Kennedy Hughes

ISM-Period 1
Ortega, Rafael. “Putting on and Removing Personal Protective Equipment | NEJM.” New

England Journal of Medicine, 9 Mar. 2015,

www.nejm.org/doi/full/10.1056/NEJMvcm1412105.

• No skin should be seen when wearing PPE due to the possibility of bodily fluids
touching the skin.
• A trained health care observer should always be present when putting on and
removing PPE.
• Disposable gloves wit extra long cuffs should always be used.
• Gowns should be fluid resistance and should cover from neck to calf length.
• Before putting on PPE make sure your hair is tied back and you have no jewelry
present.
• Before using PPE make sure you wash your hands with an alcohol-based hand
scrub.
• Before using gloves make sure your hands are always dry.
• When putting on the gown make sure the ties are secured.
• When removing PPE make sure you are at a “doffing” area which should only be
used for the removal of PPE.
• All PPE should be removed and put into a disposable container.
• To remove gloves to gasp the gloves with two fingers on the inside of the glove,
then gently remove the glove without having any contact with the outside of the
glove.
• When removing the face shield tilt your head and remove away from head
without it touching.
• Remove the gown by undoing the waist then gently remove the gown without
touching any other parts of your body.
• After removing your gloves make sure you immediately wash your hands or use a
disinfectant.
• Always use the bathroom and make sure you are hydrated before you apply PPE
to your body.
• Make sure you are wearing washable shoes before you wear the boot coverings.
• Before leaving the room make sure your disinfection the PPE by using a
disinfectant wipe to get any contaminated material off your PPE to avoid contact
when removing.
• Always inspect your PPE in case there is any residue to avoid contact.

I liked this article because it was very informational, it tells you the exact steps and
order to remove and apply PPE in case of an incident.
 Kennedy Hughes
ISM- period 1

Fischer, William A, et al. “Personal Protective Equipment: Protecting Health Care Providers in an Ebola

Outbreak.” Clinical Therapeutics, U.S. National Library of Medicine, 1 Nov. 2015,

www.ncbi.nlm.nih.gov/pmc/articles/PMC4661082/.

• Health complications can occur if PPE isn’t worn.

• PPE is designed to prevent diseases such as Ebola.
• Most health complications come from touch or direct contact
• Bodily fluids are another reason we where PPE this could cause health complications.
• The importance of PPE was not recognized until the Ebola outbreak.
• Severe acute respiratory syndrome is an outcome of not wearing PPE
• Severe acute respiratory syndrome is responsible for 20% of people who are infected by
unproper PPE wear.
• 60% of viruses that could obtain are airborne which is why we wear face protectants such as
mask or face shields.
• Body fluids on the skin is a factor in health complications which is why we wear clothing
protectants such as gloves and gowns.
• Respiratory infections are very common when PPE is not worn correctly.
• Shoe coverings are necessary because fluids not drop onto your shoes and make them
contaminated.
• Eye infections are at risk when eye protectants such as goggles are not worn.
• Thousands become blind each year from eye related injuries.
• Influenza is a very common disease that could be contacted if the proper PPE is not applied.
• You can become easily infected if you don’t wash your hands properly after dealing with any
patient.
• Without wearing PPE airborne and droplet viruses are more likely to spread in a health care
setting.
• When infected with Ebola you never know when you have the disease or not because no
symptoms are present therefore, its best to wear PPE to prevent all spread of infection.
• Needle stick and injuries are common in the health care area which can be avoided by PPE wear.
• PPE must be removed in the proper area because once it used its very much contaminated, with
proper removal all infections are disposed properly.
• When wearing PPE never touch any of your surroundings such as your face because you can be
infected very quickly especially when dealing with patients who are sick.

This article was very informative however, I do wish it talked more about other infections to the
other areas of the body.
 Kennedy Hughes
ISM- period 1

Program, Healthcare Prevention. “Infection Control and Prevention - Personal Protective

Equipment (PPE).” Wisconsin Department of Health Services, 4 Dec. 2018,

www.dhs.wisconsin.gov/ic/ppe.htm.

• PPE is required anytime a procedure deals with touch to touch or any risk of transmission
of a disease.
• PPE protects any diseases from harming the body and it should be used at all times of
infection.
• Disposable gloves are worn during the the of exposure to any bodily fluids, blood or any
mucus membrane.
• Gloves are also worn with any contact of a patient with infection of any pathogens.
• Isolations gowns are worn are used when you come in contact with blood or bodily
fluids.
• Fluid resistant gowns should be worn when you come in contact with spraying blood or
bodily fluids.
• Surgical mask is worn to protect the mouth and nose from any infection.
• Procedure mask must be worn working with fluids because they have built in eye
protection.
• Surgical mask must also be worn with patients who have a severe cough, this helps
prevent any respiratory infections that could occur.
• Goggles are worn to protect the eyes from splash or spray of bodily fluids.
• Goggles and face shields must be worn to protect all sides of the face from infection.
• Respiratory protectors must be worn when infectious diseases such as TB bacteria or
SARS, this helps block bacteria from reaching the respiratory system before the bacteria
does.
• N-95 or NOSH machines must be worn when a patient has influenza to help to filter the
air and make sure you are not sharing the same air to spread disease.
• Gloves and a mask must be worn to prevent indigestion of aerosolized particles that may
have came from a contaminated area.
• PPE with infectious droppings must be disposed in a biohazard bag and kept away from
contact.
• Boot coverings must be worn when blood or bodily fluids could splash onto the shoe
area, this protects your shoes from being contaminated.
• All mask should be used properly in order to prevent droplet infections.
• All PPE should be used when vigorous amounts of blood is displayed.
• Gloves should be worn when transmission-based precautions are taken place such as
inserting TBP.

This article was very informative because it gives numerous examples of when we should be
wearing our PPE.