Personal Protective Equipment

AHRQ Safety Program for Long-Term Care: HAIs/CAUTI

Slide 1: Personal Protective Equipment

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Training Module 3

Slide 2: Learning Objectives

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Upon completion of this training, long-term care facility staff will be able to—

  • Describe when to use personal protective equipment (PPE)
    • Gloves
    • Gowns
    • Masks and face wear
  • Demonstrate how to put on and take off PPE

Slide 3: Personal Protective Equipment (PPE)1

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Image: Rain Boots       Red arrow poining to the right       Rain Jacket       Red arrow poining to the right       Umbrella

Image: Gloves       Red arrow poining to the right       Medical Gown       Red arrow poining to the right       Face mask and faceware

1. Mody, L. Targeted Infection Prevention (TIP) Study Toolkit & Implementation Guide. Ann Arbor, MI: The Regents of The University of Michigan; 2015. Accessed June 15, 2016.

Slide 4: What PPE To Wear and When?2,3

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  • Based on the type of task being performed.
  • Anticipated contact with blood and/or body fluids, or pathogen exposure.
  • Prevention of fluid penetration from splashing/sprays.

2. Siegel JD, Rhinehart E, Jackson M, et al. Centers for Disease Control and Prevention. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Atlanta, GA: US Department of Health and Human Services, CDC; 2007. Accessed March 26, 2015.
3. Minnesota Department of Public Health. Cover Your Cough! campaign. Accessed March 26, 2015.

Slide 5: When To Wear Gloves2

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For any anticipated contact with—

  • Blood or body substances—fluids and solids.
  • Mucous membranes—oral, nasal, conjunctival, rectal, genital.
  • Nonintact skin—wounds, surgical incisions.
  • Indwelling device insertion site—urinary and intravenous catheters, feeding tube.
  • Potentially contaminated items in the resident's environment
    • Visibly soiled equipment, supplies, or linens that may have been in contact with blood or body fluids.
    • Shared equipment moving between residents.

2. Siegel JD, Rhinehart E, Jackson M, et al. Centers for Disease Control and Prevention. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Atlanta, GA: US Department of Health and Human Services, CDC; 2007. Accessed March 26, 2015.

Slide 6: Glove Use: Putting On and Taking Off2

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Putting on gloves

If wearing gown, extend to cover wrist of gown.

Removing gloves

Remember: outside of gloves are contaminated

  1. Grasp outside of glove with opposite gloved hand; peel off.
  2. Hold removed glove in gloved hand.
  3. Slide fingers of ungloved hand under remaining glove at wrist.

2. Siegel JD, Rhinehart E, Jackson M, et al. Centers for Disease Control and Prevention. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Atlanta, GA: US Department of Health and Human Services, CDC; 2007. Accessed March 26, 2015.

Slide 7: When To Wear Gowns2

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When anticipating contact of clothing or exposed skin with blood or body fluids, secretions, or excretions

  • During procedures likely to generate splashes, sprays, or droplets of blood and body fluids (e.g., inserting catheter, emptying urine collection bags).
  • When in contact with nonintact skin (e.g., large wounds, rashes, burns).
  • Handling fluid containers likely to leak, splash, or spill when moved (e.g., bedside commodes, bedpans, urinals, emesis basins).

2. Siegel JD, Rhinehart E, Jackson M, et al. Centers for Disease Control and Prevention. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Atlanta, GA: US Department of Health and Human Services, CDC; 2007. Accessed March 26, 2015.

Slide 8: Gown Use: Putting On and Taking Off2

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Putting on gown

  1. Put on before gloves.
  2. Fasten at back of neck and waist.

Removing gown

Remember: outside of gown is contaminated

  1. Remove gloves first.
  2. Unfasten neck, then waist ties.
  3. Remove gown using a peeling motion; gown will turn inside out.
  4. Hold removed gown away from body, roll into a bundle and discard in room.

2. Siegel JD, Rhinehart E, Jackson M, et al. Centers for Disease Control and Prevention. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Atlanta, GA: US Department of Health and Human Services, CDC; 2007. Accessed March 26, 2015.

Slide 9: Masks and Eye Protection2

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Wear during procedures likely to generate splashes, sprays, or droplets of blood and body fluids

  • Masks
    • Dressing changes for PICCs/central vascular access devices.
    • Dressing changes on large open wounds.
    • Care of residents with new onset or exacerbation of respiratory condition with increased sputum or nasal secretions.
    • Consider when emptying urine collection bags (splash) or inserting/changing urinary catheters (spray).
  • Mask and goggles/face shield
    • Irrigation of open wounds (infected or noninfected).
    • Oral or tracheal suctioning.

2. Siegel JD, Rhinehart E, Jackson M, et al. Centers for Disease Control and Prevention. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Atlanta, GA: US Department of Health and Human Services, CDC; 2007. Accessed March 26, 2015.

Slide 10: Try It Yourself!4

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Demonstrate Proper Use of PPE

Image: Use of PPE - Example of proper use of gloves, gown and facewear

Source: CDC/ Laura R. Zambuto, 2008

4. Centers for Disease Control and Prevention. Public Health Image Library #10757. Atlanta, GA: Office of the Associate Director of Communications, Division of Public Affairs, CDC; 2008.

Slide 11: Posters on PPE Use1,2

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Reminders on Appropriate Use

Role model positive behaviors

Images: PPE Poster - This is an example of a poster reminding staff when to wearing personal protective equipment.
Glove use poster - This is a poster showing proper glove use and removal.
Modeling Positive Behaviors - This is a picture of a healthcare worker wearing personal protective equipment and model proper use for her coworkers.

1. Mody, L. Targeted Infection Prevention (TIP) Study Toolkit & Implementation Guide. Ann Arbor, MI: The Regents of The University of Michigan; 2015. Accessed June 15, 2016.
2. Siegel JD, Rhinehart E, Jackson M, et al. Centers for Disease Control and Prevention. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Atlanta, GA: US Department of Health and Human Services, CDC; 2007. Accessed March 26, 2015.

Slide 12: Wrapup Discussion

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  • What are some challenges to using gloves and gowns?

     

  • What are some solutions to these challenges?

     

  • How can you help support a culture of safety around PPE use?

     

Slide 13: References

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  1. Mody, L. Targeted Infection Prevention (TIP) Study Toolkit & Implementation Guide. Ann Arbor, MI: The Regents of The University of Michigan; 2015. Accessed June 15, 2016.
  2. Siegel JD, Rhinehart E, Jackson M, et al. Centers for Disease Control and Prevention. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Atlanta, GA: US Department of Health and Human Services, CDC; 2007. Accessed March 26, 2015.
  3. Minnesota Department of Public Health. Cover Your Cough! campaign. Accessed March 26, 2015.
  4. Centers for Disease Control and Prevention. Public Health Image Library #10757. Atlanta, GA: Office of the Associate Director of Communications, Division of Public Affairs, CDC; 2008.
Page last reviewed March 2017
Page originally created March 2017
Internet Citation: Personal Protective Equipment. Content last reviewed March 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementaion/education-bundles/infection-prevention/precautions/ppe-slides.html