PPE Training Video: Donning and Doffing PPE Nursing Skill

Summary

In this educational video, Sarah Thread Sterner demonstrates the correct procedure for donning and doffing personal protective equipment (PPE). She emphasizes selecting the right PPE based on potential infectious agents and hospital protocols. The video shows a sequence starting with gowning, followed by mask or respirator, goggles or face shield, and gloves. It also covers the removal process, ensuring no contamination is transferred, highlighting the importance of hand hygiene throughout.

Takeaways

• 😷 **Select Appropriate PPE**: Choose PPE based on the infectious agent and follow hospital protocols.
• 👕 **Gown First**: Start by putting on the gown, ensuring it fits well and covers the arms and body.
• 😷 **Mask or Respirator**: Next, wear a mask or respirator, ensuring a proper fit and seal.
• 🥽 **Eye Protection**: Follow with goggles or a face shield to protect the eyes.
• 🧤 **Gloves Last**: Put on gloves last, pulling them over the gown's cuffs for extra protection.
• 🧼 **Hand Hygiene**: Perform hand hygiene before and after donning each piece of PPE.
• 🤲 **Glove Removal**: Remove gloves by turning them inside out to avoid contamination.
• 👕 **Gown Removal**: Untie the gown from the inside and peel it off, turning it inside out as you discard it.
• 🥽 **Face Shield/Goggles Removal**: Remove eye protection by the straps or bands, avoiding contact with the front.
• 😷 **Mask/Respirator Removal**: Lastly, remove the mask or respirator from the back, ensuring not to touch the front.
• 🧼 **Final Hand Hygiene**: Always perform hand hygiene after removing all PPE.

Q & A

What is the purpose of the video presented by Sarah Thread Sterner?

The purpose of the video is to demonstrate how to properly don (put on) and doff (take off) personal protective equipment (PPE).

What should you do before donning PPE according to the video?

Before donning PPE, you should select the appropriate PPE based on the potential infectious agent and ensure you are following your hospital's protocols.

What is the first item of PPE that Sarah demonstrates putting on in the video?

The first item of PPE that Sarah demonstrates putting on is the gown.

How should you secure the gown after putting it on?

You should secure the gown by tying the ties in the back and if present, placing a loop over your head.

What is the correct way to put on a face mask as demonstrated in the video?

To put on a face mask, you should place each loop over your ears, grasp the nose piece, and mold it to the bridge of your nose. Then, pull the bottom of the mask under your chin.

How do you ensure a proper seal with an N95 respirator?

To ensure a proper seal with an N95 respirator, you should place it over your nose, mouth, and under your chin, adjust the straps so they rest on your head without overlapping or twisting, and bend the metal nose piece around your nose. Then perform a seal test by inhaling sharply and feeling for air leaks.

What should you do if the respirator leaks after adjusting the straps and nose piece?

If the respirator still leaks after adjustments, you may need a different size or type of respirator. Do not use the respirator if a proper seal has not been obtained.

In what order should you remove PPE according to the video?

You should remove PPE in the following order: gloves, gown, face shield or goggles, and lastly the mask or respirator.

How do you remove gloves without contaminating yourself?

To remove gloves, use your non-dominant gloved hand to grab the other glove around the cuff, peel it off inside out, and then use your ungloved hand to peel the remaining glove off inside out over the first.

What is the correct way to remove a face shield or goggles as shown in the video?

To remove a face shield or goggles, avoid touching the outside which is contaminated. For goggles, grasp and lift the back band over your head and dispose or clean them according to facility protocol.

Where should the respirator be removed in relation to the patient care area?

The respirator should be removed outside the patient care area to avoid contaminating the area.

Outlines

00:00

😷 How to Put on PPE

Sarah Thread Sterner introduces a video tutorial on how to properly don (put on) personal protective equipment (PPE). She emphasizes the importance of selecting the right PPE based on the infectious agent and following hospital protocols. The video demonstrates a sequence for donning PPE which includes: performing hand hygiene first, then putting on a gown, followed by a mask or respirator, goggles or a face shield, and finally gloves. Detailed instructions are provided for each step, including how to secure the gown, adjust the mask or respirator for a proper fit, and perform a seal test to ensure protection. The video also covers the proper way to don goggles or a face shield and gloves, ensuring that all parts of the PPE are correctly placed to provide maximum safety.

05:02

🚮 How to Remove PPE

The second part of the video script focuses on the correct procedure for doffing (removing) PPE. Sarah explains the sequence for removing PPE, which is the reverse of donning: starting with gloves, followed by the gown, then goggles or a face shield, and finally the mask or respirator. She advises not to touch the contaminated parts of the PPE and to handle the removal carefully to avoid contamination. The process involves turning the gloves inside out, untying the gown from the inside, and rolling it off the body. For goggles, the band is lifted over the head, and for a mask or respirator, the straps are lifted over the head from the back. The video concludes with a reminder to perform hand hygiene after each step of removal and to follow facility protocols for disposal or cleaning of PPE. Sarah invites viewers to explore more videos in the nursing skills series.

