Personal Protective Equipment

Slide 1: Personal Protective Equipment

Training Module 3

Slide 2: Learning Objectives

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

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

• 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

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

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

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

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

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

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 Use^1,2

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

• 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

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.