1. Personal protective equipment (PPE) like gloves, gowns, masks, and eye protection form barriers to protect healthcare workers from exposure to blood, body fluids, secretions, and excretions. 2. Gloves should be worn for any contact with blood/body fluids and when touching mucous membranes or non-intact skin. Gowns protect clothing and exposed skin during procedures when contact with fluids is anticipated. 3. Masks, goggles, and face shields protect the eyes, nose, and mouth from splashes and sprays during patient care activities.

1. USE OF PERSONAL
PROTECTIVE EQUIPMENT
MS. MILAN SAWANT

2. USE OF PPE
• A variety of barriers to protect HCW’s mucous membranes,
airways, skin, and clothing (whenever blood/body fluids
splashes are expected)

3. • Gloves – Use when touching blood, body fluids, secretions,
excretions, contaminated items; for touching mucus membranes
and non intact skin.
• Gowns – Use during procedures and patient care activities when
contact of clothing/ exposed skin with blood/body fluids,
secretions, or excretions is anticipated.
• Mask, goggles or face shield – Use during patient care activities
likely to generate splashes or sprays of blood, body fluids,
secretions, or excretions

4. GOWN
• Select appropriate type and size (Covers arms,
body front, neck to mid- thigh) Opening is in
the back
• Secure at neck and waist
• If gown is too small, use two gowns Gown #1
ties in front . Gown #2 ties in back

5. REMOVING GOWN
• Unfasten ties.
• Peel gown away from neck and shoulder.
• Turn contaminated outside toward the inside.
• Fold or roll into a bundle. & Discard.

6. MASK
• SURGICAL MASK
to protect patients from HCWs respiratory
secretions.
placed on coughing patients.
procedures that generates splashes and sprays.

7. How to Don a Mask
• Surgical Mask
• Place over nose, mouth and chin
• Fit flexible nose piece over nose bridge
• Secure on head with ties or elastic.

8. N95 Respirator
• Fit flexible nose piece over nose bridge
• • Secure on head with elastic band.
• • Perform the seal check –
• • Inhale – respirator should collapse
• • Exhale – check for leakage around face.

9. FOR AIRBORNE PRECAUTION
• Well sealed check
• Done every time you are wearing
N95 respirator

10. FIT TEST
• Performed annually
• Each staff should be aware about
his fitted Type and size

11. REMOVING OF N95
• Lift the bottom elastic over your head first
• Then lift off the top elastic
• Discard
• you should remove the N95 respirator Just
outside the patient room

12. EYE GOGGLES & FACE SHIELD
• 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.

13. GLOVESUSED IN
• Direct contact with blood, body fluids, non intact skin,
mucous membrane and potentially infectious materials
• Dealing with patients under contact isolation
• Put on last PPE and first to be removed

15. GLOVE PYRAMID
The Glove Pyramid-to aid decision making on when to wear (and
not wear) gloves
Gloves must be worn according to STANDARD and CONTACT
PRECAUTIONS
Hand hygiene should be performed when appropriate regardless
of indication for glove use

16. • STERILE GLOVES INDICATED (any surgical procedure,
vaginal deliveries, invasive radiological procedures, performing
vascular access & procedures (central lines) (preparing TPN,
chemo agents)

17. • CLEAN / EXAMINATION GLOVES INDICATED IN CLINICAL
SITUATION Potential direct/indirect exposure to blood, body fluids,
secretions, excretions and items visibly soiled by body fluids DIRECT
PATIENT EXPOSURE: Contact with blood; contact with mucous
membrane and with non-intact skin; potential presence of highly infectious
and dangerous organism; epidemic or emergency situations; IV insertion
and removal; drawing blood; discontinuation of venous line; pelvic and
vaginal examination; suctioning non-closed systems of endotracheal tubes
INDIRECT PATIENT EXPOSURE: Emptying emesis basins;
handling/cleaning instruments; handling waste; cleaning up spills of body
fluids

18. How to Don Gloves
• Don gloves last
• Select correct type and size
• Insert hands into gloves
• Extend gloves over isolation gown cuffs

19. How to Remove Gloves
1. Grasp outside edge near wrist.
2. Peel away from hand, turning glove inside-out.
3. Hold in opposite gloved hand.
2.
1. Slide ungloved finger under the wrist of the remaining glove
2. Peel off from inside, creating a bag for both gloves.
3. Discard.

20. “Hand Hygiene and Medical Glove use”
-Remove the gloves to perform hand hygiene when an indication occurs while
wearing gloves
-Discard gloves after each task and clean your hand
– gloves may carry germs
- Wear gloves only when indicating to Standard and Contact precautions,
otherwise they become a major risk for germ transmission

21. 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 to avoid contamination.
• Proper donning of Personal Protective Equipment
• Proper removing of Personal Protective Equipment

22. SEQUENCE OF DONNING PPE
• Gown first.
• Mask or respirator.
• Goggles or face shield.
• HAND HYGIENE
• Gloves. Don before contact with the patient, generally before
entering the room.

23. SEQUENCE FOR REMOVING PPE
• Gloves
• Hand Hygiene
• Face shield or goggles.
• Gown.
• Mask or respirator..

24. WHERE TO REMOVE PPE
• At doorway, before leaving patient room or in anteroom.
• Remove respirator outside room, after door has been
closed