PPE that is not saturated may be placed directly in the trash. If PPE or other disposable items are saturated with blood or body fluids such that fluid may be poured, squeezed, or dripped from the item, discard into a biohazard bag. The CDC has suggested steps for correctly Donning and Removing PPE.
#Chapter 15 blood borne pathogens and principles of asepsis skin#
It is important to remove PPE in the proper order to prevent contamination of skin or clothing. Remove PPE immediately after use and wash hands. Wear a gown if skin or clothing is likely to be exposed to blood or body fluids. Wear a surgical mask and goggles or face shield if there is a reasonable chance that a splash or spray of blood or body fluids may occur to the eyes, mouth, or nose. Gloves must always be worn during activities involving vascular access, such as performing phlebotomies. Wear gloves when touching blood, body fluids, non-intact skin, mucous membranes, and contaminated items. The items selected for use depend on the type of interaction a public health worker will have with a client and the likely modes of disease transmission. PPE is used as a last resort when work practices and engineering controls alone cannot eliminate worker exposure. PPE includes items such as gloves, gowns, masks, respirators, and eyewear used to create barriers that protect skin, clothing, mucous membranes, and the respiratory tract from infectious agents. An example tool for tracking hand hygiene audits in long-term care is available for use or adaptation. Observational auditing of appropriate hand hygiene by staff is essential for providing real-time feedback and education. Hand hygiene should be performed before and after contact with a client, immediately after touching blood, body fluids, non-intact skin, mucous membranes, or contaminated items (even when gloves are worn during contact), immediately after removing gloves, when moving from contaminated body sites to clean body sites during client care, after touching objects and medical equipment in the immediate client-care vicinity, before eating, after using the restroom, and after coughing or sneezing into a tissue as part of respiratory hygiene.ĬDC guidelines - Hand Hygiene in Health Care Settings When hands are not visibly soiled, alcohol gel is the preferred method of hand hygiene when providing health care to clients. Hand hygiene refers to both washing with plain or anti-bacterial soap and water and to the use of alcohol gel to decontaminate hands.
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