CDC Guidelines On Donning PPE - Pearls

What respirator option do the CDC donning guidelines use?

The N95 respirator option.

Who supervises the PPE donning process?

A trained observer.

What does the trained observer confirm during donning?

That all PPE is serviceable and has been donned successfully.

What does the trained observer use to confirm each donning step?

A written checklist.

How else can the trained observer help during donning?

Ensuring and verifying the integrity of the ensemble.

What should be visible at the end of donning?

No exposed skin or hair.

What do you change into before donning PPE?

Surgical scrubs or disposable garments.

What footwear is worn under PPE?

Dedicated washable plastic or rubber footwear.

Where do you change before donning PPE?

In a suitable, clean area.

Can personal items be brought into the patient's room?

No, including jewelry, watches, cell phones, pagers, and pens.

What do you inspect the PPE ensemble for before donning?

That it is in serviceable condition.

What do you confirm is available before donning?

All required PPE and supplies.

What do you confirm about PPE sizes before donning?

That sizes are correct for the healthcare worker.

When does the trained observer review the donning sequence?

Before the healthcare worker begins.

How does the trained observer guide donning?

Reads the sequence step-by-step to the healthcare worker.

What is used for hand hygiene before donning?

An alcohol-based hand rub (ABHR).

What must happen after using ABHR before the next step?

Allow hands to dry.

What is put on right after hand hygiene?

Inner gloves (the first pair).

What is put on after inner gloves?

Boot or shoe covers.

What is put on after boot or shoe covers?

A gown or coverall.

How large should the gown or coverall be?

Large enough to allow unrestricted freedom of movement.

Where are inner glove cuffs placed relative to the gown?

Tucked under the sleeve of the gown or coverall.

What is put on after the gown or coverall?

The N95 respirator.

What check is completed after putting on the N95?

A user-seal check.

What is put on after the N95?

The surgical hood.

Where is the surgical hood placed?

Over the N95 respirator.

What must the surgical hood cover?

All of the hair and ears.

How far must the surgical hood extend?

Past the neck to the shoulders.

What must you be certain the hood covers?

Both the ears and neck.

What optional item is put on after the hood?

A full-body outer apron.

Why is an outer apron used?

Additional protection to the front of the body against body fluids or excrement.

What is put on after the apron?

Outer gloves.

What type of outer gloves are used?

A second pair with extended cuffs.

Where are outer glove cuffs placed?

Pulled over the sleeves of the gown or coverall.

What is put on after outer gloves?

A full face shield.

What is the face shield worn over?

The N95 respirator and surgical hood.

Why is a face shield worn?

Additional protection to the front and sides of the face, including skin and eyes.

Who verifies ensemble integrity after donning?

The trained observer.

What movements confirm range of motion after donning?

Extend the arms, bend at the waist, and go through a range of motions.

What should remain true while moving after donning?

All areas of the body remain covered.

What can help the healthcare worker while donning?

A mirror in the room.

What is the final donning step?

Disinfect outer-gloved hands with ABHR.

What must happen before patient contact after disinfecting outer gloves?

Allow them to dry.