋ΍ΩϳόΑϥϳΩϳϟ΍ϕΑ΃
• Avoid touching or adjusting other PPEϝϳΩόΗϭαϣϟΏϧΟΗ
ΓίϬΟϷ΍
• Remove gloves if they become torn; perform hand
hygiene before donning new glovesϝΎΣϲϓΕ΍ίΎϔϘϟ΍ωίϧ΍
ΓΩϳΩΟΕ΍ίΎϔϗϊοϭϝΑϗϙϳΩϳϝγϏ΍ˬΎϬϗίϣΗ
• Limit surfaces and items touched˯ΎϳηϷ΍ϭΕΎΣΎγϣϟ΍έλΣ΃
ΎϬγϣϠΗϲΗϟ΍

25. PPE Use:
How to Safely Remove PPE
ΔϳλΧηϟ΍Δϣϼγϟ΍ΓίϬΟϷϡϳϠγϟ΍ωίϧϟ΍Δϳϔϳϛ

26. “Contaminated”“Clean” Areas of PPE
ΓίϬΟϸϟΔϔϳυϧϟ΍ϭΔΛϭϠϣϟ΍ΕΎΣΎγϣϟ΍
• Contaminated-outside front ΔΛϭϠϣϟ΍ΔϬΟϟ΍
-
ΔϳϣΎϣϷ΍ΔϳΟέΎΧϟ΍
• 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 Δϔϳυϧϟ΍
-
α΃έϟ΍ϝϭΣϭΔϳϔϠΧϟ΍ΕΎρΎΑέϟ΍ˬΔϳϔϠΧϟ΍ΔϳΟέΎΧϟ΍ˬΔϳϠΧ΍Ωϟ΍
• Areas of PPE that are not likely to have been in contact with the
infectious organism

27. Sequence for Removing PPE
ΓίϬΟϷ΍ωίϧϝγϠγΗ
• GlovesΕ΍ίΎϔϘϟ΍
• Face shield or gogglesϪΟϭϟ΍ϭϥϳϧϳόϟ΍ΔϳΎϣΣ
• Gown˯΍Ωέϟ΍
• Mask or respiratorωΎϧϘϟ΍

28. How to Remove Gloves (1)
Ε΍ίΎϔϘϟ΍ωίϧΔϳϔϳϛ
• Grasp outside edge near wristϙγϣ΃
ϡλόϣϟ΍ΩϧϋϲΟέΎΧϟ΍ϑέρϟ΍
• Peel away from hand, turning glove
inside-outΝέΎΧϠϟϝΧ΍Ωϟ΍ϥϣϪΑϠϘΑΩϳϟ΍ϥϋϪϋίϧ·
• Hold in opposite gloved handΩϳϟΎΑϪϛγϣ΃
ίΎϔϘϟ΍ϱΩΗέΗϝ΍ίΗϻϲΗϟ΍ϯέΧϷ΍

29. How to Remove Gloves (2)
Ε΍ίΎϔϘϟ΍ωίϧΔϳϔϳϛ
• Slide ungloved finger under
the wrist of the remaining
gloveϱΫϟ΍ϡλόϣϟ΍ΕΣΗϙόΑλ΃έέϣ
έΧϵ΍ίΎϔϘϟ΍ϱΩΗέϳ
• Peel off from inside,
creating a bag for both
gloves΢ΑλϳϟˬϝΧ΍Ωϟ΍ϥϣϪϋίϧ·
ϥϳίΎϔϘϠϟαϳϛϝϛηΑ
• DiscardϪϧϣιϠΧΗ

30. Remove Goggles or Face Shield
ϪΟϭϟ΍ϭ΃ϥϳϧϳόϟ΍ΔϳΎϣΣωίϧΔϳϔϳϛ
• Grasp ear or head pieces with
ungloved handsϥϳΩϳϟΎΑΎϬϋίϧ·
Ε΍ίΎϔϘϟ΍Δϋϭίϧϣ
• Lift away from faceϪΟϭϟ΍ϥϋΎϫΩόΑ΃
• Place in designated receptacle
for reprocessing or disposal
ϭ΃ΎϬϔϳυϧΗϟΏγΎϧϣϟ΍ϥΎϛϣϟ΍ϲϓΎϬόο
ΎϬϧϣιϠΧΗϠϟ

