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There are four key points to remember about PPE use. First, don it before you have any contact with the patient, generally before entering the room. Once you have PPE on, use it carefully to prevent spreading contamination. When you have completed your tasks, remove the PPE carefully and discard it in the receptacles provided. Then immediately perform hand hygiene before going on to the next patient.
The sequence for removing PPE is intended to limit opportunities for self-contamination. The gloves are considered the most contaminated pieces of PPE and are therefore removed first. The face shield or goggles are next because they are more cumbersome and would interfere with removal of other PPE. The gown is third in the sequence, followed by the mask or respirator.
Infection control measures
• MEASURES PRACTICED BY HEALTH
CARE PERSONNEL TO PREVENT
SPREAD ,TRANSMISSION AND
ACQUISITION OF INFECTION BETWEEN
CLIENTS,FROM HEALTH CARE
PROVIDERS TO CLIENTS AND FROM
CLIENTS TO HEALTH CARE
• INFECTION COTROL MEASURES ARE
BASED ON HOW AN INFECTIOUS
AGENT IS TRANSMITTED .
Specific precautions designed to
prevent harmful bacteria and viruses
from infecting people who are
providing first aid or health care.
• As defined by CDC:
• Standard Precautions are a set of
practices designed to prevent the
transmission of HIV, Hepatitis B and
other blood borne pathogens (bacteria
• Under SP, blood and other body fluids
of all patients are considered
Body Fluids Include:
• Blood • Drainage from
• Vomit cuts, scrapes,
• Saliva wounds or sores
• Secretions from
• Stool (feces)
• Urine membranes
• Drainage from • Sputum (mucus
nose from lungs)
• Vaginal secretions
Standard Precaution Steps
• Personal Protective Equipment
• Hand Washing
• Waste Disposal
• “specialized clothing or equipment
worn by an employee for protection
against infectious materials”
• Face shields
Always wear gloves when …
• Direct contact with body fluids is
anticipated (nosebleeds, bleeding
• Handling clothes soiled by urine, feces,
vomit or blood
• Diapering children
• One time use.
• If gloves not immediately available, use
barrier such as paper towels.
• When removing, peel off hands and roll
glove outside in.
• Discard gloves in lined trash container.
• Wash hands after removing gloves.
Key Points About PPE
• Done before contact with the patient,
generally before entering the room
• Use carefully – don’t spread
• Remove and discard carefully, either at
the doorway or immediately outside
patient room; remove respirator outside
• Immediately perform hand hygiene
PPE Use in Healthcare Settings
Factors Influencing PPE
• Type of exposure anticipated
– Splash/spray versus touch
– Category of isolation precautions
Sequence for Removing PPE
• Face shield or goggles
• Mask or respirator
PPE Use in Healthcare Settings
• Area must be cleaned with approved quaternary
Clorox wipes and Lysol type products will kill many
infectious organisms but will not kill blood borne
• Contact custodian for clean-up of blood or body
• Discard gloves and any contaminated materials in
a lined trash container.
• Wash Hands.
The MOST IMPORTANT STEP
Use liquid soap and warm water.
Wash vigorously for 10 – 15 seconds.
Rinse under warm running water.
• Proper handling and
disposal of needles.
• Taking precautions to
prevent injury from
scalpels, needles, and other
• Bag and tie
• Place in second bag and tie again
(double bag technique)
• Place all sharps (used needles) in
• Wash hands after removing
Flow Chart - Disposal of Wastes at
the Health Facility
Disposal of Injection Related Wastes
Needles / broken Needle Cap /
Wrapper ampoules / cutter Syringes (after
(sharps) hub cut), gloves,
White Translucent Yellow Bag
Green Bag Blue Bag
Municipal Disinfectant / Disinfectant / Incineration/
wastes Autoclaving & Autoclaving, Burial
Shredding & Sharp Shredding &
• Respiratory hygiene/cough hygiene
• Environmental cleaning
• Handling of patient care equipment
• Injection safety