DISINFACTS | Issue 2/2020

CLINIC Putting on and removing personal protective equipment: The correct order is crucial! Sources: Centers for Disease Control and Prevention (CDC). Posters: Sequence for Donning and Removing Personal Protective Equipment. https://www.cdc.gov/hai/pdfs/ppe/ ppe-sequence.pdf Reska, M. et al. Persönliche Schutzausrüstung an- und ausziehen - Schritt für Schritt. Krankenhaushygiene up2date 2017; 12: 117-122. 1. Put on a protective gown Put on a fluid-resistant and microbe-impermeable protective gown. Ensure that the body is completely covered from the neck to the knees as well as to the wrists. 2. Put on a face mask A face mask should be worn if sprays of blood, body fluids, secretions and excretions are anticipated. The mouth and nose of the wearer are also protected against being touched by contaminated hands. 3. Put on goggles With close-range activities for patients during which aerosols containing pathogens may be generated, goggles must be worn, e.g. in case of likely vomiting by patient with a norovirus infection. 4. Put on single-use gloves Gloves must be worn if contact with materials, objects or surfaces contaminated with pathogens is expected. Important: Pull the single- use gloves over the cuffs. 1. Take off gloves The outside of the gloves is usually the most heavily contaminated. Therefore, the gloves should be removed and disposed of in a closed waste container immediately after removal. 2. Take off the protective gown First, take the arms out of the gown. Then fold or roll up the single-use gown with the contaminated side facing inwards and place in the waste. 3. Take off the goggles Hold the goggles by both arms and pull forwards away from the face. Then place the goggles in a plastic container and use specifically for one patient. 4. Remove the face mask Remove the face mask and dispose of in a closed waste container. Putting on personal protective equipment Removing personal protective equipment 1 2 3 1 2 3 4 4 The following applies in principle: After contact with potentially infectious material, hands must be thoroughly disinfected. If there was a risk of hand contamination between each step, additional hand disinfection should be carried out. Perform hand disinfection Perform (optional) hand disinfection Perform hand disinfection Perform hand disinfection DISINFACTS 2/20 page 17

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