Personal protective equipment (PPE) like gloves, gowns, masks, and eye protection form barriers that protect healthcare workers from exposure to infectious materials. The proper use of PPE includes donning it in a specific sequence - gown, mask, goggles, then gloves - before entering a patient's room. PPE should be removed in the reverse order, and hand hygiene performed, to prevent the spread of germs. Common types of PPE like surgical masks, N95 respirators, and gloves are described along with guidelines for proper fitting, use, and disposal to protect both healthcare workers and patients.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washing Steps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washing Steps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
Standard precautions are meant to reduce the risk of transmission of blood borne and other pathogens from both recognized and unrecognized sources.
They are the basic level of infection control precautions which are to be used, as a minimum, in the care of all patients.
Standard safety precautions are the basic infection prevention and control measures necessary to reduce the risk of transmission of infectious agent from both unrecognized and unrecognized sources of infection.
The elements of Standard Precautions include:
Hand hygiene.
Use of gloves and other barriers (e.g., mask, eye protection, face shield, gown).
Handling of patient care equipment and linen.
Environmental control.
Prevention of injury from sharps devices, and patient placement.
Respiratory hygiene and cough etiquette
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The nursing technique by which a patient with an infectious disease is prevented from infecting other people is called barrier nursing.Hand hygiene is the simplest, most effective measure for infection control.Contact Precautions
Airborne Precautions
Droplet Precautions
Three more elements have been added to standard precautions. They are:
4.1 Respiratory hygiene/cough etiquette
4.2 Safe injection practices
4.3Use of masks for insertion of catheters or injection into spinal or epidural areas
This PPT is for the all the nursing staff and student working at clinical sided to control infection, maintain aseptic technique while doing procedure and compulsory use the PPE.
Standard precautions are meant to reduce the risk of transmission of blood borne and other pathogens from both recognized and unrecognized sources.
They are the basic level of infection control precautions which are to be used, as a minimum, in the care of all patients.
Standard safety precautions are the basic infection prevention and control measures necessary to reduce the risk of transmission of infectious agent from both unrecognized and unrecognized sources of infection.
The elements of Standard Precautions include:
Hand hygiene.
Use of gloves and other barriers (e.g., mask, eye protection, face shield, gown).
Handling of patient care equipment and linen.
Environmental control.
Prevention of injury from sharps devices, and patient placement.
Respiratory hygiene and cough etiquette
Gowning and gloving technique Presented By Mohammed Haroon Rashid At Florence...Haroon Rashid
This Topic presented by Mohammed Haroon Rashid From Basic B.Sc Nursing Final Year students in Florence College of nursing Limtara dhamtari. This topic presented on workshop on the date 13 sep 2019.
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This presentation is on topic of Types of Articles, Care of Articles and introduction to ward inventory and indent. Nursing Foundation is the core subject of First Year B.Sc. Nursing and this topic is important for the theory and the practical. This presentation briefs the detailed care of article used in hospital.
The nursing technique by which a patient with an infectious disease is prevented from infecting other people is called barrier nursing.Hand hygiene is the simplest, most effective measure for infection control.Contact Precautions
Airborne Precautions
Droplet Precautions
Three more elements have been added to standard precautions. They are:
4.1 Respiratory hygiene/cough etiquette
4.2 Safe injection practices
4.3Use of masks for insertion of catheters or injection into spinal or epidural areas
This PPT is for the all the nursing staff and student working at clinical sided to control infection, maintain aseptic technique while doing procedure and compulsory use the PPE.
A powerpoint presentation designed to cover the basics of Personal Protective Equipment including gloves, respiratory, earplugs, etc... Can be used in training employees. Made available free from www.nationalsafetyinc.com
HOW TO SAFELY REMOVE PERSONAL PROTECTIVE EQUIPMENT (PPE)Anupam Das
YouTube Video Link: https://youtu.be/CMjLaffQsA8
Personal Protective Equipment is protective clothing or
other garments or equipment designed to protect the
healthcare professional's body from injury or infection
Commonly used Personal Protective Equipment are:
•Gowns
•Mask
•Goggles
•Gloves
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2. THE USE OF PPE
A variety of barriers to protect
HCW’s mucous membranes,
airways, skin, and clothing
(whenever blood/body fluids
splashes are expected)
3. THE USE OF PPE
• Gloves – Use when touching blood, body fluids,
secretions, excretions, contaminated items; for
touching mucus membranes and nonintact skin.
