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Premium member Presentation Transcript Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings: Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings By Rosauro Ibabao Jr. BSN, RN, ICN Muhaly National Hospital Abha, Aseer Region, K.S.A.PPE Use in Healthcare Settings: Program Goal: PPE Use in Healthcare Settings: Program Goal Improve personnel safety in the healthcare environment through appropriate use of PPE. PPE Use in Healthcare SettingsPPE Use in Healthcare Settings: Program Objectives: PPE Use in Healthcare Settings: Program Objectives Provide information on the selection and use of PPE in healthcare settings Practice how to safely don and remove PPE PPE Use in Healthcare SettingsPersonal Protective Equipment Definition: Personal Protective Equipment Definition “specialized clothing or equipment worn by an employee for protection against infectious materials” (OSHA) PPE Use in Healthcare SettingsRegulations and Recommendations for PPE: Regulations and Recommendations for PPE OSHA issues workplace health and safety regulations. Regarding PPE, employers must: Provide appropriate PPE for employees Ensure that PPE is disposed or reusable PPE is cleaned, laundered, repaired and stored after use OSHA also specifies circumstances for which PPE is indicated CDC recommends when, what and how to use PPE PPE Use in Healthcare SettingsHierarchy of Safety and Health Controls: Hierarchy of Safety and Health Controls Training and administrative controls Engineering controls Work practice controls Personal protective equipment PPE Use in Healthcare SettingsTypes of PPE Used in Healthcare Settings: Types of PPE Used in Healthcare Settings Gloves – protect hands Gowns/aprons – protect skin and/or clothing Masks and respirators– protect mouth/nose Respirators – protect respiratory tract from airborne infectious agents Goggles – protect eyes Face shields – protect face, mouth, nose, and eyes PPE Use in Healthcare SettingsFactors Influencing PPE Selection: Factors Influencing PPE Selection Type of exposure anticipated Splash/spray versus touch Category of isolation precautions Durability and appropriateness for the task Fit PPE Use in Healthcare SettingsTypes of PPE’s: Types of PPE’s Head cover/cap Goggles Face mask Face shield Apron Gloves Shoe coverHead Cover: Head Cover Reusable or disposable Clean or sterileGoggles: Goggles Type of spectacles, usually large with shields and perhaps padding, used as eye protectors from flying particles, dust, wind, chemical fumes or other external hazards. A protective eyewear worn by dental personnel and patients during dental procedures. protect eyes Should fit snuggly over and around eyes Personal glasses not a substitute for gogglesFace Shield: Face Shield A face shield is a device used to protect wearer's entire face from impact hazard such as flying objects and chemical splashes, or potentially infectious fluid. Should cover forehead, extend below chin and wrap around side of faceFace Mask: Face Mask Purpose – protect from inhalation of infectious aerosols (e.g., Mycobacterium tuberculosis ) protect nose and mouth Should fully cover nose and mouth and prevent fluid penetrationApron: Apron Material – Reusable or disposable Resistance to fluid penetration Clean or sterileGloves: Gloves Glove material – vinyl, latex, nitrile Sterile or non-sterile One or two pair Single use or reusable PPE Use in Healthcare SettingsDo’s and Don’ts of Glove Use: Do’s and Don’ts of Glove Use Work from “clean to dirty” Limit opportunities for “touch contamination” - protect yourself, others, and the environment Don’t touch your face or adjust PPE with contaminated gloves Don’t touch environmental surfaces except as necessary during patient care PPE Use in Healthcare SettingsDo’s and Don’ts of Glove Use: Do’s and Don’ts of Glove Use Change gloves During use if torn and when heavily soiled (even during use on the same patient) After use on each patient Discard in appropriate receptacle Never wash or reuse disposable gloves PPE Use in Healthcare SettingsShoe Cover: Shoe Cover A piece of cloth covering the whole part of the foot. Disposable One time use onlyPPE Use in Healthcare Settings: How to Safely Don, Use, and Remove PPE: PPE Use in Healthcare Settings: How to Safely Don, Use, and Remove PPEKey Points About PPE: Key Points About PPE Don before contact with the patient, generally before entering the room Use carefully – don’t spread contamination Remove and discard carefully, either at the doorway or immediately outside patient room; remove respirator outside room Immediately perform hand hygiene PPE Use in Healthcare SettingsSequence for Donning PPE: Sequence for Donning PPE Gown Goggles Mask Face shield Apron Shoe cover Gloves PPE Use in Healthcare SettingsHow to Don a Gown: How to Don a Gown Select appropriate type and size Opening is in the back Secure at neck and waist Gown #1 ties in front Gown #2 ties in back PPE Use in Healthcare SettingsHow to Don a Mask: How to