Protocol

Gown 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

  Videos require an internet connection

  

  1. Use chair as needed.
  2. Stand or sit 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. Slide the other foot out of the shoe cover and step that foot into the Warm Zone.

  

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

• 7 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.

• 8 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.
  3. Dispose of gloves in RED isolation trash can.

• 9 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.

• 10 Remove PAPR motor unit

  

  Re-clip unit and hang on IV pole.

  

• 11 Remove PAPR hood

  

  1. Doffer loosens drawstring and bends forward.
  2. Protector holds sides and/or top of PAPR hood.

• 12 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.

• 13 Remove tape from glove cuff

  Videos require an internet connection

  

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

• 14 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.

• 15 Untape and untie gown

  

  1. Remove any tape that may have sealed gown.
  2. Protector opens the top velcro seal on back of the gown.
  3. Untie the knot at the waist.

• 16 Remove gown

  

  1. Protector lifts gown off shoulders.
  2. Doffer balls up fists.
  3. Doffer removes the gown inside to outside, rolling the gown down and away from the body, touching only inside of gown.
  4. Dispose of gown in RED isolation trash can.

• 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 Crocs

  Videos require an internet connection

  

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

  

  3. Remove Croc from one foot and step that foot into the Cold Zone.

  

  4. Remove Croc from the second foot and step that foot into the Cold Zone.

  

  5. Place Crocs in designated container.

• 21 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.

• 22 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.

• 23 Perform hand hygiene

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

• 24 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.

• 25 Complete medical monitoring

  Rehydrate and perform medical monitoring including vital signs check.