यह कौशल पूरी तरह से ईएमएस कर्मियों के लिए सीडीसी की सिफारिशों से ली गई सामग्री पर आधारित है  और श्वसन, आंख और हाथ की सुरक्षा सहित पीपीई के एक पूर्ण सेट के दान और डोफिंग के लिए नवीनतम COVID-19 अनुपालन निर्देशों  को दर्शाता है। एक पूर्ण अलगाव गाउन। अधिकांश प्रीहॉस्पिटल रोगी मुठभेड़ों के लिए आइसोलेशन गाउन की आवश्यकता नहीं होती है, लेकिन आपको इसके उपयोग से परिचित होना चाहिए।
(डॉन) पीपीई गियर कैसे लगाएं?
More than one donning method may be acceptable. Training and practice using your healthcare facility's procedure is critical.
- Identify and gather the proper PPE to don.
- Perform hand hygiene using hand sanitizer.
- Put on correctly sized isolation gown (if using). Tie all of the ties on the gown. Assistance may be needed by other healthcare personnel.
- 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.
- 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.
- Put on gloves. Gloves should cover the cuff (wrist) of gown.
- Healthcare personnel may now initiate patient contact.
युक्तियाँ और चालें
- Think about your situation before you enter; does your patient have significant bleeding? Are they in cardiac arrest and require CPR? Situations with significant chances for contamination or exertion may require different PPE requirements in addition to the normal gloves, goggles, and mask (for COVID times). Consider gowning or double gloving.
- Keep a spare gown and N95 in an easily accessible place along with one or two pairs of gloves. Even if your patient does not initially look like they may require full contact and respiratory precautions, oftentimes patients will forget to mention clinically significant findings that require changes to PPE and sometimes the situation changes rapidly or in unexpected ways (think projectile vomiting from a patient with moderate abdominal pain). Having easily accessible PPE means that you do not have to potentially reach over your now vomiting patient to the PPE cabinet to grab a gown.
पीपीई गियर कैसे उतारें (डॉफ)
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.
- 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).
- 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.
- Healthcare personnel may now exit patient room.
- Perform hand hygiene.
- 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.
- 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.
- Perform hand hygiene after removing the respirator/facemask and before putting it on again if your workplace is practicing reuse.