PPE Exercise Session 6 Infection Control for LPHA

PPE Exercise Session 6 Infection Control for LPHA Train the Trainer Course August 25, 2005

Objectives • Demonstrate the ability to don and remove PPE correctly • Demonstrate the ability to select and wear the appropriate PPE in given situations

PPE exercise Order of Donning PPE 1. 2. 3. 4. Gown Mask or respirator Goggles or face shield gloves

PPE exercise 1. 2. 3. 4. Order of Removing PPE Gloves Goggles or face shield Gown Mask or respirator

PPE exercise • Type of PPE used is based on: – disease/symptoms = modes of transmission – tasks/procedures

PPE exercise (see notes pages for answers) Scenario 1: A mass smallpox vaccination clinic has been initiated in your jurisdiction due to cases on the east and west coasts. You are a worker assigned to administer smallpox vaccine at the vaccination station. – – – What disease is of concern? What mode(s) of transmission is (are) involved? What PPE should you wear? Why? Where should you dispose of used PPE?

PPE exercise Scenario 2: You are a public health nurse administering immunizations at your local health department immunization clinic. – – What PPE would you wear? Why? Where would you dispose of PPE? What mode(s) of transmission and what diseases are of concern?

PPE exercise Scenario 3: You are assigned to do directly observed therapy on a TB case in your county. You will be visiting the client in his home. – What mode(s) of transmission is (are) of concern? – – What PPE will you wear? Why? At what point will you begin wearing the PPE? In addition to donning the PPE, what step should you take? – Where/when will you remove the PPE? – Where will you dispose the PPE?

PPE exercise Scenario 4 : • • • A mom and her three children are sitting in the waiting area of your facility. One of the children becomes sick and you need to clean up the emesis in the waiting area. What PPE would you select for the task? Why? Describe the steps to clean the area. How would you dispose of used PPE? How would you dispose of the cleaning items (towels, rags, cloths)?

PPE exercise Scenario 5: You need to visit a suspect SARS case on home isolation to collect a blood specimen. He has had a fever and cough for 3 days, and is not improving. He will be able to come to the door to let you in, however. When you arrive, you realize he lives in a mobile home with no entry—you will be in the patient’s immediate environment the moment you step in to the home. It is December, and the temperature is 5 degrees below zero.

PPE exercise Scenario 5 – – – – What mode(s) of transmission is(are) involved? What PPE will you wear? Why? When and where will you put it on? What might you consider telling the patient before arriving? When and where will you remove PPE? How will you dispose of it? What other equipment do you need?

PPE exercise Scenario 6: It is Tuesday and that means Hmong refugees in your area will be bringing in their stool samples for you to package for shipment to WSLH. – – Mode(s) of transmission? PPE? Why? Where should the specimens be processed? What should be done after they are processed?

PPE exercise Scenario 7: It is health screening day and many clients are at your facility waiting for their BP checks and cholesterol screening. You notice an elderly woman with cold-like symptoms, including a cough. – – What, if anything, should you do? What mode of transmission is of concern? What PPE, if any, would be used? Who would wear it?

Infection Control Principles and Practices Gwen Borlaug, CIC, MPH Infection Control Epidemiologist Bureau of Communicable Diseases 1 West Wilson Street Room 318 Madison, WI 53701 608 -267 -7711 gwen. borlaug@wisconsin. gov