©2020 Mayo Foundation for Medical Education and Research

DONNING PPE GUIDE: Suspect or Confirmed COVID-19Outpatient & Inpatient (Modified Droplet Precautions) Settings

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Scan for Video

• Refer to your site-specific Modified

Droplet Precautions Procedure (see

Mayo Clinic Rochester policy:

Isolation Precautions: Modified

Droplet Procedure)

• Ensure this pictorial is posted along

with Modified Droplet

door cards.

• If performing an aerosol generating

procedure (AGP), refer to the AGP

pictorial(s) for N95 (link available to

Mayo Clinic employees) or PAPR.

Note: If performing a nasopharyngeal

(NP) swab, follow instructions, below.

Ensure PPE is present:• Gown

• Mask

• Eye protection*

• Gloves

*Select style/type based on item availability

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 gownFully cover torso from neck to

knees, arms to end of wrists;

snap at neck and tie in back.

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

Inpatient reusable gown Outpatient disposable gown

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

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©2020 Mayo Foundation for Medical Education and Research Page 2 of 6

3. Put on mask and eye protectionDifferent styles of eye protection shown here. Choose one based on item availability. Fit flexible band to nose bridge

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

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

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

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©2020 Mayo Foundation for Medical Education and Research Page 3 of 6

DOFFING PPE GUIDE: Suspect or Confirmed COVID-19Outpatient & Inpatient (Modified Droplet Precautions) Settings

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 with mask and eye protection still on.

Prepare doffing area inside doorway of patient room/exam room:

• Waste container

• Hand sanitizer

• Linen bag

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

©2020 Mayo Foundation for Medical Education and Research Page 4 of 6

DOFFING PPE GUIDE: Suspect or Confirmed COVID-19Outpatient & Inpatient (Modified Droplet Precautions) Settings

1. Perform hand hygiene

2. Remove eye protection(Different styles of eye protection shown here. Select based on availability)

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

Plastic full-length face shield:Insert fingers on inside of face shield by foam. Pull away from face towards back of head. Set on clean table or clean chux. Dispose in waste container if physically damaged. Perform hand hygiene

Polycarbonate face shield: Grasp face shield by temples and lift up away from head at a diagonal. Set face shield on clean table or clean chux. Perform hand hygiene

Protective eyewear: Remove from face by touching bows of glasses. Set protective eyewear on clean table or clean chux. Perform hand hygiene

Mask with attached eye protection:Remove ear loops one at a time and avoid touching front of mask. Dispose in waste container. Perform hand hygieneSkip to step 5

2a.

2b.

2c.

2d.

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

©2020 Mayo Foundation for Medical Education and Research

3. Clean reusable eye protection

• Don gloves

• Clean inside of face shield, foam, and straps (or glasses/goggles) with hospital-grade disinfectant

• Hold the face shield (or glasses/goggles) in one hand. Wipe table with disinfectant using the other hand.

• Clean outside of face shield (or glasses/googles).

• Set the clean face shield (or glasses/goggles) on table.

• Doff gloves

• Perform hand hygiene

• Store in a clean and protected area when not in use. Mayo Clinic employees, follow PPE Reuse guidance for extended use.

OR

OR

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

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©2020 Mayo Foundation for Medical Education and Research Page 6 of 6

4. Mask removal or extended use (Choose below based on extended use or mask removal)

Extended useIf a full-length face shield was worn, continue to wear mask following extended use guidance.

Remove mask

If mask is visibly soiled, damaged, or full-length face was NOT worn, dispose in waste container.

Remove ear loops one at a time. Avoid touching front of mask.

4a.

4b.

5. Perform hand hygiene.

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

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

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

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