Biomedical Engineering Reference
In-Depth Information
4.
If the officer is wearing a ballistic vest it must
be removed prior to undergoing decon. The
vest is usually easily removed by loosening the
Velcro straps and then pulling the vest apart
and off the patient. It should then be placed in
a large plastic bag identified with the patient's
name and/or clothing number on it and passed
to a fellow officer or Hospital Security Officer
in the Treatment Sector.
(Prepared by: Northern Virginia Emergency
Response Coalition.)
11. Stretch arms, pull suit sleeves
over
gloves,
tape in place.
12. Pull suit cuff over boot top, tape in place.
13. Place a piece of tape on the hood exterior and
label with the employee's name & time that
employee is entering Hospital Decontamina-
tion Zone.
PPE Decontamination and Doffing
Sequence
(
Note
: The following sequence outlines the
order
in which one hospital's employees find it effec-
tive to decontaminate themselves and their PPE as
one procedure, to minimize the chance of contami-
nating their skin while removing their first receiver
PPE. The list is not intended to provide detailed
step-by-step instructions.)
Appendix 7.3 PPE Donning and Doffing
Sequence
(Source: Central Arkansas Veterans Healthcare
System.)
1. Wash hands thoroughly.
2. Still wearing PPE, wash self, starting at the
top of the head and working down to the
bottom of the boots. Have a partner wash your
back.
3. Untape boots and gloves, but do not remove
them.
4. Unlock PAPR and place it on chair/gurney/
floor, etc.
5. Remove the outer suit—roll the suit away
from you, inside out (with help from a
partner). Remove outer gloves along with the
outer suit.
6. Remove PAPR hood, place in waste.
7. Step out of boots and suit into final rinse area
(keep inner gloves and clothing on). Wash
and rinse thoroughly (with partner's help).
8. In
cold weather
: Remove (inner) suit, place
in waste.
9. Remove nitrile gloves: first pinch one glove
and roll it down partially, then place thumb
in other glove and remove both gloves simul-
taneously.
10. Wash again, removing inner clothing, then
step out of decontamination shower and into
towels/blankets.
PPE Donning Sequence
(
Note
: The following sequence outlines the
order
in which one hospital's employees find it efficient
to put on their specific first receiver PPE. The
list is not intended to provide detailed step-by-step
instructions for putting on the PPE.)
1. Test PAPR flow rate to be sure it meets rate
specified by the manufacturer.
2. Remove jewelry and clothing.
3. Put on inner nitrile gloves.
4. In
cold weather
: Put on inner suit. Tape
gloves at wrist and zipper at neck.
5. In
warm weather
: Put on scrubs.
6. Put on outer chemical protective suit to waist.
Put on boots and outer chemical protective
gloves.
7. Connect PAPR to hood with hose; turn
airflow on. Put on butyl hood (position the
inside shroud between suits). Pull chemical
protective suit up and on.
8. Ensure zipper is covered and secured, put tape
on top.
9. Belt PAPR to waist.
10. Put outer butyl hood shroud over suit.