Don a Mask Place over nose, mouth and chin Fit flexible nose piece over nose bridge Secure on head with ties or elastic Adjust to fit PPE Use in Healthcare SettingsHow to Don a Particulate Respirator: How to Don a Particulate Respirator Select a fit tested respirator Place over nose, mouth and chin Fit flexible nose piece over nose bridge Secure on head with elastic Adjust to fit Perform a fit check – Inhale – respirator should collapse Exhale – check for leakage around face PPE Use in Healthcare SettingsHow to Don Eye and Face Protection: How to Don Eye and Face Protection Position goggles over eyes and secure to the head using the ear pieces or headband Position face shield over face and secure on brow with headband Adjust to fit comfortably PPE Use in Healthcare SettingsHow to Don Gloves: How to Don Gloves Don gloves last Select correct type and size Insert hands into gloves Extend gloves over isolation gown cuffs PPE Use in Healthcare SettingsHow to Safely Use PPE: How to Safely Use PPE Keep gloved hands away from face Avoid touching or adjusting other PPE Remove gloves if they become torn; perform hand hygiene before donning new gloves Limit surfaces and items touched PPE Use in Healthcare SettingsPPE Use in Healthcare Settings: How to Safely Remove PPE: PPE Use in Healthcare Settings: How to Safely Remove PPE“Contaminated” and “Clean” Areas of PPE: “Contaminated” and “Clean” Areas of PPE Contaminated – outside front Areas of PPE that have or are likely to have been in contact with body sites, materials, or environmental surfaces where the infectious organism may reside Clean – inside, outside back, ties on head and back Areas of PPE that are not likely to have been in contact with the infectious organism PPE Use in Healthcare SettingsSequence for Removing PPE: Sequence for Removing PPE Gown Goggles Mask Face shield Apron Shoe cover Gloves PPE Use in Healthcare SettingsWhere to Remove PPE: Where to Remove PPE At doorway, before leaving patient room or in anteroom Remove respirator outside room, after door has been closed * Ensure that hand hygiene facilities are available at the point needed, e.g., sink or alcohol-based hand rub PPE Use in Healthcare SettingsHow to Remove Gloves (1): How to Remove Gloves (1) Grasp outside edge near wrist Peel away from hand, turning glove inside-out Hold in opposite gloved hand PPE Use in Healthcare SettingsHow to Remove Gloves (2): How to Remove Gloves (2) Slide ungloved finger under the wrist of the remaining glove Peel off from inside, creating a bag for both gloves Discard PPE Use in Healthcare SettingsRemove Goggles or Face Shield: Remove Goggles or Face Shield Grasp ear or head pieces with ungloved hands Lift away from face Place in designated receptacle for reprocessing or disposal PPE Use in Healthcare SettingsRemoving Isolation Gown: Removing Isolation Gown Unfasten ties Peel gown away from neck and shoulder Turn contaminated outside toward the inside Fold or roll into a bundle Discard PPE Use in Healthcare SettingsRemoving a Mask: Removing a Mask Untie the bottom, then top, tie Remove from face Discard PPE Use in Healthcare SettingsRemoving a Particulate Respirator: Removing a Particulate Respirator Lift the bottom elastic over your head first Then lift off the top elastic Discard PPE Use in Healthcare SettingsHand Hygiene: Hand Hygiene Perform hand hygiene immediately after removing PPE. If hands become visibly contaminated during PPE removal, wash hands before continuing to remove PPE Wash hands with soap and water or use an alcohol-based hand rub PPE Use in Healthcare Settings * Ensure that hand hygiene facilities are available at the point needed, e.g., sink or alcohol-based hand rubWhat Type of PPE Would You Wear?: What Type of PPE Would You Wear? Giving a bed bath? Suctioning oral secretions? Transporting a patient in a wheel chair? Responding to an emergency where blood is spurting? Drawing blood from a vein? Cleaning an incontinent patient with diarrhea? Irrigating a wound? Taking vital signs? PPE Use in Healthcare SettingsWhat Type of PPE Would You Wear?: What Type of PPE Would You Wear? Giving a bed bath? Generally none Suctioning oral secretions? Gloves and mask/goggles or a face shield – sometimes gown Transporting a patient in a wheel chair? Generally none required Responding to an emergency where blood is spurting? Gloves, fluid-resistant gown, mask/goggles or a face shield Drawing blood from a vein? Gloves Cleaning an incontinent patient with diarrhea? Gloves w/wo gown Irrigating a wound? Gloves, gown, mask/goggles or a face shield Taking vital signs? Generally none PPE Use in Healthcare SettingsPPE Use in Healthcare Settings: Final Thoughts: PPE Use in Healthcare Settings: Final Thoughts PPE is available to protect you from exposure to infectious agents in the healthcare workplace Know what type of PPE is necessary for the duties you perform and use it correctlySlide 49: THE END,…… THANK YOU VERY MUCH!!!! You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
