PPE
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Step 1 | Check medical record and nursing plan of care for type of precautions and review precautions in infection control manual.
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Step 2 | Plan nursing activities before entering patient’s room.
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Step 3 | Perform hand hygiene.
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Step 4 | Provide instruction about precautions to patient, family
members, and visitors.
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Step 5 | Put on gown, mask, protective eyewear, and gloves based on
the type of exposure anticipated and category of isolation
precautions
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Step 5a | Put on the gown, with the opening in the back. Tie gown
securely at neck and waist (Figure 1)
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Step 5b | Put on the mask or respirator over your nose, mouth, and
chin. Secure ties or elastic bands at the middle of the head and neck. If respirator is used, perform a fit check. Inhale; the respirator should collapse. Exhale; air should not leak out
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Step 5c | Put on goggles (Figure 3). Place over eyes and adjust to fit.
Alternately, a face shield could be used to take the place of
the mask and goggles (Figure 4).
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Step 5d | Put on clean disposable gloves. Extend gloves to cover the
cuffs of the gown (Figure 5).
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Step 6 | Identify the patient. Explain the procedure to the
patient. Continue with patient care as appropriate
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Step 7 | Remove PPE: Except for respirator, remove PPE at the doorway
or in an anteroom. Remove respirator after leaving the
patient’s room and closing the door
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Step 7a | If impervious gown has been tied in front of the body at the
waistline, untie waist strings before removing gloves.
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Step 7b | Grasp the outside of one glove with the opposite gloved hand
and peel off, turning the glove inside out as you pull it off (Figure
6). Hold the removed glove in the remaining gloved hand
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Step 7c | Slide fingers of ungloved hand under the remaining glove at
the wrist, taking care not to touch the outer surface of the
glove (Figure 7).
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Step 7d | Peel off the glove over the first glove, containing the one glove
inside the other (Figure 8). Discard in appropriate container.
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Step 7e | To remove the goggles or face shield: Handle by the headband
or earpieces (Figure 9). Lift away from the face. Place
in designated receptacle for reprocessing or in an appropriate
waste container
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Step 7f | To remove gown: Unfasten ties, if at the neck and back.
Allow the gown to fall away from shoulders. Touching only
the inside of the gown, pull away from the torso. Keeping
hands on the inner surface of the gown, pull gown from arms
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Step 7g | To remove mask or respirator: Grasp the neck ties or elastic,
then top ties or elastic and remove. Take care to avoid
touching front of mask or respirator. Discard in waste
container. If using a respirator, save for future use in the
designated area.
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Step 8 | Perform hand hygiene immediately after
removing all PPE.
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