DONNING & DOFFING OF PPE BY HOSPITAL STAFF
Cascade Sharing By:
Requirements:
• Separate donning & duffing room for staff
• Hospital staff should wear three layers of PPE while
handling infectious patients.
• Please ensure following points in changing room:-
• Availability of PPE
• Availability of a chair
• Yellow colored dustbin
• Availability of soap & water & sanitizer
How PPE acts as barrier
Face Mask N95 Mask Face shield Goggle
Nose + Mouth Nose + Mouth Eyes + Nose + Mouth Eyes
Gown Apron Gloves Head Cover
Body Body Hands Head + Hair
PRINCIPLES OF USING PPE
• Always clean your hands before and after wearing PPE
• PPE should be available where and when it is indicated
• in the correct size
• select according to risk or per transmission based precautions
• Always put on before contact with the patient
• Always remove immediately after completing the task and/or leaving the patient
care area
• NEVER reuse disposable PPE
• Clean and disinfect reusable PPE between each use .Change PPE immediately if it
becomes contaminated or damaged
• PPE should not be adjusted or touched during patient care; specifically
• Never touch your face while wearing PPE
• Always remove carefully to avoid self-contamination (from dirtiest to cleanest
areas)
Hand Hygiene
Donning of Layer – 1:
When you are on patient round for general patients
LEVEL-1
STEP -1 STEP -2 STEP -3 STEP -4 STEP -5
Handwash
Wearing Eye
/sanitize properly Wear surgical Wear mouth Hand hygiene followed
cover (Face
before entry Gown first mask by wearing gloves
shield
ward/room
8 Steps For Putting On Sterile Gloves
DONNING OF LAYER- 2 &3 :
While working in Intensive or quarantine unit/flu (while
aerosol generating procedure)
LEVEL-2 LEVEL-3
STEP -6 STEP -7 STEP -8 STEP -9 STEP -10 STEP 11
Wear Wearing N95 Wearing face Wear cap & then Wear N95 Third layer of
Impervious MASK high shield/goggles balaclava(to protect Mask & then impervious
layer over gown risk area skin exposure) goggles gown & gloves
DOFFING ORDER OF PPE
Hand hygiene to be done following 7 steps
The used PPE to be discarded
in yellow bag with marking
of “COVID-19” on it.
Steps To Remove PPE In Sequence
Steps Of Removing Gloves
Masks Management
• Place mask carefully to cover mouth and nose and tie securely to minimize
any gaps between the face and the mask
• While in use, avoid touching the mask
• Remove the mask in last by using appropriate technique (i.e. do not touch
the front but remove the lace from behind)
• After removal or whenever you inadvertently touch a used mask, clean
hands by using an alcohol-based hand rub or soap and water if visibly
soiled
• Replace masks with a new clean, dry mask as soon as they become
damp/humid
• Do not re-use single-use masks
• Discard single-use masks after each use and dispose of them immediately
upon removal
Thank you