PORT HEALTH UNIT
USING OF PERSONAL
PROTECTIVE EQUIPMENTS
(PPE)

GENERAL OBJECTIVES
At the end of this module participants will be able
to:
 Define personal protective equipment
 Describe the various types of PPE
 Explain how PPE helps to prevent the spread of
microorganisms
 Donning and Doffing of PPE
 Decontaminate used PPE

DIFINITION
Personal Protective Equipment is Mechanical
barriers that help to prevent the spread of micro-
organisms and other health risk from:
 Person to person (travellers/clients or health workers)
and
 Equipment, instruments and environmental surfaces
to people.

WHY USE OF PPE

WHY PPE
o It is important that all healthcare workers put on
appropriate PPE (Gloves, Masks, Protective eye
wear, Caps, Gowns, Aprons and Boots) all the
time whenever they are at risk of contact with
contaminated material, blood or other respiratory
body fluids in area of operations

WHY USE PPE
• All suspect and ill persons are contagious
• The full Personal Protection Equipment protect you from
infection, but only if:
YOU RESPECT THE PROTOCOL FOR DRESSING AND
UNDRESSING
• It does not protect you if it is perforated: beware of needles,
broken glass, metal ….
• It is essential to check at all time our own PPE, our
colleagues PPE and the authorized visitors PPE.
• If you are not feeling good, get out!! But you must always
respect the undressing protocol!

DO’S AND DON’TS OF WEARING PPE
 DO:
 Change your gloves if they become torn or dirty; wash hands before putting on
new gloves
 Wash your hands thoroughly with soap and water or an alcohol-based hand rub
after removing PPE, including gloves. If hands are visibly dirty > use soap and
water
 LIMIT the number of surfaces, items and people you touch while wearing PPE to
prevent contamination
 Change any item of your PPE, or your own clothes, if it becomes contaminated
 If exposed to blood and body fluids , droplets or other potentially contaminated
materials, stop working & immediately wash affected skin surfaces with soap and
water (mucus membranes e.g. eyes: irrigate thoroughly with large amounts of
clean water / eyewash solution. Document exposure as per the applicable OH&S
company policy
 DON’T:
 Touch your face or adjust your PPE with contaminated gloves
 Wash or reuse disposable gloves 7

VARIOUS TYPES OF VHF PPE

Donning and doffing Procedure for
PPEs
11

PPE MATERIALS
 Gloves
 Gowns
 Masks
 Boots
 Eye protection
 Hair cover
 Aprons

3 In the changing room, put on the scrub
suit before putting on a gown, if no any
scrub suit available, then use any other
clothes

ALWAYS GET DRESSED WITH SOMEONE ELSE
SUPERVISING!!!

SUGGESTED SEQUENCE OF DONNING OF PPES
• Remove all the ornaments
• Put on scrub suits and rubber clogs
• Do hand hygiene
• Put on gown
• Put on mask
• Put on goggles
• Put on cap
• Put on boots
• Put on apron
• Put on inner gloves
• Put on outer gloves

DON THE SURGICAL MASK
• Place over
nose, mouth
and chin
• Fit flexible
nose piece
over nose
bridge
• Secure on
head with ties
or elastic
Practice point:
Respirator strap
positioned
uncomfortably over
ear.
X

17
EYE PROTECTION (GOGGLES)
Don coverall hood and
put goggles over hood
Adjust hood,
goggles and
respirator to
ensure no skin is
exposed
Practise point : Ensure
that sufficient amount of
coverall hood is
positioned under
goggles to allow
movement without
exposing skin

GLOVES
• Don gloves last
• Select correct type and
size
• Insert hands into gloves
• Extend gloves over gown
cuffs
Ensure Gloves are
adequately tucked under
coverall sleeves

CHALLENGES IN DONNING GLOVES
Practice
point:
Exposed
skin not
acceptable,
gloves not
adequately
tucked
under
sleeves
Finger loop on Uvex
coverall ensuring
sleeve does not creep
Practice
point:
Visible
exposed
skin
under
glove
needs to
be
correcte
d
Outer gloves correctly
covering the sleeve
Outer gloves taped to
create a lip for ease
access when removing

