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Fitting of Personal Protective Equipment (PPE) and taking swabs for influenza

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Fitting of Personal Protective Equipment (PPE) and taking swabs for influenza This presentation is for quick reference only. You must also complete the PPE elearning ... – PowerPoint PPT presentation

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Title: Fitting of Personal Protective Equipment (PPE) and taking swabs for influenza


1
Fitting of Personal Protective Equipment (PPE)
and taking swabs for influenza
  • This presentation is for quick reference only.
  • You must also complete the PPE elearning module
    on the MLE (Managed Learning Environment) to
    record that you have completed this training.
  • If you have difficulty accessing the MLE, please
    contact Amy Hankins on ext. 2631.
  • This module will take about 10 minutes to
    complete.

Infection Prevention and Control Team ext. 4089
or bleep number 1212
Slide 1 of 36
2
In this module
Section 1 - Putting on PPE
  • What is PPE
  • Types of face mask
  • How to fit a mask correctly
  • Removal and disposal of PPE
  • Taking swabs for influenza

Section 2 - Taking off PPE
Section 3 - Specimen taking
Slide 2 of 36
3
PPE (Personal Protective Equipment) includes
Section 1 Putting on PPE
  • Disposable apron
  • Face mask (level 1, 2 or 3)
  • Disposable gloves
  • Goggles or visors
  • Water-repellent disposable gown

Slide 3 of 36
4
Types of masks available
Section 1 Putting on PPE
  • Level 1 mask - a level 1 mask is a standard
    surgical mask

Slide 4 of 36
5
Types of masks available
Section 1 Putting on PPE
  • Level 2 mask

Slide 5 of 36
6
Types of masks available
Section 1 Putting on PPE
  • Level 3 masks

There are several different styles of Level 3
mask, some having valves
Principles of fit checking remain the same for
Level 2 or Level 3 masks
Slide 6 of 36
7
Masks for suspected/confirmed influenza
Section 1 Putting on PPE
  • Level 1 masks
  • These should be worn by staff working in areas
    where there are patients isolated for suspected
    or confirmed influenza.
  • Level 3 masks
  • Level 3 masks should be worn, instead of a Level
    1 mask, by staff performing aerosol generating
    procedures, e.g. chest physio, bronchoscopy,
    intubation and related procedures.

Slide 7 of 36
8
Other PPE for suspected/confirmed influenza
  • In addition to the correct mask staff need to
    wear the following PPE
  • Disposable apron
  • Disposable gloves
  • If performing aerosol generating procedures staff
    will need to wear
  • Water repellent gown, instead of an apron
  • Eye protection visors or goggles
  • Disposable gloves

9
Mask Fit checking - general principles
Section 1 Putting on PPE
  • 1. Separate edges of mask to fully open it

Slide 8 of 36
10
Mask Fit checking - general principles
Section 1 Putting on PPE
  • 2. Pre-bend the nosepiece to conform to face

Slide 9 of 36
11
Mask Fit checking - general principles
Section 1 Putting on PPE
  • 3. Hold mask upside down to expose headbands and
    separate using thumbs and index fingers

Slide 10 of 36
12
Mask Fit checking - general principles
Section 1 Putting on PPE
  • 4. Cup the mask under chin, and pull headbands up
    over the head

Slide 11 of 36
13
Mask Fit checking - general principles
Section 1 Putting on PPE
  • 5. Position headbands at base of neck and crown
    of head

Slide 12 of 36
14
Fit checking - general principles
Section 1 Putting on PPE
  • 6. Conform nose piece across bridge of nose and
    continue to adjust the mask to achieve facial
    seal

Slide 13 of 36
15
Fit checking - general principles
Section 1 Putting on PPE
  • 7. Continue to adjust the mask to achieve a good
    facial seal
  • The mask will not work properly if it is not
    snugly fitted around your nose and chin.
  • Airborne contamination could get through any gaps
    between the mask and your face.

Slide 14 of 36
16
Section 1 Putting on PPE
  • Do not proceed with your activity until you have
    successfully fit-checked your mask and put on all
    appropriate PPE

Slide 15 of 36
17
Removal of PPE
Section 2 Removing PPE
  • In this section you will learn how to remove PPE.
  • Always assume that your PPE has become
    contaminated and always follow the correct
    procedure for taking it off.
  • It is important that PPE is removed safely to
    prevent contamination.

