09/09/2016
Safe Patient Care Course 2016
Noeleen Hallahan
CIPCN, Louth Community Services
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What is PPE?
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Why wear PPE?
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Types of PPE
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Clinical examples Q&A
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Demonstrate how to safely put on (don) and
remove (doff)PPE
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P.P.E.
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Specialised clothing or equipment used by an
employee for protection against infectious
materials (OSHA)
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Worn over clothes or uniform
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Standard precautions are a set of practices which
when used by HCW prevent the spread of
Healthcare associated infections (HCAI)
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Standard precautions apply to ALL PATIENTS ALL
OF THE TIME REGARDLESS OF DIAGNOSIS
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P.P.E is part of Standard Precautions
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Apply Standard Precautions everywhere
healthcare is being delivered
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Used in addition to standard precautions as
required
◦ Contact
◦ Droplet
◦ Airborne
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Type of PPE worn depends on risk assessment
Protect residents from infection
Protect the HCW from exposure to blood and
body fluids
P.P.E. must be provided by the employer
HCW must wear at the
Correct time
Correct duration
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GLOVES
APRONS /
GOWNS
MASKS
GOGGLES
In what order are
these
components of
PPE applied in
the case of an
isolated patient
with an airborne
infectious
disease with
suctioning of
secretions?
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Single use only
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Used for potential contact with blood or body
fluids
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For direct contact with infectious resident or their
environment
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Dispose of used aprons in clear / black bag
unless soiled with blood or body fluids(dispose
of into healthcare risk waste)
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Used if potential for spraying or
splattering of blood or body fluids
Single use disposable
Fluid resistant
Different sizes
Must be correctly applied and
removed to prevent the spread of
infection.
Needed for close contact with
patients who have MRSA, CRE, VRE,
Clostridium difficile.
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FFP filtered face protection
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FFP1 surgical procedural masks
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FFP2 use for routine care with confirmed
pulmonary/larangeal Tuberculosis residents.
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FFP3 masks use for patients with confirmed TB
when carrying out aerosol generating procedures
and routinely with MDR-TB patients
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Place over face
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Tie straps behind head
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Breathe in mask should
collapse
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Breath out
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Should fit correctly to work
effectively ensuring safety
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Position goggles over eyes and secure to
head using the ear pieces or headband
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Position face shield over face and secure on
brow with headband.
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Adjust to fit correctly
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Gloves should be worn
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During patient activities that involve exposure to
blood and all other body fluids, (including contact
with mucous membranes and non-intact skin)
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During contact precautions
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During outbreak situations
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Gloves do not provide complete protection against
hand contamination WHO (2009)
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Nitrile
Latex-no longer recommended. Powdered
gloves are no longer recommended for use
HSE (2011) and HSA (2016).
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Waste of resources,
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Can increase cross–transmission of infection
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Missed hand hygiene opportunities not using
the 5 moments of hand hygiene (WHO 2009).
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Shows when sterile gloves are indicated
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Examination gloves indicated in clinical
situations. Direct and indirect exposure
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Gloves not indicated (except for contact
precautions) direct and indirect exposure
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Direct exposure
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Blood contact with mucous membrane and
with non–intact skin
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Potential presence of highly infectious
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Venepuncture /glucometery
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Suctioning non-closed systems
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Handling specimens
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Indirect exposure
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Emptying emesis bowls, handling/cleaning
instruments
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Handling waste
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Cleaning spills of body fluids
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Direct resident exposure
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Taking T,P,R
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Performing SC and IM injections
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Bathing and dressing a resident
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Transporting a patient
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Indirect exposure
Using the phone,
Writing up notes
Giving medications
Collecting trays
Removing and replacing bed linen
Moving furniture
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Decontaminate hand
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Put on gown/apron
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Put on surgical mask, FFP2, FFP3
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Put on goggles
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Put on gloves
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Remove gloves avoid touching the outside of the
glove
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Decontaminate hands
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Remove goggles
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Remove gown or apron (avoid touching front)
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Remove mask by breaking ties
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Discard all P.P.E. contaminated with blood and
body fluids as healthcare risk waste
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Should be worn on a single use episode of
care and discarded after use
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Don or put on P.P.E. as close as possible to
and remove before leaving the patient area
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Perform hand hygiene as per 5 Moments of
Hand Hygiene
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Giving a bedbath
Suctioning oral secretions
Transporting a resident in a wheelchair
Responding to an emergency where blood is
spurting
Venepuncture
Cleaning a resident soiled with diarrhoea
Taking vital signs
Empty or changing a catheter bag
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Giving a bedbath none
Suctioning oral secretions gloves mask /gown
Transporting a resident in a wheelchair none
Responding to an emergency where blood is
spurting gloves fluid resistant gown mask or
faceshield
Venepuncture gloves
Cleaning a resident soiled with diarrhoea
gloves+- apron
Taking vital signs none
Emptying or changing a catheter bag gloves and
aprons
Patricia Coughlan
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