20
DO FINAL CHECK OF ALL PPE AND ADJUST WHERE
NECESSARY

Final Check
Any exposed skin
Position of Gloves
Breaches in the seems
Comfort and practicality

IDENTIFY YOUR SELF BY A LABEL

DOFFING OF PPE

HIGH RISK AREA EXIT

POINTS TO NOTE WHEN REMOVING PPES
 Strict procedures
•Risk of contamination: eyes, mouth, nose,
skin (mucous membranes)
•Remove first the most contaminated clothing
 Disinfect with Chlorine solutions 0.5% and
0.05% after every stage of item removal

SUGGESTED ORDER ON HOW TO REMOVE THE
PPES
1. Disinfect the entire outer PPE
2. Disinfect the outer glove
3. Remove outer glove
4. Remove the apron
5. Decontaminate boots
6. Remove boots
7. Decontaminate the inner glove
8. Remove cap
9. Remove the goggles
10. Remove the gown
11. Pull out the mask
12. Decontaminate inner glove
13. Remove the inner glove
14. Do hand hygiene

28
REMOVING THE OUTER GLOVES 1
Using a 0.5% solution of chlorine, decontaminate outer pair of
gloves. Can be done either by washing hands in bowl
containing the solution (preferable to avoid spray aersols) or
“buddy” can gently spray hands using a spray bottle.
Remove
tape in
counter
clockwise
direction
and again
disinfect
hands.
1 2 3
4 5 6

29
REMOVING OUTER GLOVES 2

30
REMOVING THE APRON
1.The assistant
assist by
releasing apron
top
2.Let apron fold over it self,
grasping only the inside edge
Apron inside out,
folded over
3.The assistant
assists releasing
back tie.
4.Grasping only the straps
or inside edge of apron,
fold inside out as
illustrated
5.Dispose in
Healthcare waste box
and disinfect hands

REMOVING GOGGLES
• Grasp ear or head pieces with ungloved
hands
• Lift away from face
• Place in designated receptacle for
disinfecting or disposal

32
REMOVING GOGGLES
1.Clasp side edge of
goggles
2.Pull goggles away from
face
3.Dip head down
and out while
holding goggles is
same position
4.Once strap has slid
over head move goggles
straight away from face
5.Re-useble goggles
can be put in 0.5%
chlorine solution 6.Disinfect hands

REMOVING THE GOWN
1. Unfasten ties
2. Peel gown away from neck
and shoulder
3. Turn contaminated outside
toward the inside
4. Fold or roll into a bundle
5. Discard
Caution: Care has to be taken not to touch exposed skin of neck
2.Untie the zipper downwards
while keeping tension on zip ,
start unzipping in one steady
movement

REMOVING GOGGLES
• Grasp ear or head pieces with ungloved
hands
• Lift away from face
• Place in designated receptacle for
disinfecting or disposal

35
REMOVING GOGGLES
1.Clasp side edge of
goggles
2.Pull goggles away from
face
3.Dip head down
and out while
holding goggles is
same position
4.Once strap has slid
over head move goggles
straight away from face
5.Re-useble goggles
can be put in 0.5%
chlorine solution 6.Disinfect hands

36
REMOVING THE MASK
1.Grasp and hold
side edges of
respirator
2.The assistant assists by releasing top and
bottom straps
3.Push respirator straight away from face and place in healthcare
waste box

37
REMOVING THE INNER PAIR OF GLOVE
Finally follow illustrated step to remove inner pair of
gloves
Discard gloves in healthcare waste box and disinfect hands with 0.05% solution
of chlorine

DECONTAMINATE USED PPE
 Use 0.5% chlorine solution for
decontaminate the used such as gown,
heavy duty gloves, face sheet, boots,
goggles, helmet etc
 Rinse PPE in 0.5% chlorine solution for 30-
40 minutes
 Wash the PPE for boiled water/clean water
after remove in chlorine solution

REMEMBER
 Observe Universal Precautions at all times
 PPEs do not provide 100% protection if NOT
used properly
 Do not infect yourself, others or the
environment with infectious materials
 If accidentally you are exposed to Viral
Hemorrhagic fever virus, Record the
incidence and inform your colleague and
supervisor and take necessary action

SHUKRAN
SANA