31. Removing Isolation Gown
˯΍Ωέϟ΍ωίϧ
• Unfasten tiesΕΎρΎΑέϟ΍ϙϓ
• Peel gown away from neck
and shoulderϕϧόϟ΍ϥϋ˯΍Ωέϟ΍ΩόΑ΃
ϥϳϔΗϛϟ΍ϭ
• Turn contaminated outside
toward the insideϝΧ΍ΩϠϟϪΑϠϗ΃
• Fold or roll into a bundleϩϭρ΃
Ϫϔϟϭ΃
• DiscardϪϧϣιϠΧΗ

32. Removing a Mask
ωΎϧϘϟ΍ωίϧ
• Untie the bottom, then top, tieϙϓ
ϱϭϠόϟ΍ϡΛϲϠϔγϟ΍ρΎΑέϟ΍
• Remove from faceϪΟϭϟ΍ϥϋϪϋίϧ·
• DiscardϪϧϣιϠΧΗ

33. Removing a Particulate Respirator
ιΎΧϟ΍ωΎϧϘϟ΍ωίϧΔϳϔϳϛ
• Lift the bottom elastic over
your head firstρΎΑέϟ΍ωίϧ΃
α΃έϟ΍ϥϣϲϠϔγϟ΍ϲρΎρϣϟ΍
• Then lift off the top elasticϡΛ
ϱϭϠόϟ΍ρΎΑέϟ΍
• DiscardϪϧϣιϠΧΗ

34. Hand Hygiene
ϥϳΩϳϟ΍ϝγϏ
• Perform hand hygiene immediately after removing
PPEΔϳλΧηϟ΍ΔϳΎϗϭϟ΍ΓίϬΣ΃ωίϧέϭϓϥϳΩϳϟ΍ϝγϏ΍.
– If hands become visibly contaminated during PPE removal, wash
hands before continuing to remove PPE
• Wash hands with soap and water or use an alcohol-
based hand rubαΎγ΃ϱΫϝϭϠΣϣΑϭ΃ϥϭΑΎλϟ΍ϭ˯ΎϣϟΎΑϥϳΩϳϟ΍ϝγϏ·
ϲϟϭΣϛ
* Ensure that hand hygiene facilities are available at the point
needed, e.g., sink or alcohol-based hand rub

36. PPE Use:
When to Use PPE
ΔϳλΧηϟ΍ΔϳΎϣΣϟ΍ΓίϬΣ΃ϝϣόΗγΗϰΗϣ

37. Standard and Expanded
Isolation Precautions
Δόγϭϣϟ΍ϭΔϳγΎγϷ΍ϝίόϟ΍ΕΎρΎϳΗΣ΍

38. Standard Precautions (1)
ΔϳγΎγϷ΍ΕΎρΎϳΗΣϻ΍
• Assumes blood and body fluid of ANY sample could
be infectiousΔΛϭϠϣϝ΋΍ϭγϊϣϝϣΎόΗϟ΍νέΗϔΗ
• Recommends PPE and other infection control
practices to prevent transmissionΓίϬΟ΃ϝΎϣόΗγΎΑϲλϭΗ
ΔϳϣϭΛέΟϟ΍Γέρϳγϟ΍ΏϳϟΎγ΃ϥϣΎϫέϳϏϭΔϳΎϣΣϟ΍
• Decisions about PPE use determined by type of
clinical interaction/sampling…ωϭϧΏγΣΔϣϼγϟ΍ΓίϬΟ΍έΎϳΗΧ΍
ϱέϳέγϟ΍ϝϣόϟ΍
/
ϥΎϳΗϋϻ΍
...

39. • Hand hygiene (before and after patient contact)
ϥϳΩϳϟ΍ϝγϏ
)
νϳέϣϟΎΑϙΎϛΗΣϻ΍ΩόΑϭϝΑϗ
(
• Gloves/PPE?(for contact with patient mucosa or
secretions)
Ε΍ίΎϔϘϟ΍
/
ΔϳΎϣΣϟ΍ΓίϬΟ΃
)
Ε΍ί΍έϓϻ΍ϭ΃ΔϳηϏϷΎΑϙΎϛΗΣϻ΍Ωϧϋ
(
• Hand hygiene after glove removal
Ε΍ίΎϔϘϟ΍ωίϧΩόΑϥϳΩϳϟ΍ϝγϏ
Standard Precautions (2)
ΔϳγΎγϷ΍ΕΎρΎϳΗΣϻ΍

