Removing Personal Protective Equipment

Written by Hollie Finders, RN
Hollie Finders is a registered nurse with years of experience working in the health care field. She has degrees in both biochemistry and nursing. After working with patients of all ages, Hollie now specializes in pediatric intensive care nursing. Hollie’s LinkedIn

Procedure

Equipment needed: trashcan, biohazard container

  1. With both hands still gloved, grasp the glove at the palm of your non-dominant hand and pull the glove off, turning it inside out in the process.
  2. Hold that glove in the center of your gloved hand.
  3. Using your non-gloved hand, insert two fingers underneath the cuff of the glove.
  4. Carefully pull the glove off, while turning the glove inside out. The other glove should be enclosed inside this glove.
  5. Dispose gloves in the proper biohazard container.
  6. Remove goggles.
  7. Untie the disposable gown at the neck and the waist.
  8. Grasping the inside of the gown near the neck ties, pull the gown down off of one arm and slide the arm out.
  9. Repeat procedure for remaining arm.
  10. Touching only the inside surface of the gown, roll the gown to enclose the contaminated side.
  11. Dispose the gown in the proper biohazard container.
  12. Remove the mask by untying the bottom ties and then the top ties, or remove the elastic bands from around the ears.
  13. Dispose of the mask into the trashcan.
  14. Perform hand hygiene.

Important Information

It is important to follow the correct procedure while removing personal protective equipment to avoid contaminating your skin or clothing. The most common source of contamination in this process stems from improper removal of gloves [1]. Gloves are often the most soiled piece of equipment. To avoid contaminating your skin or the other equipment worn, gloves should always be removed first. Then remove the goggles, gown, and mask, in that order.

Disposable equipment should not be reused. These items should be discarded into the proper receptacles: mainly biohazard containers or waste bins. Reusable items, on the other hand, should be properly decontaminated and stored according to facility policy. As a reminder, use of personal protective equipment does not take the place of proper hand hygiene. Always thoroughly wash and dry your hands after removing and disposing of the equipment.

References

1. https://www.ncbi.nlm.nih.gov/pubmed/26457544

More Resources

Prone Position

Prone position is not used as commonly as other patient positions. This position allows for full extension of the hips and the knees and gives many bony prominences a break from continuous pressure. However, placing patients in prone position does not come without the risks of pressure ulcers.

Perineal Care of the Male Resident

Perineal care should be performed during a bath, after using the bedpan, and/or after incontinence. Special care should be used when performing perineal care on an uncircumcised male. Failure to retract and wash the area under the foreskin can result in infection. Failure to return the foreskin to its normal position can result in paraphimosis.

Putting on Personal Protective Equipment

Personal protective equipment is worn to protect the mouth, nose, eyes, clothing, and skin from unwanted pathogens. In the health care setting, a patient’s condition often prompts the use of personal protective equipment; however, a health care worker is able to wear personal protective equipment whenever he or she deems it is necessary (e.g., during procedures with the potential for excessive contact with bodily fluids).

Performing Ostomy Care

Residents who have had a portion of their intestines removed due to illness or trauma may have a temporary or permanent ostomy, which is an opening in the abdomen that is created for the elimination of urine or feces. The portion of the intestine that is connected to the abdominal wall and is visible is called the stoma. A pouch is placed over the stoma to collect feces.

Assisting the Resident to Sit on the Side of the Bed

Having the resident sit on the side of the bed is otherwise referred to as dangling. When a resident quickly changes position, especially from lying to sitting or standing, there can be a rapid drop in the resident’s blood pressure. This drop in blood pressure may cause dizziness or lightheadedness.

person wearing orange and white silicone band

Applying Restraints

Restraints have very strict guidelines for use due to the number of complications that can result. Use of restraints is associated with increased physical and psychosocial health issues. Restraints are only considered necessary when restraint-free alternatives have failed and the patient or others are at risk of harm without the restraints. It is illegal to use restraints for the staff’s convenience or to punish the patient.