donning ppe guide: modified droplet precautions · healthcare worker ppe donning. 1. perform hand...

©2020 Mayo Foundation for Medical Education and Research

DONNING PPE GUIDE: Modified Droplet PrecautionsPPE for Aerosol-Generating Procedure (AGP) – PAPR

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Donning set-up• Gown

• PAPR

• Gloves

Outside of Patient Room: Healthcare worker PPE donning

1. Perform hand hygieneApply the amount of product

recommended by the manufacturer into

the palm of one hand. Rub hands

together. Cover all surfaces of hands,

fingers, and wrists. Rub until hands are

dry (at least 15 seconds). Soap and water

is an acceptable alternative.

2. Put on PAPR unitTurn on unit. Buckle at waist, then tighten,

and secure belt in clips. Hang hose over

shoulder. If applicable, remove film from

head cover.

3. Put on PAPR head cover (or hood)Connect PAPR hose to head cover/hood.

Pull head cover/hood over head and

adjust so the gray headband wraps

above eyebrows.

PAPR Head Cover PAPR Hood with Shrouds

Mayo Clinic employees, check website for AGPs requiring respirators

Restrict visitors and limit personnel to only those essential for the procedure.

Doffing set-up in hallway• Bedside table (chux optional)

• Disinfectant wipes

• Hand sanitizer

• Gloves

• Clean PAPR tote

COLD ZONE

Post appropriate sign(s) at door based on procedure.

Ensure PPE is readily available to enter room:

Reviewed: June 2, 2020 by Mayo Clinic Infection Prevention and Control

http://intranet.mayo.edu/charlie/infection-prevention-control/agp/

©2020 Mayo Foundation for Medical Education and Research of 5

Outside of Patient Room: Healthcare Worker PPE DonningCONTINUED

4. Put on gownFully cover torso from neck to knees, arms to end of wrists; snap at neck and tie in back. Secure over PAPR hose and unit.

If larger gown needed for full coverage, obtain disposable gown.

5. Put on glovesExtend to fully cover cuff of gown.

6. Ensure PPE is properly donned before entering patient room.

Close door after entering.


COLD ZONE


DOFFING PPE GUIDE: Modified Droplet PrecautionsPPE for Aerosol-Generating Procedures (AGP) – PAPR

Inside Patient Room, Near Door: Healthcare Worker Doffing

1. Take off glovesGrab below wrist of first glove, pull off and dispose in waste container. Place bare finger under cuff of second glove, pull off and dispose in waste container.Perform hand hygiene

2. Remove gownUntie and unsnap. Roll inside out into a small bundle. Keep away from scrubs to avoid contamination. Place in linen bag. If disposable gown is worn, dispose in waste container.

3. Perform hand hygiene

Exit room to hallway with PAPR on.

4. Close patient door

Perform hand hygiene

• Waste container

• Hand sanitizer

• Linen bag

Prepare doffing area inside doorway of patient room:

HOT ZONE



3a. Remove head cover:

3b. Remove PAPR hood

DOFFING PPE GUIDE: Modified Droplet PrecautionsPPE for Aerosol-Generating Procedures (AGP) – PAPR

1. Establish PAPR cleaning area outside of room

• Bedside table (chux optional)

• Disinfectant wipes

• Hand sanitizer

• Gloves

• Clean PAPR tote

• Waste container

2. Remove PAPR unit

• Unclip PAPR hose from hood by

pinching the purple connectors

• Lay hose on clean table, with or

without chux behind you

• Unbuckle PAPR unit

• Lay unit on clean table

3. Remove PAPR head cover (3a) or hood (3b)In Modified Droplet for AGP the PAPR head cover/hood is cleaned after use.

• Avoid touching front of head cover

• Grab tab below chin and lift back off

of head

• Set on clean table or chux next to

PAPR unit

• Perform hand hygiene

• Place hands between shrouds

• Lean forward and push hood straight

off head

• Set on clean table or chux next to

PAPR unit

• Perform hand hygiene

COLD ZONE

In Hallway, Outside Patient/Exam Room: Healthcare Worker Doffing (Ante rooms are not used for doffing)



4. Clean PAPR unit• Put on clean gloves• Turn unit off• Clasp the belt • Wipe battery unit following

disinfectant product wet contact time• Clean the hose from cleanest (near

base of the unit) to dirtiest• Make sure disinfectant product gets

in contact with all surfaces• Place PAPR into clear tote

5. Clean PAPR head cover or hood• Wipe exterior of head cover/hood

with disinfectant• Start at the base of the collar and wipe

around entire exterior of collar• Wipe the back and top of the head piece• Wipe down the face shield• Ensure entire exterior surface of hood

is wiped down and wet contact time is maintained

• Pick up clean PAPR head cover/hood and store in a protected area as determined by work area

6. Discard chux (if used)

In Modified Droplet for AGP, the PAPR head cover/hood is cleaned after use

7. Don universal mask (and eye protection, if needed).

8. Mayo Clinic employees, check webpage to determine how long to leave up signage.

• Clean table• Doff gloves• Perform hand hygiene


In Hallway Outside of Patient Room: Healthcare Worker Doffing(Ante rooms are not used for doffing)Continued

COLD ZONE

http://intranet.mayo.edu/charlie/infection-prevention-control/agp/

donning ppe guide: modified droplet precautions · healthcare worker ppe donning. 1. perform hand...

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