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    5) Sequence of Donning and Doffing of PPE For COVID-19 MOH. Update Version (2) 17.11.2020

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    Amalina Razin
    This document from the Ministry of Health Malaysia provides guidance on donning and doffing personal protective equipment (PPE) for the COVID-19 pandemic. It outlines the proper sequence and steps for putting on and taking off PPE, including removing personal items, performing hand hygiene, donning a mask, gown, gloves, and other protective gear in the proper order. The document also explains how to properly remove and dispose of used PPE after a procedure to prevent contamination.

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    5) Sequence of Donning and Doffing of PPE For COVID-19 MOH. Update Version (2) 17.11.2020

    Uploaded by

    Amalina Razin
    94 views27 pages
    This document from the Ministry of Health Malaysia provides guidance on donning and doffing personal protective equipment (PPE) for the COVID-19 pandemic. It outlines the proper sequence and steps for putting on and taking off PPE, including removing personal items, performing hand hygiene, donning a mask, gown, gloves, and other protective gear in the proper order. The document also explains how to properly remove and dispose of used PPE after a procedure to prevent contamination.

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    5) Sequence of Donning and Doffing of PPE for COVID-19 MOH. Update Version (2) 17.11.2020

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    This document from the Ministry of Health Malaysia provides guidance on donning and doffing personal protective equipment (PPE) for the COVID-19 pandemic. It outlines the proper sequence and steps for putting on and taking off PPE, including removing personal items, performing hand hygiene, donning a mask, gown, gloves, and other protective gear in the proper order. The document also explains how to properly remove and dispose of used PPE after a procedure to prevent contamination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    94 views27 pages

    5) Sequence of Donning and Doffing of PPE For COVID-19 MOH. Update Version (2) 17.11.2020

    Uploaded by

    Amalina Razin
    This document from the Ministry of Health Malaysia provides guidance on donning and doffing personal protective equipment (PPE) for the COVID-19 pandemic. It outlines the proper sequence and steps for putting on and taking off PPE, including removing personal items, performing hand hygiene, donning a mask, gown, gloves, and other protective gear in the proper order. The document also explains how to properly remove and dispose of used PPE after a procedure to prevent contamination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 27

    Ministry of Health

    Malaysia

    Sequence of Donning and


    Doffing of PPE for
    COVID-19 Pandemic

    Infection Control Unit,


    Medical Care Quality Section,
    Medical Development Division,
    Ministry of Health, Malaysia
    Hierarchy of Controls in Infection
    Ministry of Health
    Malaysia

    2
    Ministry of Health
    Malaysia Vocabulary

    Personal Protective Equipment


    as defined by the Occupational Safety
    PPE and Health Administration, or OSHA, is
    specialized clothing or equipment, worn
    by an employee for protection against
    infectious materials.

    Donning Putting on

    Doffing Taking off

    2
    Ministry of Health
    Malaysia

    PPE Required
    Ministry of Health
    Malaysia

    SEQUENCE OF
    DONNING OF PPE

    4
    Ministry of Health
    Malaysia

     Remove All Personal Items


    (jewelry, watches, cell
    phone, pens, etc.)
     Put on a scrub suit in
    changing room including cap
     Wear protective cover shoes
    or medical clog

    5
    Ministry of Health
    Malaysia

    Perform Hand
    Hygiene

    32
    Ministry of Health
    Malaysia

    8
    Ministry of Health
    Malaysia

    Wear Boot Cover


     The boot cover is only indicated
    when spillage or vomiting is
    anticipated
    Perform hand hygiene

    9
    Ministry of Health
    Malaysia

    Put on Surgical N95


    Mask
     Place over nose, mouth and chin
     Fit flexible nose piece over nose
    bridge
     Pull the top strap over your head
    and position it high on the back of
    the head
     Pull the bottom strap over your
    head and position it round your
    neck and below your ears
     Adjust to fit
    Perform seal check

