ofd ppe training
DESCRIPTION
OFD's PPE TrainingTRANSCRIPT
PPE Use in Healthcare Settings
Adopted by the Orlando Fire Department using guidance from:
Centers for Disease Control&
OCEMS - Office of the Medical Director
• Provide information on the selection and use of PPE in healthcare settings
• Practice how to safely don and doff PPE To be performed during Safety Stand-downand formal training at EMS.
Objectives
Donning of PPE
Includes:• Impermeable Full Body Suit• Inner Gloves• Sleeve Covers• Outer Gloves• SCBA Mask w/ Adapter• P100 Canister/Cartridge
Donning Procedure
1. Perform hand hygiene 2. Step into suit (leave shoes on)3. Zip up suit to neckline4. Put on inner gloves, pull suit sleeves over gloves, and tape5. Put on sleeve covers6. Put on outer gloves (overlapping covers)7. Put on SCBA mask w/ adapter and canister/cartridge8. Pull suit hood over head9. Pull zipper all the way up 10.Place tape across top of the SCBA mask sealing mask to
suit and then down both sides and across the bottom making sure no skin is exposure
Image courtesy of CDC
Step 1 – Perform Hand Hygiene
Step 2 – Step Into Suit (leave shoes on)
Take care to avoid tearing suit.
Step 3 – Zip Up Suit To Neckline
Step 4 – Inner Gloves & Sleeve Covers
• Don inner glove• Suit sleeve should go over the glove
• Apply tape around wrist• Create a tab to enable easy removal
Step 5 – Sleeve Covers
• Don sleeve covers• Covers overlap inner gloves at the wrist
Step 6 – Outer Gloves
• Put on outer gloves
• Gloves should go over sleeve covers
Step 7 – SCBA Mask w/ Canister
• Attach adapter to SCBA mask• Screw canister into adapter• Don SCBA mask assembly
Perform a fit check:Inhale – respirator should collapseExhale – check for leakage around face
Step 8 – Pull Suit Hood Over Head
Step 9 – Pull Zipper All The Way Up
Step 10 – Pull Suit Hood Over Head
Safe PPE Use Considerations
• 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
Doffing of PPE
•PPE must be removed in the proper sequence and with extreme care, to prevent inadvertent exposure.
•A basic principle is to touch ONLY “clean to clean” and “dirty to dirty.”
•When possible, utilize a “Buddy” to observe the process and prevent compromises or other procedural breaches.
Removal Procedure1. Remove sleeve covers2. Remove outer gloves (taking care not to contaminate inner gloves)3. Don new, clean, outer gloves4. Decon back of BTU and stretcher5. Remove tape from around partners SCBA mask from the top
pulling down using tabs6. Remove outer gloves (taking care not to contaminate inner gloves)7. Unzip suit8. Remove tape, roll down, and peel away suit including inner gloves9. Step out of suit 10.Perform hand hygiene and don a fresh pair of gloves11.Remove SCBA mask, grasping as far to the rear as possible12.Disconnect canister and discard13.Disconnect adapter, place mask and adapter into 5 gallon bucket
of 10% bleach solution.14.Remove gloves and perform hand hygiene
Step 1 - Remove Sleeve Covers
• Remove sleeve cover (if used)• Grasp outside edge of glove near wrist• Peel away from hand, turning glove inside-out• Hold in opposite gloved hand
Step 2 - Outer Gloves• Grasp outside edge near wrist, peel away from hand, turning glove inside-out
• Hold removed glove in opposite gloved hand• Slide finger under the wrist of the remaining outer glove
• Peel off from inside, creating a bag for both gloves and discard
Steps 3 & 4 – BTU and Stretcher Decon
The following steps address cleaning of the BTU and stretcher:•Don clean outer gloves (staged)•Remove and discard BTU isolation system•Decon BTU patient compartment•Decon stretcher•Return stretcher to BTU
Step 5 – Remove tape from SCBA mask
• Partner will grasp tabs on top piece of tape• Peel tape down to remove
Step 6 - Outer Gloves• Grasp outside edge near wrist, peel away from hand, turning glove inside-out
• Hold removed glove in opposite gloved hand• Slide finger under the wrist of the remaining outer glove
• Peel off from inside, creating a bag for both gloves and discard
Step 7 – Unzip Suit
• Use care to avoid touching clean areas inside of suit
• Peel suit back while opening
Step 8 – Roll Down Suit & Inner Gloves• Remove tape from inner glove.• Tuck, roll down, and peel away suit including inner gloves
Step 9 – Step Out Of Suit
Remove inner glove
Step 10 – Perform Hand Hygiene& Don Fresh Gloves
Image courtesy of CDC
Step 11 – Remove SCBA Mask
•Remove goggles, grasping as far to the rear as possible
Step 12 – Disconnect canister, discard
Step 13 – Disconnect adapter• place SCBA mask and adapter into bleach bucket
Step 14 – Remove Gloves &Perform Hand Hygiene
Image courtesy of CDC
Final Thoughts
•PPE is available to protect you from exposure to infectious agents in the healthcare workplace
•Know what type of PPE is necessary for the duties you perform and use it correctly