B1.2.7 Sequence for putting on and removing PPE

To reduce the risk of transmission of infectious agents, PPE must be used appropriately. The following table outlines sequences and procedures for putting on and removing PPE.

Hand hygiene must be performed before putting on PPE and after removing PPE.

Table B1.8: Putting on and removing PPE

Sequence for putting on PPE

GOWN

  • Fully cover torso from neck to knees, arms to end of wrists, and wrap around the back
  • Fasten at the back of neck and waist

MASK

  • Secure ties or elastic bands at middle of head and neck

PROTECTIVE EYEWEAR OR FACE SHIELD

  • Place over face and eyes and adjust to fit

GLOVES

  • Extend to cover wrist of isolation gown

Sequence for removing ppe

Remove PPE at doorway or in anteroom

GLOVES

  • Outside of gloves is contaminated!
  • Grasp outside of glove with opposite gloved hand; peel off
  • Hold removed glove in gloved hand
  • Slide fingers of ungloved hand under remaining glove at wrist
  • Peel glove off over first glove
  • Discard gloves in waste container

Perform Hand Hygiene

PROTECTIVE EYEWEAR OR FACE SHIELD

  • Outside of eye protection or face shield is contaminated!
  • To remove, handle by head band or ear pieces
  • Place in designated receptacle for reprocessing or in waste container

GOWN

  • Gown front and sleeves are contaminated!
  • Unfasten ties
  • Pull away from neck and shoulders, touching inside of gown only
  • Turn gown inside out
  • Fold or roll into a bundle and discard

MASK*

  • Front of mask is contaminated — DO NOT TOUCH!
  • Grasp bottom, then top ties or elastics and remove
  • Discard in waste container

PERFORM HAND HYGIENE IMMEDIATELY AFTER REMOVING ALL PPE

Source: Adapted from http://www.cdc.gov/hicpac/2007ip/2007isolationprecautions.html.

* Surgical masks can be removed at the point of care. To remove a P2 respirator, perform hand hygiene and step outside the room or into an anteroom before removing and disposing of the respirator in a closed container and performing hand hygiene again.

Note that for surgical procedures and dentistry, the sequence for putting on PPE differs. In these situations, masks and protective eyewear are applied first prior to hand preparation. Gown and gloves are then put on. (see Section B4.3.2).