CDC Guidelines On Doffing PPE - Pearls

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64 Terms

1
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What respirator option do the CDC doffing guidelines use?

The N95 respirator option.

2
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Where is PPE doffing performed?

In the designated PPE removal area.

3
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Where is PPE waste placed?

In a leak-proof infectious waste container.

4
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Who supervises PPE doffing?

A trained observer.

5
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What does the trained observer do with each doffing step?

Reads it aloud.

6
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What does the trained observer confirm during doffing?

That PPE has been removed properly.

7
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What must the observer remind workers to avoid before doffing?

Reflexive actions such as touching their face.

8
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How is the no-face-touching instruction given?

Posted and repeated verbally during doffing.

9
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Should the trained observer touch the worker during doffing?

Minimize touching, but may assist with specific components.

10
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When does the trained observer disinfect their outer-gloved hands?

Immediately after handling any healthcare worker PPE.

11
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What do you inspect PPE for before starting doffing?

Visible contamination, cuts, or tears.

12
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How is visibly contaminated PPE disinfected?

With an EPA-registered disinfectant wipe.

13
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When can EPA-registered disinfectant spray be used?

If facility conditions permit and regulations are followed.

14
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Where is disinfectant spray particularly used?

On contaminated areas.

15
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What disinfects outer gloves during doffing?

An EPA-registered disinfectant wipe or ABHR.

16
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When is the apron removed?

After disinfecting outer gloves.

17
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How is the apron rolled during removal?

From inside to outside.

18
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Why roll the apron inside to outside?

To avoid contaminating gloves.

19
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What is done after apron removal?

Inspect the PPE ensemble for contamination, cuts, or tears.

20
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What is done after the post-apron inspection?

Disinfect outer gloves.

21
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How are boot or shoe covers removed?

While sitting down.

22
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What is done before removing outer gloves?

Disinfect outer-gloved hands.

23
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What must be avoided when removing outer gloves?

Contaminating the inner gloves.

24
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What do you inspect inner gloves for?

Visible contamination, cuts, or tears.

25
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What is done first if an inner glove is soiled, cut, or torn?

Disinfect the glove with a wipe or ABHR.

26
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What is done after disinfecting a damaged inner glove?

Remove the inner gloves, perform hand hygiene with ABHR, and don a clean pair.

27
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What is done if inner gloves have no damage or contamination?

Disinfect inner-gloved hands with a wipe or ABHR.

28
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How do you position your head to remove the face shield?

Tilt the head slightly forward.

29
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What do you grab to remove the face shield?

The rear strap.

30
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How does the face shield come off?

Pull the strap over the head and let the shield fall forward.

31
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What part of the face shield should not be touched?

The front surface.

32
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What is done after removing the face shield?

Disinfect inner gloves.

33
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How is the surgical hood removed?

Unfasten if applicable, gently remove, and discard.

34
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Who may help unfasten the surgical hood?

The trained observer.

35
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What is done after removing the surgical hood?

Disinfect inner gloves.

36
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What determines how gown fasteners are released?

Gown design and location of fasteners.

37
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What are the options to release gown fasteners?

Untie, get observer assistance, or gently break fasteners.

38
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What should scrubs not contact during gown removal?

The outer surface of the gown.

39
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How is the gown pulled off?

Away from the body, rolling inside out, touching only the inside.

40
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How do you reach coverall zippers?

Tilt the head back.

41
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What is done before rolling down a coverall?

Unzip or unfasten it completely.

42
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How is a coverall removed?

Rolled down and turned inside out, touching only the inside.

43
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What is done to inner gloves after gown or coverall removal?

Disinfect, remove, and discard them.

44
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What is done after removing inner gloves post-gown?

Perform hand hygiene with ABHR and don new inner gloves.

45
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How do you position your head to remove the N95?

Tilt the head slightly forward.

46
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What N95 strap is grasped first?

The bottom tie or elastic strap.

47
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What N95 strap is grasped second?

The top tie or elastic strap.

48
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What part of the N95 must not be touched?

The front.

49
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What is done after removing the N95?

Disinfect inner gloves.

50
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Where do you sit to disinfect washable shoes?

On a new clean surface.

51
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What is used to disinfect washable shoes?

An EPA-registered disinfectant wipe.

52
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What part of washable shoes is wiped?

Every external surface.

53
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What is done to the final inner gloves?

Disinfect, then remove and discard without contaminating bare hands.

54
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What is done after the final glove removal?

Perform hand hygiene with ABHR.

55
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What is the final inspection looking for?

Any contamination of scrubs or disposable garments.

56
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Who do you inform if contamination is found on final inspection?

The infection preventionist or occupational safety and health coordinator.

57
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When must contamination be reported?

Immediately, before exiting the PPE removal area.

58
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What can the worker wear leaving the PPE removal area?

Dedicated washable footwear and scrubs or disposable garments.

59
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When are showers recommended after high risk care?

At each shift's end.

60
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What counts as high risk patient care for showering?

Exposure to large quantities of blood, body fluids, or excreta.

61
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When else are showers suggested?

After extended periods in the Ebola patient room.

62
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Who meets with the worker after doffing?

The infection preventionist or occupational safety and health coordinator.

63
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What is reviewed in the post-doffing meeting?

Patient care activities to identify concerns about care protocols.

64
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What is recorded in the post-doffing meeting?

The healthcare worker's level of fatigue.