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Ebola: Personal Protective Equipment (PPE) Donning and Doffing Procedures


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Doffing PPE: Remove and Discard Outer Gloves																				Related Pages
												If you are unable to access the video on YouTube please down load the video. Due to the large size of the video file, it may take a few minutes to download.Guidance on Personal Protective EquipmentIn this example, the boots are under the coverall and are being removed later in the sequence. However, depending on the PPE used at your institution, the boots covers may be removed at this point in the sequence or later on in the sequence.
Now it’s time to remove the outer gloves. There are two 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 up. Pinch that glove and lift at the wrist, then roll it down until the glove is completely off your hand, in a ball, in the palm of the other 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. Dispose of the gloves.

			
							
								Page last reviewed:  October 29, 2014						Content source:  
	Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Healthcare Quality Promotion (DHQP) Ebola (Ebola Virus Disease)
PPE Training Home
N95 and Gown
Putting on (Donning)
Engage Trained Observer
Remove Personal Clothing and Items
Inspect PPE Prior to Donning
Perform Hand Hygiene
Put on Boot Covers
Put on Inner Gloves
Put on Gown
Put on N95 Respirator
Put on Surgical Hood
Put on Outer Apron (if used)
Put on Outer Gloves
Put on Face Shield
Verify
Removing (Doffing)
Prepare to Doff Your PPE
Engage the Trained Observer
Disinfect Outer Gloves
Remove Outer Apron (if used)
Disinfect Outer Gloves
Remove Boot Covers
Disinfect Outer Gloves
Remove and Discard Outer Gloves
Inspect Inner Gloves
Disinfect Inner Gloves
Remove the Face Shield
Disinfect Inner Gloves
Remove the Surgical Hood
Disinfect Inner Gloves
Remove the Gown
Change Inner Gloves
Remove the N95 Respirator
Disinfect Inner Gloves
Disinfect Your Shoes
Disinfect Inner Gloves
Remove and Discard Inner Gloves
Perform Hand Hygiene
Review Body for Contaminants
Exit the Doffing Area
N95 and Coveralls
Putting on (Donning)
Introduction
Engage Trained Observer
Remove Personal Clothing and Items
Inspect PPE Prior to Donning
Perform Hand Hygiene
Put on Boot Covers
Put on Inner Gloves
Put on Coverall
Put on N95 Respirator
Put on Surgical Hood
Put on Outer Apron (if used)
Put on Outer Gloves
Put on Face Shield
Verify
Removing (Doffing)
Prepare to Doff Your PPE
Engage the Trained Observer
Disinfect Outer Gloves
Remove Outer Apron (if used)
Disinfect Outer Gloves
Remove and Discard Outer Gloves
Inspect and Disinfect Inner Gloves
Remove the Face Shield
Disinfect Inner Gloves
Remove the Surgical Hood
Disinfect Inner Gloves
Remove the Coverall
Disinfect Inner Gloves
Remove Boot Covers
Change Inner Gloves
Remove the N95 Respirator
Disinfect the New Inner Gloves
Disinfect Your Shoes
Disinfect Inner Gloves
Remove and Discard Inner Gloves
Perform Hand Hygiene
Review Body for Contaminants
Exit the Doffing Area
Powered Air-Purifying Respirator (PAPR) and Gown
Putting on (Donning)
Engage Trained Observer
Remove Personal Clothing and Items
Inspect PPE Prior to Donning
Perform Hand Hygiene
Put on Boot Covers
Put on Inner Gloves
Put on Gown
Put on PAPR
Put on Outer Gloves
Put on PAPR Hood
Put on Outer Apron (if used)
Verify
Removing (Doffing)
Prepare to Doff Your PPE
Engage the Trained Observer
Disinfect Outer Gloves
Remove Outer Apron (if used)
Disinfect Outer Gloves
Remove Boot Covers
Disinfect Outer Gloves
Remove and Discard Outer Gloves
Inspect Inner Gloves
Remove the Respirator
Remove the Gown
Disinfect Inner Gloves
Disinfect Your Shoes
Disinfect Inner Gloves
Remove and Discard Inner Gloves
Perform Hand Hygiene
Review Body for Contaminants
Exit the Doffing Area
Powered Air-Purifying Respirator (PAPR) and Coveralls
Putting on (Donning)
Engage Trained Observer
Remove Personal Clothing and Items
Inspect PPE Prior to Donning
Perform Hand Hygiene
Put on Boot Covers
Put on Inner Gloves
Put on Coverall
Put on PAPR
Put on Outer Gloves
Put on Hood
Put on Outer Apron (if used)
Verify
Doffing (Removing)
Prepare to Doff Your PPE
Engage the Trained Observer
Disinfect Outer Gloves
Remove Outer Apron (if used)
Disinfect Outer Gloves
Remove and Discard Outer Gloves
Inspect Inner Gloves
Disinfect Inner Gloves
Remove the Respirator
Remove the Hood
Disinfect Inner Gloves
Remove the Coverall
Disinfect Inner Gloves
Remove Boot Covers
Change Inner Gloves
Disinfect Your Shoes
Disinfect Inner Gloves
Remove and Discard Inner Gloves
Perform Hand Hygiene
Inspect Body for Contamination
Exit the Doffing Area
Trained Observer for All PPE
Introduction
Your Roles as the Trained Observer
Trained Observers are Active Participants
Maintain Situational Awareness
Remain Vigilant
Communication and Leadership
Establish ‘Red Flag’ Words
Use Closed-Loop Communication
When Do You Step In and Assist?
How You Protect Yourself When Assisting
Donning: The Trained Observers’s Role in Donning
Donning: Confirming Completion of Protocol Steps
Donning: Engaging the Observer
Donning: Pre-Donning Briefing
Donning: Error Catching and Pro-active Assistance
Doffing: The Trained Observers’s Role in Doffing
Doffing: Engaging the Trained Observer
Doffing: Preparing the Doffing Area
Doffing: The Pre-doffing Briefing
Doffing: Role Clarity for Doffing Assistant
Doffing: Anticipating Risks PPE Training Quick Links
 Comprehensive PPE Training Videos
Ebola Healthcare Worker Page


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