PPEslides6-29-04 Rosauroibabaojr Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 31 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: April 03, 2011 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings: Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings By Rosauro Ibabao Jr. BSN, RN, ICN Muhaly National Hospital Abha, Aseer Region, K.S.A.PPE Use in Healthcare Settings: Program Goal: PPE Use in Healthcare Settings: Program Goal Improve personnel safety in the healthcare environment through appropriate use of PPE. PPE Use in Healthcare SettingsPPE Use in Healthcare Settings: Program Objectives: PPE Use in Healthcare Settings: Program Objectives Provide information on the selection and use of PPE in healthcare settings Practice how to safely don and remove PPE PPE Use in Healthcare SettingsPersonal Protective Equipment Definition: Personal Protective Equipment Definition “specialized clothing or equipment worn by an employee for protection against infectious materials” (OSHA) PPE Use in Healthcare SettingsRegulations and Recommendations for PPE: Regulations and Recommendations for PPE OSHA issues workplace health and safety regulations. Regarding PPE, employers must: Provide appropriate PPE for employees Ensure that PPE is disposed or reusable PPE is cleaned, laundered, repaired and stored after use OSHA also specifies circumstances for which PPE is indicated CDC recommends when, what and how to use PPE PPE Use in Healthcare SettingsHierarchy of Safety and Health Controls: Hierarchy of Safety and Health Controls Training and administrative controls Engineering controls Work practice controls Personal protective equipment PPE Use in Healthcare SettingsTypes of PPE Used in Healthcare Settings: Types of PPE Used in Healthcare Settings Gloves – protect hands Gowns/aprons – protect skin and/or clothing Masks and respirators– protect mouth/nose Respirators – protect respiratory tract from airborne infectious agents Goggles – protect eyes Face shields – protect face, mouth, nose, and eyes PPE Use in Healthcare SettingsFactors Influencing PPE Selection: Factors Influencing PPE Selection Type of exposure anticipated Splash/spray versus touch Category of isolation precautions Durability and appropriateness for the task Fit PPE Use in Healthcare SettingsTypes of PPE’s: Types of PPE’s Head cover/cap Goggles Face mask Face shield Apron Gloves Shoe coverHead Cover: Head Cover Reusable or disposable Clean or sterileGoggles: Goggles Type of spectacles, usually large with shields and perhaps padding, used as eye protectors from flying particles, dust, wind, chemical fumes or other external hazards. A protective eyewear worn by dental personnel and patients during dental procedures. protect eyes Should fit snuggly over and around eyes Personal glasses not a substitute for gogglesFace Shield: Face Shield A face shield is a device used to protect wearer's entire face from impact hazard such as flying objects and chemical splashes, or potentially infectious fluid. Should cover forehead, extend below chin and wrap around side of faceFace Mask: Face Mask Purpose – protect from inhalation of infectious aerosols (e.g., Mycobacterium tuberculosis ) protect nose and mouth Should fully cover nose and mouth and prevent fluid penetrationApron: Apron Material – Reusable or disposable Resistance to fluid penetration Clean or sterileGloves: Gloves Glove material – vinyl, latex, nitrile Sterile or non-sterile One or two pair Single use or reusable PPE Use in Healthcare SettingsDo’s and Don’ts of Glove Use: Do’s and Don’ts of Glove Use Work from “clean to dirty” Limit opportunities for “touch contamination” - protect yourself, others, and the environment Don’t touch your face or adjust PPE with contaminated gloves Don’t touch environmental surfaces except as necessary during patient care PPE Use in Healthcare SettingsDo’s and Don’ts of Glove Use: Do’s and Don’ts of Glove Use Change gloves During use if torn and when heavily soiled (even during use on the same patient) After use on each patient Discard in appropriate receptacle Never wash or reuse disposable gloves PPE Use in Healthcare SettingsShoe Cover: Shoe Cover A piece of cloth covering the whole part of the foot. Disposable One time use onlyPPE Use in Healthcare Settings: How to Safely Don, Use, and Remove PPE: PPE Use in Healthcare Settings: How to Safely Don, Use, and Remove PPEKey Points About PPE: Key Points About PPE Don before contact with the patient, generally before entering the room Use carefully – don’t spread contamination Remove and discard carefully, either at the doorway or immediately outside patient room; remove respirator outside room Immediately perform hand hygiene PPE Use in Healthcare SettingsSequence for Donning PPE: Sequence for Donning PPE Gown Goggles Mask Face shield Apron Shoe cover Gloves PPE Use in Healthcare SettingsHow to Don a Gown: How to Don a Gown Select appropriate type and size Opening is in the back Secure at neck and waist Gown #1 ties in front Gown #2 ties