Keywords

💡Personal Protective Equipment (PPE)

PPE refers to the protective clothing, helmets, goggles, gloves, and other equipment used by workers to protect themselves from injury or infection. In the context of the video, PPE is crucial for healthcare workers when dealing with patients who may have infectious diseases. The video demonstrates how to properly don (put on) and doff (remove) PPE, ensuring safety and preventing the spread of infections.

💡Donning

Donning is the process of putting on personal protective equipment. The video script provides a detailed sequence for donning PPE, starting with the gown, followed by the mask or respirator, then goggles or face shield, and finally gloves. This step is essential to ensure that healthcare workers are protected before entering the patient care area.

💡Doffing

Doffing is the process of safely removing personal protective equipment to prevent self-contamination. The script outlines a sequence for doffing, which includes removing gloves first, then the gown, followed by goggles or face shield, and finally the mask or respirator. This process is critical to avoid spreading pathogens outside the patient care area.

💡Gown

A gown is a type of PPE designed to protect the wearer's clothing and skin from contamination. The script mentions putting on the gown first, sliding it up the arms, and securing it with ties in the back. The gown acts as a barrier to prevent the spread of infectious agents.

💡Respirator

A respirator is a type of mask that covers the nose and mouth and is designed to filter out particulates and certain types of contaminants from the air. The video script explains how to properly place an N95 respirator over the nose and mouth, ensuring a tight seal by adjusting the straps and performing a seal test.

💡Seal Test

A seal test is a procedure to check the fit of a respirator to ensure it is providing adequate protection. The script describes a seal test where the user吸气 sharply and feels for air leaks around the nose piece and the respirator's perimeter, adjusting as necessary to achieve a proper seal.

💡Face Shield

A face shield is a protective covering that shields the face from splashes, sprays, and other contaminants. The script mentions donning a face shield after the mask to provide additional protection to the eyes, nose, and mouth area.

💡Gloves

Gloves are an essential part of PPE that protect the hands from contact with infectious materials. The video script describes how to don gloves by pulling them over the hands and extending the cuff over the gown's sleeves, ensuring no skin is exposed.

💡Hand Hygiene

Hand hygiene refers to the practice of cleaning one's hands to remove dirt, soil, and microorganisms. The script emphasizes performing hand hygiene before donning PPE and after removing gloves, which is critical in preventing the spread of infections.

💡Contamination

Contamination in the context of the video refers to the presence of harmful substances or infectious agents on surfaces or objects. The script advises avoiding touching the outside of gloves, gown, and face shield during doffing as these are considered contaminated.

💡Protocols

Protocols are a set of established procedures to be followed in a particular situation. The video script mentions following hospital protocols for the sequence of donning and doffing PPE, highlighting the importance of standardized procedures in healthcare settings to ensure safety.

Highlights

Demonstrates how to don and doff personal protective equipment (PPE).

Emphasizes selecting the appropriate PPE based on the potential infectious agent.

Stresses the importance of following hospital protocols for PPE sequence.

Shows a sequence for donning PPE: gown, mask or respirator, goggles or face shield, gloves.

Advises performing hand hygiene before putting on the gown.

Details how to properly secure the gown with ties in the back.

Instructs on how to correctly position a face mask or respirator.

Provides a method for molding the nose piece of the mask.

Explains the correct way to perform a seal test for an N95 respirator.

Highlights the need to check for air leaks and adjust the respirator accordingly.

Warns against using a respirator if a proper seal cannot be obtained.

Demonstrates how to put on goggles or a face shield securely.

Instructs on how to don gloves over the gown sleeves.

Outlines a sequence for removing PPE: gloves, gown, face shield or goggles, mask or respirator.

Warns against touching the outside of gloves as they are contaminated.

Details the correct method for removing the gown without contaminating oneself.

Advises on the proper disposal of PPE after removal.

Instructs on how to remove goggles or a face shield without touching the contaminated side.

Provides guidance on safely removing a mask or respirator.

Stresses the importance of performing hand hygiene after removing each piece of PPE.

Encourages viewers to check out other videos in the nursing skills series.