    11
    HOW TO PERFORM SEAL CHECK
    Ministry of Health
    Malaysia

    Seal Check
    Must be conducted each time N95 mask are worn to ensure they are
    providing the intended level of protection.
    Negative Seal Check Positive Seal Check
    • Inhale deeply. If no leakage, • Exhale sharply. A positive
    negative pressure will make pressure inside the mask = no
    respirator
    1
    cling to your face leakage. If leakage, adjust
    • Leakage will result in loss of position and/or tension straps.
    negative pressure in the Retest the seal.
    respirator due to air entering • Repeat the steps until
    through gaps in the seal respirator is sealed properly

    Fit Test
    Should be done:
    • Every time when there is a change in the brand, model and size
    • User weight fluctuates
    • Facial/dental alteration occur
    • Recommended to be performed at least annually to ensure
    continued adequate fit. 12
    Ministry of Health
    Malaysia

    Wear Head Cover

    13
    Ministry of Health
    Malaysia

    Put on Eye Protection


    (Face Shield/Goggles)
     Adjust to fit comfortably

    13
    Ministry of Health
    Malaysia

    Put on Isolation
    Gown (Fluid
    Resistant Long
    Sleeved Gown)
     Select appropriate type and size
     Opening is at the back
     Fully cover torso from neck to
    knees, arms to end of wrists and
    wrap around the back
     Fasten in back of neck and waist
    Ministry of Health
    Malaysia

    Put on Gloves
     Extend gloves over isolation gown
    cuffs

    13
    Ministry of Health
    Malaysia

    Complete Donning
    of PPE

    13
    Ministry of Health
    Malaysia

    SEQUENCE OF
    DOFFING OF PPE

    20
    Ministry of Health
    Malaysia

    Remove Gloves
     Using a gloved hand, grasp the
    palm area of the other gloved
    hand and peel off glove
     Hold removed glove in gloved
    hand
     Slide fingers of ungloved hand
    under remaining glove at wrist and
    peel off
     Discard gloves in a waste container
     Perform hand hygiene

    21
    Ministry of Health
    Malaysia

    Remove Isolation
    Gown
     Unfasten gown ties
     Pull gown away from neck and
    shoulder, touching inside of gown
    only
     Turn gown inside out
     Fold or roll into a bundle and
    discard into waste container
     Perform hand hygiene
    Ministry of Health
    Malaysia

    Remove Face Shield


    or Goggles
     Remove from the back by lifting
    head band or ear pieces
     Discard in waste container
     If the item is reusable, place in
    designated receptacle for
    reprocessing
     Perform hand hygiene

    25
    Ministry of Health
    Malaysia

    Remove Head
    Cover
    Perform hand hygiene

    27
    Ministry of Health
    Malaysia

    Remove Surgical N95


    Mask
     Remove from behind
     Grasp bottom ties or elastics of the
    respirator, then the ones at
    the top and remove without
    touching the front
     Discard in waste container
     Perform hand hygiene

    31
    Ministry of Health
    Malaysia

    Remove Boot Cover

    29
    Ministry of Health
    Malaysia

    Perform Hand
    Hygiene

    32
    Ministry of Health
    Malaysia

    Complete
    Doffing of PPE

    33
    References
    Ministry of Health
    Malaysia

    1) Using Personal Protective Equipment (PPE), Centers for Disease Control & Prevention,
    https://www.cdc.gov/coronavirus/2019-ncov/hcp/using-ppe.html

    2) Personal Protective Equipment, CDC, https://www.cdc.gov/hai/pdfs/ppe/ppe-


    sequence.pdf

    3) How to put on and how to remove personal protective equipment (PPE), World Health
    Organization, https://www.who.int/publications/i/item/WHO-HIS-SDS-2015.1

    4) How To Put On And Take Off Personal Protective Equipment (PPE) Poster, World Health
    Organization, https://www.who.int/csr/resources/publications/putontakeoffPPE/en/

    5) Policies & Procedures on Infection Prevention and Control. 2019. 3rd Edition. Medical
    Care Quality Section, Ministry of Health Malaysia.

    9
    THANK YOU

    34

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