PPE Not AI One Flashcards
PPE use in HC setting:Program Goal
Improve personal safety in the healthcare environment through appropriate use of PPE
PPE use in healthcare setting program objectives
Provide information on the selection and use of PPE in healthcare setting
Practice how to safely don and remove PPE
Personal protective equipment definition by OSHA
Specialized clothing or equipment worn by an employee for protection against infectious materials (OSHA)
Regulations and recommendations for PPE
OSHA issues, workplace health and safety regulations regarding PPE employers must
Provide appropriate PPE for employees
Ensure that PPE is disposed and reusable, PPE is cleaned, laundered, repaired and stored after use
OSHA also specifies
Circumstances for which PPE is indicated
CDC recommends
when, what, and how to use PPE
Types of PPE used in healthcare settings
Gloves
Gowns/aprons
Masks and respirators
Goggles
Face shields
Gloves & purpose ?
Protect the hands
Purpose – patient care, environmental services, and other
Gowns/aprons
Protect skin and or clothing
Masks and respirators
Protect mouth/nose
Respirators protect respiratory tract from airborne infectious agents
Example N– 95 masks
Face shield protect
Face mouth, nose, and eyes
Factors influencing PPE selection
Types of exposures anticipated
-splash/spray versus touch
-Category of isolation precautions
Durability and appropriateness for the task
Fit
Gloves
Material
Type
How many ?
Material – vinyl , latex, nitrile, other
Sterile or non-sterile
One or two pair
Single use or reusable
Dos & donts of glove use
4 Dos
Work from “clean to dirty”
Limit opportunities for “touch, contamination” protect yourself and others and the environment
Change gloves
-if torn when heavily soiled and even during use on same patient
Discard in appropriate receptacle
Dues and don’ts of glove use
3 don’ts
Don’t touch your face or adjust. PPE with contaminated gloves.
Don’t touch environmental surfaces, except as necessary during patient care
Never wash or reuse disposable gloves
Gowns or aprons
Purpose, material and type
Purpose – protect skin and or clothing
Material- natural or man-made reusable or disposable resistance to fluid penetration
Clean or sterile
Masks should
Fully covered nose and mouth and prevent fluid penetration
Goggles should…
_____Not a substitute for goggles
______ improve clarity
Fit snuggly over and around eyes
Personal glasses not a substitute for goggles
Anti-fog features improve clarity
Face shields should cover
Forehead extend below the chin and wraparound the side of face
What’s the purpose of respiratory protection?
Protect from inhalation of infectious aerosol example Mycobacterium tuberculosis
PPE types of respiratory protection
Particulate respirators
Half – or full – face elastomeric respirators
Powered air purifying respirator (PAPR)
Elements of a respiratory protection program
Medical evaluation
Fit testing
Training
Fit checking before use
Key points about PPE
DON before contact with the patient generally before entering the room
Use carefully don’t spread contamination
Remove & discard safely
Immediately perform handwashing
When should you remove and discard PPE? & respiratory ?
Either at the doorway or immediately outside the patient room and remove respirator outside room
What’s the sequence for donning PPE?
1 gown first
2 mask or respirator
3 goggles or face shield
4 gloves
Combination of PPE will affect sequence be practical
How to don a gown
Select appropriate type and size
Opening is in the back
Secure at neck and waist
If gown is too small
Use two gowns gown, number one ties in the front gown, number two ties in the back
How to DON a mask
Place overdose mouth and chin
Fit flexible, nose over nose bridge
Secure on head with ties or elastic
Adjust to fit
How to dawn a particulate respirator
Select fit tested respirator
Placed over nose, mouth and chin
Fit flexible, nose, piece over nose bridge
Secure head with the elastic
Adjust to fit
Perform a fit check
How do you perform a fit check?
Inhale – respirator should collapse
Exhale – check for leakage around face
How to don , eye and face protection
Position goggles over eyes and secure to the head, using the earpieces and or headband
Position face shield over face and secure on brow with headband
How to don gloves
DON gloves last
Select correct type and size
Insert hands into gloves
Extend gloves over isolation gown cuffs
(Over cuff)
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 surface and items touched
What are contaminated areas of PPE
Outside front
Areas of PPE that have or are likely to have been in contact with sites materials or environmental surfaces, or infectious organisms may reside
What are clean areas of PPE?
