Donning PPE

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About this medical skill
Video annotations Click on a timestamp to navigate through the video.
01:35Donning N95 Respirator
02:12N95 Seal Check
02:43Donning Facemask
03:08Donning Face Shield or Goggles
03:23Donning non-sterile gloves
Perform the respirator check at 2:12 in the video to verify proper fit
Equipment and materials
Prehospital PPE
More video data

This skill is based fully upon material take from the CDC recommendations for EMS personnel and reflects up to date COVID-19 compliant instructions for the donning a full set of PPE including respiratory, eye and hand protection with a full isolation gown. For most prehospital patient encounters the isolation gown is not required, but you should be familiar with its use.

How to Put On (Don) PPE Gear[edit | edit source]

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

  1. Identify and gather the proper PPE to don.
  2. Perform hand hygiene using hand sanitizer.
  3. Put on correctly sized isolation gown (if using). Tie all of the ties on the gown. Assistance may be needed by other healthcare personnel.
  4. Put on NIOSH-approved N95 filtering facepiece respirator or higher (use a facemask if a respirator is not available). If the respirator has a nosepiece, it should be fitted to the nose with both hands, not bent or tented. Do not pinch the nosepiece with one hand. Respirator/facemask should be extended under chin. Both your mouth and nose should be protected. Do not wear respirator/facemask under your chin or store in scrubs pocket between patients.*
    • Respirator: Respirator straps should be placed on crown of head (top strap) and base of neck (bottom strap). Perform a user seal check each time you put on the respirator.
    • Facemask: Mask ties should be secured on crown of head (top tie) and base of neck (bottom tie). If mask has loops, hook them appropriately around your ears.
  5. Put on face shield or goggles. When wearing an N95 respirator or half facepiece elastomeric respirator, select the proper eye protection to ensure that the respirator does not interfere with the correct positioning of the eye protection, and the eye protection does not affect the fit or seal of the respirator. Face shields provide full face coverage. Goggles also provide excellent protection for eyes, but fogging is common.
  6. Put on gloves. Gloves should cover the cuff (wrist) of gown.
  7. Healthcare personnel may now initiate patient contact.