40. PPE for Standard Precautions (1)
ΔϳγΎγϷ΍ΕΎρΎϳΗΣϼϟΓίϬΟϷ΍ϝΎϣόΗγ΍
• GlovesΕ΍ίΎϔϘϟ΍ – Use when touching blood, body
fluids, secretions, excretions, contaminated items; for
touching mucus membranes and non intact skinϝϣόΗγΗ
ΏΎλϣϟ΍ΩϠΟϟ΍ϭΔϳηϏϷ΍ˬΔΛϭϠϣϟ΍˯ΎϳηϷ΍ˬϝ΋΍ϭγϟ΍ˬϡΩϟ΍ΔγϣϼϣϯΩϟ
• Gowns ˯΍Ωέϟ΍– Use during procedures when contact of
clothing/ exposed skin with blood/body fluids,
secretions, excretions or infectious material is
anticipated ΏΎϳΛϟ΍ΔγϣϼϣϲοΗϘΗϲΗϟ΍Ε΍˯΍έΟϻ΍ϲϓϝϣόΗγϳ
/
ΩϠΟϟ΍
ϡΩϠϟ
-
ΔΛϭϠϣϟ΍Ω΍ϭϣϟ΍ˬΕ΍ί΍έϓϻ΍ˬϡγΟϟ΍ϝ΋΍ϭγ
...

41. PPE for Standard Precautions (2)
ΔϳγΎγϷ΍ΕΎρΎϳΗΣϼϟΓίϬΟϷ΍ϝΎϣόΗγ΍
• Mask and goggles or a face shield ωΎϧϘϟ΍
ϪΟϭϟ΍ΔϳΎϣΣϭ΃ϥϳϧϳόϟ΍ΔϳΎϣΣϭ– Use during activities
likely to generate splashes or sprays of blood,
body fluids, secretions, or excretions ϲϓϝϣόΗγΗ
ΔΛϭϠϣϥϭϛΗΩϗϲΗϟ΍ϝ΋΍ϭγϟ΍ϥϣΫ΍ΫέέηϧΑΩΩϬΗϲΗϟ΍ΕΎρΎηϧϟ΍

42. What Type of PPE Would You Wear?
ˮΎϬόΑΗΗϲΗϟ΍ΔϳΎϣΣϟ΍ωϭϧΎϣ
• Transportation of a sample?
ΔϧϳϋϝϘϧ
• Suctioning oral
secretions?ϡϔϟ΍ϥϣϝ΋΍ϭγρϔη
• Transporting a patient in a
wheel chair?ϲγέϛϰϠϋνϳέϣϝϘϧ
ϙέΣΗϣ
• Responding to an emergency
where blood is spurting?ΔΑΎΟΗγ΍
ϡΩϠϟέΛΎϧΗΎϬϳϓϥϭϛϳΔ΋έΎρϟ
• Drawing blood from a
vein?ϡΩΏΣγ
• Taking food or water
sample?ϩΎϳϣˬ˯΍ΫϏΔϧϳϋΫΧ΃
• Performing swab sampling?
ΓέΟϧΣϟ΍ϥϣΔϧϳϋΫΧ΃
• Irrigating a wound?ΡέΟϝγϏ
• Taking vital signs?ΕΎϣϼόϟ΍ΫΧ΃
ΔϳΗΎϳΣϟ΍

43. What Type of PPE Would You Wear?
ˮΎϬόΑΗΗϲΗϟ΍ΔϳΎϣΣϟ΍ωϭϧΎϣ
• Transportation of a sample?
• GlovesΕ΍ίΎϔϗ
• Suctioning oral secretions?
• Gloves and mask (respirator)
/goggles or a face shield –
sometimes gownΓίϬΟϷ΍ϝϣΎϛ
• Transporting a patient in a wheel
chair?
• Generally none requiredΊϳηϻ
• Responding to an emergency
where blood is spurting?
• Gloves, fluid-resistant gown,
mask(respirator)/goggles or a
face shieldΓίϬΟϷ΍ϝϣΎϛ
• Drawing blood from a vein?
• GlovesΕ΍ίΎϔϗ
• Taking food/water sample?
• Gloves w/wo gown ϊϣΕ΍ίΎϔϗ
/
ϥϭΩΑ
˯΍Ωέ
• Performing swab sampling?
• Gloves, mask, w/wo gown, eye
goggle, face shield?ˬωΎϧϗˬΕ΍ίΎϔϗ
ϊϣ
/
ϪΟϭϟ΍ϭϥϳϧϳόϠϟΔϳΎϣΣˬ˯΍ΩέϥϭΩΑ
• Irrigating a wound?
• Gloves, gown, mask/goggles or
a face shield ΍ϝϣΎϛ
|
ΓίϬΟϷ
• Taking vital signs?
• Generally none˯ϲηϻ