Inside, outside back, ties on head and back
Areas of PPE that are not likely to have been in contact with infectious organisms
What’s the sequence for removing PPE?
1 gloves
2 face shield or goggles
3 gown
4 mask or respirator
Where to remove PPE
At doorway before leaving patient room or anteroom
Remove respirator outside room after door has been closed
Ensure hand hygiene facilities are available at the point needed example sink, or alcohol based hand rub
How to remove gloves
Grasp outside edge near wrist
Peel away from hand, turning glove inside out
Hold an opposite gloved hand
Slide on glove finger under the wrist of the remaining glove
Peel off from inside creating a bag for both gloves
Remove goggles or face shield
Grasp ear or headpieces with ungloved hands
Lift away from face
Place in designated receptacle for processing or disposal
Removing isolation gown
Unfasten ties
Peel gown away from neck and shoulder
Contaminated outside toward the inside
Discard
Removing a mask
Untie the bottom then top tie
Remove from face
Discard
Removing a particular respirator
Lift the bottom elastic over your head first
Then lift off the top elastic
Discard
When do you perform hand hygiene?
Immediately after removing PPE
If hands become visibly contaminated during PPE removal wash hands before continuing to remove PPE
Standard precautions
Assumes blood and body fluid of any patient could be infectious
Recommends PPE and other infection control practices to prevent transmission
Decisions about PPE use determined by type of clinical interaction with patient
PPE for standard precautions gloves
Use when touching blood body fluids, secretions, excretions, contaminated items, mucus membranes, and non-intact skin
PPE for standard precautions
Gowns
Use during procedures and patients care activities when contact of
Clothing/exposed skin with blood/body, fluids, secretions, or excretions is anticipated
PPE for standard precautions
Mask and goggles or face shield
Use during patient care activities like
Generates splashes or sprays of blood body, fluids, secretions, or excretions
What type of PPE would you wear when giving a bed bath?
Generally none
Standard practice does not require PPE for giving a bed bath.
What PPE is required when suctioning oral secretions?
Gloves and mask/goggles or a face shield - sometimes gown
PPE is essential due to the risk of exposure to bodily fluids.
What type of PPE is required when transporting a patient in a wheelchair?
Generally none required
Standard procedures do not necessitate PPE for transporting patients in a wheelchair.
What PPE should be worn when responding to an emergency where blood is spurting?
Gloves, fluid-resistant gown, mask/goggles or a face shield
This is crucial to protect against bloodborne pathogens.
What type of PPE is recommended when drawing blood from a vein?
Gloves
Gloves are necessary to maintain hygiene and protect both the patient and healthcare worker.
What PPE is required for cleaning an incontinent patient with diarrhea?
Gloves w/wo gown
The use of gloves and possibly a gown helps prevent contamination.
What PPE is necessary when irrigating a wound?
Gloves, gown, mask/goggles or a face shield
These items protect the healthcare worker from exposure to fluids and contaminants.
What type of PPE is needed for taking vital signs?
Gloves for certain body temperatures
Gloves may be needed depending on the patient’s condition and the type of vital signs being taken.
What are the three types of Expanded Precautions?
Contact Precautions, Droplet Precautions, Airborne Infection Isolation
Expanded Precautions are measures taken to prevent the spread of infections in healthcare settings.
What personal protective equipment (PPE) is used for Contact Precautions?
Gown and gloves
Contact Precautions are necessary when there is potential contact with the patient or their environment.
When are gloves and gowns required in healthcare settings?
For contact with patient or environment of care
This includes contact with medical equipment and environmental surfaces.
What PPE is required for Droplet Precautions?
Surgical masks
Surgical masks should be worn within 3 feet of the patient.
What equipment is needed for Airborne Infection Isolation?
Particulate respirator and negative pressure isolation room
Airborne Infection Isolation is critical for preventing the spread of airborne pathogens.
True or False: Surgical masks are required for all patients regardless of the type of precaution.
False
Surgical masks are specifically required for Droplet Precautions.
Fill in the blank: _______ precautions are needed when there is potential contact with the patient or their environment.
Contact
These precautions help to minimize the risk of infection transmission.
What is the purpose of negative pressure isolation rooms?
To prevent airborne pathogens from escaping
Negative pressure rooms help contain infectious agents within a designated area.
Hand hygiene required for
Standard and expanded precautions
With soap and water or use alcohol based hand rub