Back to slide 2
Slide 16 of 36
18
Step 1
Section 2 Removing PPE
  • Remove gloves

Slide 17 of 36
19
Step 1
Section 2 Removing PPE
  • Remove gloves
  • Take care not to touch the outside of the gloves

Slide 18 of 36
20
Step 2
Section 2 Removing PPE
  • Remove gown

Slide 19 of 36
21
Step 2
Section 2 Removing PPE
  • Remove gown
  • Roll up gown inside out

Slide 20 of 36
22
Step 3
Section 2 Removing PPE
  • Dispose of gloves and gown as clinical waste

Slide 21 of 36
23
Step 4
Section 2 Removing PPE
  • Remove visor or goggles
  • Handle only by the sides or headband - do not
    touch the front of the visor or goggles

Slide 22 of 36
24
Step 4
Section 2 Removing PPE
  • Remove visor or goggles
  • Drop into clinical waste bin

Slide 23 of 36
25
Step 5
Section 2 Removing PPE
  • Wash hands with soap water, dry thoroughly
    using disposable towels

Slide 24 of 36
26
Step 6 - Remove face mask
Section 2 Removing PPE
  • Depending on type of mask, either break headbands
    at the side of the mask or stretch the elastic
    straps over the head
  • Drop discarded mask into clinical waste bin

Slide 25 of 36
27
Step 7
Section 2 Removing PPE
  • Gel hands with alcohol hand rub gel to remove any
    contamination from the mask

Slide 26 of 36
28
Step 8
Section 2 Removing PPE
  • Leave room and wash hands again

Slide 27 of 36
29
Removal of Personal Protective Equipment
Section 2 Removing PPE
  • 1. Remove gloves
  • 2. Remove gown
  • 3. Dispose of gloves and gown as clinical waste
  • 4. Remove visor or goggles and put in clinical
    waste bin
  • 5. Wash hands with soap and water, dry thoroughly
    using disposable towels
  • 6. Remove face mask and drop into clinical waste
    bin
  • 7. Gel hands with alcohol hand rub gel to remove
    any contamination from the mask
  • 8. Leave room and wash hands again

Slide 28 of 36
30
Specimen taking
  • How to take virology swabs for Influenza

Back to slide 2
Slide 29 of 36
31
Type of Swab
Section 3 Specimen taking for influenza
  • A combined nose and throat swab should be taken
    using a viral swab

Slide 30 of 36
32
Assemble required supplies
Section 3 Specimen taking for influenza
  • 1 swab for each patient
  • Staff member taking the swab must wear disposable
    apron, gloves and face mask
  • Eye protection must be used if there is a risk
    of eye splash

Slide 31 of 36
33
Throat swab collection
Section 3 Specimen taking for influenza
  • Using the swab, vigorously swab the posterior
    pharyngeal wall including tonsil area

Slide 32 of 36
34
Nasal Swabbing
Section 3 Specimen taking for influenza
  • Tilt the patients head back slightly, and using
    the same swab insert along the medial part of the
    septum until it reaches the posterior nares
  • Always take the throat swab before you take the
    nasal swab

Slide 33 of 36
Take a specimen from the throat first, then from
the nose using the same swab
35
Specimen taking
Section 3 Specimen taking for influenza
  • When you have taken the specimen
  • Insert swab into the vial and snap off swab at
    breakpoint.
  • Label appropriately with patient details.
  • Complete a TQuest request form in full and place
    vial in a bag and attach the TQuest form.

Slide 34 of 36
Take a specimen from the throat first, then from
the nose using the same swab
36
Specimen taking
Section 3 Specimen taking for influenza
  • When you have taken the specimen
  • Dispose of PPE as clinical waste
  • Wash hands using soap and water
  • Dry hands thoroughly with disposable paper towels

Slide 35 of 36
37
Fitting of Personal Protective Equipment
(PPE) quick guide completed
  • End of this quick reference guide to using PPE
    and taking a combined throat and nasal swab for
    influenza.
  • You must also complete the PPE elearning module
    on the MLE (Managed Learning Environment) to
    record that you have completed this training.
  • If you have difficulty accessing the MLE, please
    contact Amy Hankins on ext. 2631.

Infection Prevention and Control Team ext. 4089
or bleep number 1212
Slide 36 of 36
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