Doffing PPE

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About this medical skill
Video annotations Click on a timestamp to navigate through the video.
00:31Remove Gloves
01:25Remove Gown
02:02Hand Hygiene
02:15Remove face shield or goggle
02:27Remove Respirator or facemask
03:00Final hand hygiene
Self-assessment
Practice removing gloves contaminated with ketchup or other non-infectious contaminant to verify glove removal technique
Equipment and materials
Prehospital PPE
More video data

How to Take Off (Doff) PPE Gear[edit | edit source]

More than one doffing method may be acceptable. Training and practice using your healthcare facility’s procedure is critical. Below is one example of doffing.

  1. Remove gloves. Ensure glove removal does not cause additional contamination of hands. Gloves can be removed using more than one technique (e.g., glove-in-glove or bird beak).
  2. Remove gown. Untie all ties (or unsnap all buttons). Some gown ties can be broken rather than untied. Do so in gentle manner, avoiding a forceful movement. Reach up to the shoulders and carefully pull gown down and away from the body. Rolling the gown down is an acceptable approach. Dispose in trash receptacle. *
  3. Healthcare personnel may now exit patient room.
  4. Perform hand hygiene.
  5. Remove face shield or goggles. Carefully remove face shield or goggles by grabbing the strap and pulling upwards and away from head. Do not touch the front of face shield or goggles.
  6. Remove and discard respirator (or facemask if used instead of respirator). Do not touch the front of the respirator or facemask.*
    • Respirator: Remove the bottom strap by touching only the strap and bring it carefully over the head. Grasp the top strap and bring it carefully over the head, and then pull the respirator away from the face without touching the front of the respirator.
    • Facemask: Carefully untie (or unhook from the ears) and pull away from face without touching the front.
  7. Perform hand hygiene after removing the respirator/facemask and before putting it on again if your workplace is practicing reuse.*