• Gowns – Use during procedures and patient care
activities when contact of clothing/ exposed skin
with blood/body fluids, secretions, or excretions is
anticipated.
• Mask, goggles or face shield – Use during
patient care activities likely to generate splashes or
sprays of blood, body fluids, secretions, or excretions
4. Select appropriate type and size
(Covers arms, body front, neck to mid-
thigh) Opening is 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
5. • Unfasten ties.
• Peel gown away from neck and shoulder.
• Turn contaminated outside toward the inside.
• Fold or roll into a bundle. & Discard.
REMOVING GOWN
6. SURGICAL MASK
to protect patients from HCWs respiratory
secretions.
placed on coughing patients.
procedures that generates splashes and sprays.
7. 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
Surgical Mask
8. • Fit flexible nose piece over nose
bridge
• Secure on head with elastic
band.
• Perform the seal check –
• Inhale – respirator should
collapse
• Exhale – check for leakage
around face
N95 Respirator
9. Well sealed check
• Done every time
you are wearing
N95 respirator
For Airborne Precautions
11. Removing of N95
• Lift the bottom elastic
over your head first
• Then lift off the top
elastic
• Discard
12. Removing of N95
you should remove the N95 respirator Just
outside the patient room
13. Eye goggles & face shield
Position goggles over eyes and secure to
the head using the ear pieces or headband.
Position face shield over face
and secure on brow with headband.
13
14. Used in :
-Direct contact with blood, body fluids, non intact
skin, mucous membrane and potentially
infectious materials
- Dealing with patients under contact isolation
• Put on last PPE and first to be removed
16. “The Glove Pyramid”
The Glove Pyramid-to aid decision making
on when to wear (and not wear) gloves
Gloves must be worn according to
STANDARD and CONTACT
PRECAUTIONS
Hand hygiene should be performed when
appropriate regardless of indication for
glove use
18. CLEAN / EXAMINATION
GLOVES INDICATED IN
CLINICAL SITUATION
Potential direct/indirect exposure to blood,
body fluids, secretions, excretions and items
visibly soiled by body fluids
DIRECT PATIENT EXPOSURE:
Contact with blood; contact with
mucous membrane and with non-intact skin; potential presence of
highly infectious and dangerous organism; epidemic or emergency
situations; IV insertion and removal; drawing blood; discontinuation
of venous line; pelvic and vaginal examination; suctioning non-closed
systems of endotracheal tubes
INDIRECT PATIENT EXPOSURE:
Emptying emesis basins; handling/cleaning instruments; handling waste; cleaning
up spills of body fluids
19. How to Don Gloves
• Don gloves last
• Select correct type and
size
• Insert hands into gloves
• Extend gloves over
isolation gown cuffs
20. How to Remove Gloves
(1)
1. Grasp outside edge near wrist.
2. Peel away from hand, turning glove
inside-out.
3. Hold in opposite gloved hand.
How to Remove Gloves
(2)
1. Slide ungloved finger under the wrist of
the remaining glove
2. Peel off from inside, creating a bag for
both gloves.
3. Discard.
21. “Hand Hygiene and Medical Glove use”
-Remove the gloves to perform hand hygiene when an
indication occurs while wearing gloves
-Discard gloves after each task and clean your hand –
gloves may carry germs
- Wear gloves only when indicating to Standard and
Contact precautions, otherwise they become a major
risk for germ transmission
22. How to Safely Use PPE
Keep gloved hands away from face.
Avoid touching or adjusting other PPE.
Remove gloves if they become torn; perform hand
hygiene before donning new gloves.
Limit surfaces and items touched to avoid
contamination.
25. SEQUENCE OF
DONNING PPE
• Gown first.
• Mask or respirator.
• Goggles or face shield.
• HAND HYGIENE
• Gloves.
Don before contact with the
patient, generally before
entering the room.
Sequence for
Removing PPE
Gloves
Hand Hygiene
Face shield or
goggles.
Gown.
Mask or respirator.
Where to Remove PPE
At doorway, before leaving
patient room or in
anteroom.
Remove respirator outside
room, after door has been
closed.
