COVID-19 formerly novel coronavirus 2019 personal protective equipment or PPE [for Aerosol-Generating Procedures AGP] a
guide for hospital clinical staff this video is for hospital healthcare workers
involved in the assessment and care of individuals with possible or confirmed
COVID-19 [for Aerosol Generating Procedures AGP]. It shows the type of personal protective equipment or PPE required and
how to put it on and take it off safely it covers how to put on or Doong PPE
correctly how to remove or doff PPE correctly and safely including safe
disposal of PPE to avoid cross contamination to the healthcare worker
and the environment full infection prevention and control guidance and
illustrated written guidance on putting on and removing PPE is available as part
of the PA Chico vid 19 guidance collection on Golf QK this donning and
doffing guidance is specific to Kovac 19 safe systems of working PPE is just one
part of safe systems of working only clinical staff who were trained and
competent in the use of this PPE should be allowed to enter the patient room [where AGP is being performed]
health care workers must be familiar with local operational arrangements for
the safe care of patients with possible kovat 19 hospitals need to identify
areas for safe donning and doffing of PPE safe systems of working including
the correct use of PPE will help protect you and others against infection this is
Cecilia and Csaba Cecilia will be donning the PPE and
Chapel will be her buddy for demonstration purposes where possible
the process should be supervised by a buddy at a distance of two meters the
body must be a member of staff also trained and competent in the use of this
PPE the body can assist the person putting on the PPE and perform a final
visual inspection of the PPE in Samba making any adjustments as necessary if a
buddy is not available please follow the instructions and check each step is
completed correctly the recommended PPE components [for when an AGP is being performed]. gown alcohol hand rub
in the correct sizes visor goggles respirator or respiratory protection
here are the recommended PPE components [for AGP and AGP "hot zone" areas] in more detail along rear fastening
fluid resistant long sleeve surgical gown in the correct size a fit tested
FFP 3 respirator there are a number of approved respirators and here are just
two examples a disposable full face visor or goggles and gloves in the
correct size before putting on PPE perform hand hygiene pre donning
instructions ensure healthcare worker is hydrated tie hair back remove jewelry so
no stoned rings watches or bracelets etc and check PPE is in the correct size and
available clean hands with alcohol hand gel or rub
you
step one put on a long rear fastening fluid resistant and long-sleeve
disposable gown do not use the inside tie but fasten the necktie with Velcro
and then the waist ties
you
make sure the gown is securely fitted at the neck and waist ties
if glasses are worn remove glasses before donning the respirator clean them
with an alcohol lens wipe and replaced before donning the visor
step two put on disposable FFP three respirator and check for fit this must
be the respirator that the health care worker is face fit-tested to use the FFP
three respirator must be compatible with other facial protection eg your full
face visor if you have not been fit tested for the FFP three respirator you
must not enter the patient's room position the upper straps on the crown
of your head above the ears and the lower strap at the nape of the neck
ensure that the respirator is flat against your cheeks
you
with both hands mold the nosepiece down from the bridge of the nose firmly
pressing down both sides of the nose with your fingers until you have a good
facial fit
always perform a fit check before entering the work area a successful fit
check is when there is no air leaking from the edges of the respirator for an
unveiled product exhales sharply to test for a valve product inhales sharply if
air flows around the nose readjust the nose piece if air flows around the edges
of the respirator readjust the head bands if you still cannot obtain a
successful fit check do not enter the work area once the respirator is fitted
replace the glasses before fitting your face protection
step 3 put on your eye protection a disposable full-face visor is preferred
goggles may be used if a visor is not available if using a visor ensure it
covers all of your face including your chin adjust the headband if necessary
you
if a buddy is not available you will need visual confirmation that the visor
is in the correct position
you
step four put on a pair of non sterile nitrile gloves these need to be
available in the correct size
you
ensure the gloves cover the cuffs of the gown completely you should now check all
items are in place
so make sure that you check that the gown ties at the neck and waist are
secure the respirator is correctly fitted the visor is in position and the
gloves cover the cuffs
once you are happy that all steps have been completed properly you are now
ready to enter the patient area step 5 when donning PPE has been completed
proceed to enter the patient's room after entering the patient's room
remain vigilant of PPE integrity for yourself and any other staff members
in the event of a high exposure episodes such as projectile vomiting or if there
is any concern about the PPE integrity leave the room at the earliest
opportunity and inform your buddy if available prior to removing any PPE for
further information please refer to the infection prevention and control
guidance in the co vid 19 guidance collection on GAF dot uk' with thanks to
guidance and Thomas's NHS foundation trust special thanks to staff Cecilia
Jabbar and Yousefi public health England protecting and improving the nation's
health