Fitting of Personal Protective Equipment PPE and taking

Fitting of Personal Protective Equipment (PPE) and taking swabs for influenza This PPE module presentation is also accessible on the MLE (Managed Learning Environment). If you have difficulty accessing the MLE, please contact the Education Centre (education. centre@salisbury. nhs. uk). This presentation will take about 10 minutes to complete. Infection Prevention and Control Team ext. 4089 or bleep number 1212

In this module: Section 1 - Putting on PPE n n n What is PPE Types of face mask How to fit a mask correctly Section 2 - Taking off PPE n Removal and disposal of PPE Section 3 - Specimen taking n Taking swabs for influenza You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE includes: n n n Disposable apron Face mask (Level 1, 2 or 3) Disposable gloves Goggles or visors Water-repellent disposable gown (Please note for wearing of Level 3 Full Face Protection (FFP 3) masks, all staff must be fit tested by an approved trainer. Please contact your Line Manager to access this training). You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE Types of masks available n A Level 1 mask is a standard surgical mask You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE Types of masks available n Level 2 mask Full Face Protection (FFP 2) – there are different styles available You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE Types of masks available n Level 3 mask Full Face Protection (FFP 3) There are different styles available, with some having valves Principles of ‘fit’ checking remain the same for Level 2 and Level 3 masks You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE Masks for suspected/confirmed influenza n Level 1 masks n n These should be worn by staff working in areas where there are patients isolated for suspected or confirmed influenza. Level 3 masks n Level 3 masks should be worn, instead of a Level 1 mask, by staff performing aerosol generating procedures, e. g. chest physio, bronchoscopy, intubation and related procedures. You must take care to ensure that PPE is put on and removed correctly.

Other PPE for suspected/confirmed influenza n In addition to the correct mask staff need to wear the following PPE: n n n Disposable apron Disposable gloves If performing aerosol generating procedures staff will need to wear: n n n Water repellent gown, instead of an apron Eye protection – visors or goggles Disposable gloves You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE Mask Fit checking - general principles n 1. Separate edges of mask to fully open it You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE Mask Fit checking - general principles n 2. Pre-bend the nosepiece to conform to face You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE Mask Fit checking - general principles n 3. Hold mask upside down to expose headbands and separate using thumbs and index fingers You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE Mask Fit checking - general principles n 4. Cup the mask under chin, and pull headbands up & over the head You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE Mask Fit checking - general principles n 5. Position headbands at base of neck and crown of head You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE Fit checking - general principles n 6. Conform nose piece across bridge of nose and continue to adjust the mask to achieve facial seal You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE Fit checking - general principles n n n 7. Continue to adjust the mask to achieve a good facial seal The mask will not work properly if it is not snugly fitted around your nose and chin. Airborne contamination could get through any gaps between the mask and your face. You must take care to ensure that PPE is put on and removed correctly.

Section 1 – Putting on PPE n Do not proceed with your activity until you have successfully ‘fit’ checked your mask and put on all appropriate PPE You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Removal of PPE n n n In this section you will learn how to remove PPE. Always assume that your PPE has become contaminated and always follow the correct procedure for taking it off. It is important that PPE is removed safely to prevent contamination. You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Step 1 n Remove gloves You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Step 1 n n Remove gloves Take care not to touch the outside of the gloves You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Step 2 n Remove gown You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Step 2 n Remove gown n Roll up gown inside out You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Step 3 n Dispose of gloves and gown as clinical waste You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Step 4 n n Remove visor or goggles Handle only by the sides or headband – do not touch the front of the visor or goggles You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Step 4 n n Remove visor or goggles Drop into clinical waste bin You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Step 5 n Wash hands with soap & water, dry thoroughly using disposable paper towels You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Step 6 - Remove face mask n n Depending on type of mask, either break headbands at the side of the mask or stretch the elastic straps over the head Drop discarded mask into clinical waste bin You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Step 7 n Gel hands with alcohol hand rub gel to remove any contamination from the mask You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Step 8 n Leave room and wash hands again You must take care to ensure that PPE is put on and removed correctly.

Section 2 – Removing PPE Removal of Personal Protective Equipment 1. Remove gloves 2. Remove gown 3. Dispose of gloves and gown as clinical waste 4. Remove visor or goggles and put in clinical waste bin 5. Wash hands with soap and water, dry thoroughly using disposable towels 6. Remove face mask and drop into clinical waste bin 7. Gel hands with alcohol hand rub gel to remove any contamination from the mask 8. Leave room and wash hands again You must take care to ensure that PPE is put on and removed correctly.

Specimen taking How to take swabs for Influenza

Section 3 – Specimen taking for influenza Type of Swab n A combined nose and throat swab should be taken using a swab (containing a transport medium) You must take care to ensure that PPE is put on and removed correctly.

Section 3 – Specimen taking for influenza Assemble required supplies: n n n 1 swab for each patient Staff member taking the swab must wear disposable apron, gloves and face mask Eye protection must be used if there is a risk of eye splash You must take care to ensure that PPE is put on and removed correctly.

Section 3 – Specimen taking for influenza Throat swab collection n Using the swab, vigorously swab the posterior pharyngeal wall including tonsil area a specimen from the on throat You must take care. Take to ensure that PPE is put and first removed correctly.

Section 3 – Specimen taking for influenza Nasal Swabbing n n Tilt the patient’s head back slightly, and using the same swab insert along the medial part of the septum until it reaches the posterior nares Always take throat swab before you take the nasal swab Take a specimen from throat first, thenisfrom theand nose using the same swab You must take carethe to ensure that PPE put on removed correctly.

Section 3 – Specimen taking for influenza Specimen taking When you have taken the specimen: 1. Insert swab into the vial and ‘snap off’ swab at breakpoint. 2. Label appropriately with patient details. 3. Complete a T’Quest request form in full and place vial in a bag and attach the T’Quest form. Take a specimen from throat first, thenisfrom theand nose using the same swab You must take carethe to ensure that PPE put on removed correctly.

Section 3 – Specimen taking for influenza Specimen taking When you have taken the specimen: n Dispose of PPE as clinical waste n Wash hands using soap and water n Dry hands thoroughly with disposable paper towels You must take care to ensure that PPE is put on and removed correctly.

Fitting of PPE guide completed End of this presentation guide to using PPE and taking a combined throat and nasal swab for influenza. Infection Prevention and Control Team ext. 4089 or bleep number 1212