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
