Name: How to Safely Take off PPE, Selected Equipment: N95 and Gown
Uploaded: 2015-04-30T17:01:02.000Z
Duration: 16 min 54 s
Description: Thousands of YouTube videos with English-Chinese subtitles! Now you can learn to understand native speakers, expand your vocabulary, and improve your pronunciation...

>> Hi, I'm Peter Pronovost, the Johns Hopkins Medicine Senior Vice President

for Patient Safety and Quality and the Director of the Armstrong Institute.

Reflexive pronouns

One of the most important ways you can keep yourself safe in caring for patients with Ebola.

Is to make sure that you learn to put on and take off personal

and protective equipment in the most appropriate way.

Now the Centers for Disease Control has provided us detailed guidance for how to do that.

So we've partnered with the CDC to do that.

We pulled together our infectious disease experts, human factors and systems engineers,

psychologist, instructional designers, and technology experts.

To come together to produce this content.

We've been here a week working long hours to make modules for you.

And now what you will see are 3 key modules.

Number 1, how to put on or don personal protective equipment.

Number 2, how to take off or doff personal protective equipment.

And number 3, how the observer can work together

to help ensure your safety using teamwork behaviors that were developed by the Agency

Now we know that are anxiety filled times.

Believe me, I'm a critical care physician, I'm right with you.

But we also know that with proper training and when we ensure your competency in putting on

and taking off this equipment, we can safely care for those patients.

And from our colleagues at the Centers for Disease Control and our colleagues

at Johns Hopkins Medicine, we thank you for all you do for patients.

>> In this video, you will learn how to doff or remove your personal protective equipment

Following the doffing protocol will minimize the risk for disease transmission.

So it's very important that you understand all the steps.

Your trend observer will help you with the process.

Before you move from the patient's room and into the doffing area,

you will need to take a few minutes to do some important things.

First, get the attention of the trained observer.

Once he or she signals to you that it's clear, enter the doffing area.

Inspect your personal protective equipment.

Are there any obvious signs of contamination or materials on it?

If so, you will need to disinfect the surface of the personal protective equipment

with an EPA designated disinfectant wipe.

Also with an EPA designated disinfectant wipe or alcohol based hand rub.

You and your trained observer are a team throughout the doffing process

>> I'm here to help you through the doffing process.

You'll hear me give directions that are not part of standard practice.

>> The trained observer will read each step aloud.

Giving you the time to take the required action.

>> We need to check for any rips, tears, or contaminants on your clothes.

>> Remember, don't rush through the doffing process.

>> Now I'd like you to disinfect your outer gloves.

>> If you're using an apron, you now need to remove it.

The assistant will assess the type of apron used.

Then you will remove the apron by breaking the strap or lifting the strap over your head.

Rolling from the inside to outside, and away from your body.

And discarding it in the appropriate receptacle.

If the apron can be gently pulled away from the body by tearing it

at the neck, this process should be used.

Once the apron is off, inspect your personal protective equipment

for visible contamination, cuts, or tears.

If you see your personal protective equipment has been compromised or if there are any signs

of contamination, disinfect it with an EPA registered disinfectant wipe.

>> In your doffing area, you will have 2 chairs.

One will be where you sit to take off your boot covers only.

This chair will be marked clearly as dirty.

Once you sit down, be careful not to touch 1 leg with the other.

Then grasp the outside of the boot cover and pull down toward your ankle.

Pull it off your foot and dispose of it correctly.

The exact way to remove the boot covers will vary based on the manufacturer's instructions.

Now it's time to disinfect your outer gloves again.

In the next step, you're going to remove your outer gloves.

Please do this slowly and carefully to avoid contaminating or tearing your inner glovers.

>> There are 2 very important things to remember.

First, pay special attention so that you don't contaminate or tear the inner glove.

Second, don't snap the gloves which could cause spray.

Hold one of your wrists so that your thumb points to the ceiling.

Then roll it down until the glove is completely off your hand

Then slide a finger down and inside the outer glove on the other hand and pull it off

until it's balled around the first glove.

Now inspect both sides of your inner gloves for visible tears or contamination.

>> If you do see a tear, hole, or signs of contamination of the inner gloves,

disinfect with EPA registered disinfectant wipes or alcohol based hand rub.

Making sure not to contaminate your bare hands.