in back PPE Use in Healthcare SettingsHow to Don a Mask: How to Don a Mask Place over nose, mouth and chin Fit flexible nose piece over nose bridge Secure on head with ties or elastic Adjust to fit PPE Use in Healthcare SettingsHow to Don a Particulate Respirator: How to Don a Particulate Respirator Select a fit tested respirator Place over nose, mouth and chin Fit flexible nose piece over nose bridge Secure on head with elastic Adjust to fit Perform a fit check – Inhale – respirator should collapse Exhale – check for leakage around face PPE Use in Healthcare SettingsHow to Don Eye and Face Protection: How to Don Eye and Face Protection Position goggles over eyes and secure to the head using the ear pieces or headband Position face shield over face and secure on brow with headband Adjust to fit comfortably PPE Use in Healthcare SettingsHow to Don Gloves: How to Don Gloves Don gloves last Select correct type and size Insert hands into gloves Extend gloves over isolation gown cuffs PPE Use in Healthcare SettingsHow to Safely Use PPE: How to Safely Use PPE Keep gloved hands away from face Avoid touching or adjusting other PPE Remove gloves if they become torn; perform hand hygiene before donning new gloves Limit surfaces and items touched PPE Use in Healthcare SettingsPPE Use in Healthcare Settings: How to Safely Remove PPE: PPE Use in Healthcare Settings: How to Safely Remove PPE“Contaminated” and “Clean” Areas of PPE: “Contaminated” and “Clean” Areas of PPE Contaminated – outside front Areas of PPE that have or are likely to have been in contact with body sites, materials, or environmental surfaces where the infectious organism may reside Clean – inside, outside back, ties on head and back Areas of PPE that are not likely to have been in contact with the infectious organism PPE Use in Healthcare SettingsSequence for Removing PPE: Sequence for Removing PPE Gown Goggles Mask Face shield Apron Shoe cover Gloves PPE Use in Healthcare SettingsWhere to Remove PPE: Where to Remove PPE At doorway, before leaving patient room or in anteroom Remove respirator outside room, after door has been closed * Ensure that hand hygiene facilities are available at the point needed, e.g., sink or alcohol-based hand rub PPE Use in Healthcare SettingsHow to Remove Gloves (1): How to Remove Gloves (1) Grasp outside edge near wrist Peel away from hand, turning glove inside-out Hold in opposite gloved hand PPE Use in Healthcare SettingsHow to Remove Gloves (2): How to Remove Gloves (2) Slide ungloved finger under the wrist of the remaining glove Peel off from inside, creating a bag for both gloves Discard PPE Use in Healthcare SettingsRemove Goggles or Face Shield: Remove Goggles or Face Shield Grasp ear or head pieces with ungloved hands Lift away from face Place in designated receptacle for reprocessing or disposal PPE Use in Healthcare SettingsRemoving Isolation Gown: Removing Isolation Gown Unfasten ties Peel gown away from neck and shoulder Turn contaminated outside toward the inside Fold or roll into a bundle Discard PPE Use in Healthcare SettingsRemoving a Mask: Removing a Mask Untie the bottom, then top, tie Remove from face Discard PPE Use in Healthcare SettingsRemoving a Particulate Respirator: Removing a Particulate Respirator Lift the bottom elastic over your head first Then lift off the top elastic Discard PPE Use in Healthcare SettingsHand Hygiene: Hand Hygiene Perform hand hygiene immediately after removing PPE. If hands become visibly contaminated during PPE removal, wash hands before continuing to remove PPE Wash hands with soap and water or use an alcohol-based hand rub PPE Use in Healthcare Settings * Ensure that hand hygiene facilities are available at the point needed, e.g., sink or alcohol-based hand rubWhat Type of PPE Would You Wear?: What Type of PPE Would You Wear? Giving a bed bath? Suctioning oral secretions? Transporting a patient in a wheel chair? Responding to an emergency where blood is spurting? Drawing blood from a vein? Cleaning an incontinent patient with diarrhea? Irrigating a wound? Taking vital signs? PPE Use in Healthcare SettingsWhat Type of PPE Would You Wear?: What Type of PPE Would You Wear? Giving a bed bath? Generally none Suctioning oral secretions? Gloves and mask/goggles or a face shield – sometimes gown Transporting a patient in a wheel chair? Generally none required Responding to an emergency where blood is spurting? Gloves, fluid-resistant gown, mask/goggles or a face shield Drawing blood from a vein? Gloves Cleaning an incontinent patient with diarrhea? Gloves w/wo gown Irrigating a wound? Gloves, gown, mask/goggles or a face shield Taking vital signs? Generally none PPE Use in Healthcare SettingsPPE Use in Healthcare Settings: Final Thoughts: PPE Use in Healthcare Settings: Final Thoughts PPE is available to protect you from exposure to infectious agents in the healthcare workplace Know what type of PPE is necessary for the duties you perform and use it correctlySlide 49: THE END,…… THANK YOU VERY MUCH!!!!