Transcripts

hey everyone it's sarah thread sterner

sorry and calm and in this video i want

to demonstrate how to dawn and doff

personal protective equipment also known

as PPE before donning PPE you want to

make sure you select the appropriate

personal protective equipment and this

is based on the potential infectious

agent that your patient has plus you

want to pick the right size of PPE you

want to make sure that you are following

the sequence set by your hospital's

protocols in this video I'm going to

demonstrate just one of the possible

sequences you can use to put on PPE so

one of the sequences you can use the pin

on PPE would be first to put on the gown

followed by the mask or respirator

depending on what you're going to use

then the goggles or face shield and then

lastly the gloves and you will Don this

PPE before you enter the patient care

area first perform hand hygiene then put

the gown on by sliding it up the arms

and insert the thumbs into the thumb

inserts of the gown if present this

particular gown has a loop that can be

placed over your head then secure the

gown by tying the ties in the back next

Don a face mask or respirator if using a

face mask with ear loops place each loop

over the ears then grasp the nose piece

of the mask and bring it to cover the

bridge of the nose

then mold the nose piece of the face

mask with the fingertips of both hands

by starting at the bridge of the nose

and work outward toward the cheekbone

then grasp the nose piece of the face

mask and pull the bottom of the mask

under the chin if using an n95

respirator hold the respirator in one

hand with the front of the respirator

touching the inside of your hand the

metal nose piece should rest near the

fingertips

be sure the top and bottom straps of the

respirator are hanging down below your

hand and are not tangled or twisted take

the respirator and place it over your

nose mouth and under the chin hold the

respirator in place with one hand use

your free hand to place the straps on

your head it's very important the straps

rest on your head and are not

overlapping or

first take the top strap of the

respirator and place it just past the

top of your head above the ears then

take the bottom strap of the respirator

and place it around the bottom of the

head

just below the ears and then make sure

the straps are not overlapping or

twisted to ensure a proper seal of the

respirator around the nose area use the

fingertips of both hands to bend the

metal nose piece around the nose

starting in the center and working your

way outward on each side now perform a

seal test place both hands over the

respirator take a sharp breath in and

make sure that the respirator is sealing

over the face during this inhalation

keep both hands on the respirator and

breathe out while breathing out feel for

any air leaking around the nose piece

and around the respirators perimeter if

air is leaking around the nose piece try

rebuilding the nose piece with both

hands and recheck the seal if air is

leaking around the respirators perimeter

try adjusting the straps and recheck

again making sure the respirator is not

being affected by any piercings facial

hair or glasses which could prevent a

proper seal if the respirator still

leaks after this you may need a

different size or type of respirator do

not use the respirator if a proper seal

has not been obtained next dawn a face

shield or goggles

if using goggles apply goggles over the

eyes make sure any straps or bands of

the goggles are secured around the head

and the goggles fit snugly but

comfortably then perform hand hygiene

again lastly dawn gloves by pulling each

glove over the hand and extending the

cuff of the gloves over the sleeves of

the gown now I want to show you when the

possible sequences you can use to Dolf

PPE one of the sequences you can use to

remove PPE would be first removing the

gloves followed by the gown then the

face shield or goggles then lastly the

mask or respirator when removing the PPE

you will be doing this inside the

patient care area however if you wore a

respirator the respirator will be

removed

once you leave the patient care area

first remove the gloves do not touch the

outside of the gloves because they are

considered contaminated to remove the

gloves start by taking your non-dominant

gloved hand to grab the other glove

around the cuff in the wrist area do

this by using a pinching motion to grab

it peel this glove off by turning it

inside out

and what it into a ball with your gloved

hand keep it securely in your gloved

hand then take the index finger of the

unloved hand and slide it carefully

under the cuff of the gloved hand and

peel the glove off the hand by pushing

the index finger forward against the

glove this will turn the glove inside

out dispose of the gloves next remove

the gown the front of the gown and

sleeves are considered contaminated

whereas the ties on the inside of the

gown are considered clean therefore

avoid touching the front of the gown and

sleeves carefully untie or break the

ties of the gown peel off the gown by

removing the thumbs from the inserts if

present and then move the shoulders and

arms up through the gown which helps

allow the gown to slide off the body

then from the inside with the assistance

of the arms roll the gown away from the

body by turning it inside out form it

into a ball and discard then perform

hand hygiene next remove the face shield

or goggles do not touch the outside of

the goggles or face shield because they

are considered contaminated

if goggles are used remove the goggles

by carefully grasping and lifting the

back band of the goggles over the head

dispose or clean the goggles /

facilities protocol then remove the mask

or respirator if a mask is worn the

front of the mask is considered

contaminated

therefore grasp the ear loops of the

mask with the fingertips and remove the

mask from the face discarded the mask /

facilities protocol and perform hand

hygiene if a respirator is worn the

doffing procedure is performed outside

the patient care area the front of the

respirator is considered contaminated

therefore removed by the straps grasp

the bottom strap of the mask and lift it

over the head then grasp

the top strap of the mask and lift it

over the head dispose or reuse the mask

/ facilities protocol then perform hand

hygiene okay so that wraps up this video

on how to don and doff PPE and don't

forget to check out the other videos in

this nursing skills series