Protocol

Gown Donning with N95

• 1 Engage Protector and Safety Officer

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

• 2 Gather needed PPE items before starting

  

  1. Checklists for the safety officer and protector.
  2. A bouffant operating room cap for those with long hair.
  3. Appropriate-sized impervious gown
  4. Disposable hospital socks.
  5. Washable shoes (Crocs or boots).
  6. Nitrile extended cuff inner gloves.
  7. Nitrile extended cuff outer gloves.
  8. An impermeable apron.
  9. Tape (2-3 inch silk/Durapore hospital tape should be used unless unavailable. Commercial duct tape is an alternative).
  10. An eyewear securement device (Croakie, Chubb, or similar device).
  11. Knee-high boot and shoe covers.
  12. A surgical hood with ties.
  13. An impermeable shower cap.
  14. An N95 respirator (appropriately-sized & fit-tested).
  15. A full face shield (goggles should not be used).

• 3 Don two pairs of hospital socks

  Two pairs of hospital socks are to be worn.

• 4 Don Crocs

  

  Crocs are worn over hospital socks.

• 5 Don knee high shoe covers

  

  Pull up as high on leg as possible over Crocs.

• 6 Don inner gloves

  

  Nitrile gloves only.

• 7 Don gown

  

  Put inner glove inside the sleeve.

• 8 Tie back of gown (leave top open)

  

  Top is left open so hood can be tucked in.

• 9 Tape inner gloves

  Videos require an internet connection

  

  1. Tape sleeve to inner glove.

  

  2. Leave tab for easy removal.

• 10 Don N95 respirator

  Videos require an internet connection

  

  1. Pull bands together in hand.

  

  2. Apply mask to face by pulling the bands over the head such that the final position of the lower band is at the base of the neck.

  

  3. The upper band should be near the top rear of the head.
  4. Pinch metal nose bridge for proper placement.

  

  5. Perform N95 Fit Check (Both a negative and positive fit check need to be performed and successful every time the respirator is worn.)

     (-) Negative fit check: Cup hands over respirator without excessive pressure. Breathe in sharply. A light collapse of the respirator should be felt.

     (+) Positive fit check: Cup hands over respirator. Blow out. A build-up of air should be felt with no air leaking out around the edges.

• 11 Don surgical hood

  Videos require an internet connection

  

  1. Minimize skin exposure while tying hood in back.

  

  2. Tuck hood deep and flat into gown.

• 12 Seal gown's top velcro fastener

  

• 13 Tape gown

  

  1. Tape front of hood where it meets gown.
  2. Tape back of gown as necessary.

• 14 Don shower cap

  

• 15 Don face shield

  

  Secure with vertical piece of tape with tab (optional).

• 16 Don apron

  

  Tie in back.

• 17 Don outer gloves with extended cuff

  

  Do not tape outer gloves.

• 18 Complete safety check

  

  1. Stand before a mirror.
  2. Protector and/or Safety Officer complete safety check.
  3. Confirm assignment before proceeding to Hot Zone.