PPE


Equipment:


  • Gloves
  • Gown
  • Mask (depending on precaution).

Steps:


Donning

  1. Perform hand hygiene.
  2. Prepare all equipment to be taken into patient’s room.
  3. Apply gown, ensuring coverage from neck to knees and entire arms from shoulder to wrist and wraps around the back, covering all outer garments.
  4. Tie securely at neck and waist.
  5. If needed depending on type of isolation precaution, apple surgical mask or fitted respirator.
    1. Secure ties at middle of the head and neck.
    2. Fit flexible band to nose bridge.
    3. Be sure mask fits snugly to face and below chin.
  6. If needed depending on type of isolation precaution, apply eyewear, goggles, or face shield.
  7. Apply clean gloves according to hand size.
  8. Enter patient’s room:
    1. Introduce self, Identify patient, assess Allergies, explain Plan of care (explain the purpose of isolation precautions and offer the opportunity for them to ask questions.), Assess patient.

Doffing

  1. Remove gloves by grasping one cuff and pulling glove inside out over hand. Hold removed glove in other, still gloved hand. Slide fingers of ungloved hand under remaining glove at the wrist and pull off, turning it inside out over the held soiled glove and discard.
  2. If applied, remove eyewear, goggles, or face shield by headband or earpiece and discard.
  3. Remove gown by untying the neck string then the back string. Allow gown to fall from shoulders. Touch only the inside of the gown and remove arms and hands from sleeves by holding at the inside shoulder seams and fold inside out into a bundle and discard.
  4. If applied, remove mask by removing elastic from ears and pulling mask away from face. If a tie mask, untie bottom string first then top strings and pull mask away from face. Discard.
  5. Perform hand hygiene.

Reference: Perry, A. G., Potter, P. A., Ostendorf, W. R., & Laplante, N. (2022). Clinical Nursing Skills & Techniques (10th ed., pp. 614-617). Elsevier.