44. PPE for Expanded Precautions
Δόγϭϣϟ΍Ε΍˯΍έΟϼϟΔϳΎϣΣϟ΍ΓίϬΣ΃
• Expanded Precautions include ϥϣοΗΗ
:
– Contact PrecautionsαϣϠϟ΍ΕΎρΎϳΗΣ΍
– Droplet PrecautionsΫ΍Ϋέϟ΍έΛΎϧΗϟΓΩΎοϣϟ΍ΕΎρΎϳΗΣ΍
– Airborne Infection IsolationΔϟϭϘϧϣϟ΍ϡϳΛ΍έΟϟΎΑιΎΧϟ΍ϝίόϟ΍
˯΍ϭϬϟΎΑ

45. Use of PPE for Expanded
Precautions
Δόγϭϣϟ΍ΕΎρΎϳΗΣϻ΍ϲϓΓίϬΟϷ΍ϝΎϣόΗγ΍
• Contact PrecautionsαϣϠϟ΍ΕΎρΎϳΗΣ΍ – Gown and gloves for
contact with patient or environment of care (e.g., medical
equipment, environmental surfaces) Ε΍ίΎϔϗϭ˯΍Ωέ
• In some instances these are required for entering patient’s environment
• Droplet Precautions Ϋ΍Ϋέϟ΍έΛΎϧΗΩοΕΎρΎϳΗΣ΍– Surgical masks
within 3 feet of patient/respirator ωΎϧϗ
/
ιΎΧωΎϧϗ
• Airborne Infection Isolation ˯΍ϭϬϟΎΑΔϟϭϘϧϣϟ΍ϡϳΛ΍έΟϟΎΑιΎΧϟ΍ϝίόϟ΍–
Gloves, Gown, Particulate respirator*, eye goggle and face
shieldϪΟϭϟ΍ϭϥϳϧϳόϠϟΔϳΎϣΣˬιΎΧωΎϧϗˬ˯΍ΩέˬΕ΍ίΎϔϗ
*Negative pressure isolation room also required

46. Hand Hygiene
ϥϳΩϳϟ΍ϝγϏ
• Required for Standard and Expanded Precautions
Δόγϭϣϟ΍ϭΔϳγΎγϷ΍ΕΎρΎϳΗΣϼϟΔΑϭϠρϣ
• Perform…ϥϳΩϳϟ΍ϝγϐΑέηΎΑ
– Immediately after removing PPEΔϳΎϣΣϟ΍ΓίϬΟ΃ωίϧέϭϓ
– Between patient contactsέΧϵνϳέϣϥϣϝΎϘΗϧϻ΍ϯΩϟ
• Wash hands thoroughly with soap and water or use
alcohol-based hand rub΍ΫϻϭϠΣϣϭ΃ϥϭΑΎλϟ΍ϭ˯Ύϣϟ΍ϝϣόΗγ΍
ϲϟϭΣϛαΎγ΃

47. PPE Use:
Final Thoughts
ΓέϳΧ΃έΎϛϓ΃
• PPE is available to protect you from exposure
to infectious agents ΓΩϭΟϭϣΔϳλΧηϟ΍ΔϳΎϣΣϟ΍ΓίϬΟ΃ϥ·
ΔΛϭϠϣϟ΍έλΎϧόϟ΍ϥϣϙΗϳΎϣΣϟ
• Know what type of PPE is necessary for the
duties you perform and use it correctlyϑέϋ·
ΔΣϳΣλΔϘϳέρΑΎϬϠϣόΗγ΍ϭΎϬϟΎϣόΗγ΍ΏΟϭΗϣϟ΍ΔϳΎϣΣϟ΍ωϭϧ

48. ˱΍έϛη