Protocol

Coverall Doffing with PAPR

• 1 Engage Protector and Safety Officer

  • **This is MANDATORY**.
  • Protector assists Donner.
  • Safety Officer/Reader reads the checklist.

• 2 Inspect PPE

  

  1. Inspect PPE ensemble for visible contamination, cuts or tears.
  2. If present, disinfect with bleach wipe.
  3. Note-appropriate EPA registered disinfectant wipe can be substituted for bleach wipe.
  4. Dispose of wipes in RED isolation trash can.

• 3 Disinfect gloves

  

  1. Doffer wipes the outer gloves with a bleach wipe.
  2. Allow to dry.
  3. Dispose of wipes in RED isolation trash can.

• 4 Remove apron

  

  1. Doffer turns back to Protector.
  2. Protector assists with untying/cutting and lifting neck strap.

  

  3. Doffer rolls the apron inside to the outside.
  4. Dispose of apron in RED isolation trash can.

• 5 Disinfect gloves

  1. Protector and Doffer wipe the outer gloves with a bleach wipe.
  2. Allow to dry.
  3. Dispose of wipes in RED isolation trash can.

• 6 Remove shoe covers (if Crocs worn) or boots

  Videos require an internet connection

  

  1. Use chair as needed.
  2. Stand in the Hot Zone at the edge of the Warm Zone.

  

  3. Slide one foot out of the shoe cover and step that foot into the Warm Zone.
  4. Dispose of shoe cover in RED isolation trash can.

  

  

  5. Slide the other foot out of the shoe cover and step that foot into the Warm Zone.
  6. Dispose of shoe cover in RED isolation trash can.

  If boots were used

  5. Remove tape and boots in Hot Zone.
  6. Place boot in boot bucket, stepping into Warm Zone as boot is removed.

  

• 7 Remove Crocs

  Videos require an internet connection

  

  Once inside the Warm Zone, remove Crocs and place them in designated container.

  

  

  

  

• 8 Disinfect gloves

  1. Protector and Doffer wipe the outer gloves with a bleach wipe.
  2. Allow to dry.
  3. Dispose of wipes in RED isolation trash can.

• 9 Remove outer gloves

  Videos require an internet connection

  

  1. Grasp one glove and slowly peel it off and discard. If preferred, the first glove can be balled in the palm of the second hand prior to removing the second glove.
  2. Slide fingers inside the second cuff, and slowly peel the glove off (without touching the outside) and discard.

• 10 Inspect and disinfect inner gloves

  

  1. Inspect and disinfect inner gloves with bleach wipe.
  2. Allow to dry.
  3. Dispose of wipes in RED isolation trash can.
  4. If an inner glove is torn, disinfect the glove with bleach wipe. Then remove the inner gloves, perform hand hygiene, and don a new pair of gloves.

  

• 11 Remove PAPR motor unit

  

  Re-clip unit and hang on IV pole.

• 12 Remove PAPR hood

  1. Doffer loosens drawstring and bends forward.
  2. Protector holds sides and/or top of PAPR hood.
  3. Protector pulls hood and removes from Doffer's head.
  4. Protector hangs hood on IV pole.
  5. Push the IV pole away from Doffer and Protector.

• 13 Disinfect gloves

  

  1. Protector and Doffer wipe the outer gloves with a bleach wipe.
  2. Allow to dry.
  3. Dispose of wipes in RED isolation trash can.

• 14 Remove tape from glove cuff

  Videos require an internet connection

  

  1. Doffer or Protector removes tape from coverall sleeve and inner glove, rolling slowly and balling up the tape.
  2. Dispose of tape in RED isolation trash can.

• 15 Unseal and unzip coverall

  

  Doffer or Protector pulls off zipper cover.

• 16 Remove coverall

  Videos require an internet connection

  

  1. Protector lifts coverall off shoulders.
  2. Doffer balls up fists and pulls arms out of the coverall one at a time, while Protector pulls coverall down towards the feet.

  

  3. As Doffer removes feet from coverall, Doffer steps further into Warm Zone.
  4. Dispose of coverall in RED isolation trash can, touching only inside of coverall.

• 17 Disinfect gloves

  1. Protector and Doffer wipe the outer gloves with a bleach wipe.
  2. Allow to dry.
  3. Dispose of wipes in RED isolation trash can.

• 18 Remove bouffant hair covering

  

  If applicable.

• 19 Disinfect gloves

  1. Protector and Doffer wipe the outer gloves with a bleach wipe.
  2. Allow to dry.
  3. Dispose of wipes in RED isolation trash can.

• 20 Remove outer socks

  Videos require an internet connection

  

  1. Stand in the Warm Zone at the edge of the Cold Zone.

  

  2. Remove outer socks one at a time by pulling on sides while stepping into the Cold Zone.

  

  

  3. Dispose of socks in RED isolation trash can.

• 21 Remove inner gloves

  

  1. Grasp one glove and slowly peel it off and discard. If preferred, the first glove can be balled in the palm of the second hand prior to removing the second glove.
  2. Slide fingers inside the second cuff, and slowly peel the glove off (without touching the outside) and discard.

• 22 Perform hand hygiene

  Wash hands first with hand gel and then with soap and water for 30 seconds.

• 23 Complete final inspection

  1. Safety Officer performs a final inspection.
  2. If there is any indication of contamination of the surgical scrubs or disposable garment, immediately notify an infection control professional.

• 24 Complete medical monitoring

  Rehydrate and perform medical monitoring including vital signs check.