removal of ppe – contaminated staff infection prevention & control team
TRANSCRIPT
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Removal of PPE – Contaminated Staff
Infection Prevention & Control Team
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Principles
• There has been some concern why healthcare staff in the US and Spain have acquired Ebola from repatriated patients and a significant number of healthcare staff have acquired the disease in West Africa
• Failure in the PPE or failure to follow protocols when getting out of PPE have been blamed but the cause of these healthcare acquired infections remains unclear
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Principles (2)
• The purpose of this procedure is to ensure that staff in contact with an “at risk” patient remove PPE with the minimum contact of potentially contaminated PPE with themselves
• An “undresser” who will also be dressed in PPE will remove the PPE of contaminated staff
• Undressing will take place in a contaminated buffer zone, which is marked in amber on the floor plans (according to where the patient is isolated)
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Step 1• Contaminated
staff leave the patient’s room and enter the undressing area
Undresser
UNDRESSING AREA
CLEAN ZONE
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Step 2• Undresser unties the
gown
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Step 3• Placing hands beneath
the gown, push the gown forwards over the arms
• If there is a second contaminated person, then repeat before proceeding further
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Step 4• Roll the gown
forwards, ensuring the outside of the gown does not touch the all-in-one oversuit
• If possible, take the outer gloves off with the all-in-one oversuit
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Step 5• Dispose of the gown• Staff member being
undressed to keep their hands away from their body
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Step 6• Remove outer gloves
if they have not already come off, taking care not to pull inner gloves off
• Undresser dips hands in Actichlor plus (hypochlorite) solution
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Step 7• Remove visor,
pulling forwards and away from the face
• Dip hands in Actichlor plus (hypochlorite)
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Step 8• Fully undo zip to
all-in-one oversuit
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Step 9• Roll all-in-one
oversuit down, avoiding the outside of the oversuit touching either the scrubs or skin
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Step 10• Continue to roll the
all-in-one oversuit down, avoiding the outside of the oversuit touching either the scrubs or skin
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Step 11• Roll all-in-one oversuit
down the body• NB: gloves may come
off during this process
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Step 12• Continue to roll
all-in-one oversuit down to knees
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Step 13• Person being
undressed shuffles back to a chair on the clean/dirty line, ensuring gloved hands do not touch skin/scrubs
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Step 14• One trouser leg of
all-in-one oversuit, shoe and overboot removed and disposed of
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Step 15• Person being
undressed avoids putting foot on the floor, or puts foot on the INSIDE of the all-in-one oversuit
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Step 16• Undressed person
places foot into the clean area
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Step 17• Undresser removes
all-in-one oversuit, second shoe and overboot
• NB: a third person in the clean area can support the person sitting in the chair
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Step 18• Undressed person
places second foot into the clean area
• Gloved hands kept over contaminated area
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Step 19• Inner gloves
removed
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Step 20• Straps to face mask
and goggles can be cut by a 3rd person in the clean area
• They are taken by the undresser and disposed of within the undressing area
• Individual can now leave clean area for shower