Protective Barriers: Gloves, Gowns, Masks

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Questions and Answers

In what scenario is wearing a gown NOT typically required as a protective measure?

  • During procedures where clothing is likely to be soiled with blood.
  • While conducting routine patient check-ups with no anticipated fluid exposure. (correct)
  • If there's a risk of body fluids contaminating clothing.
  • When handling patient excretions or secretions.

What is the primary purpose of a surgical mask?

  • To be used when working with patients that have a high risk of transmitting airborne droplets, or working in lab that have techniques that lead to infected sprays/aerosols.
  • To prevent splashes and sprays from contaminating the mouth and nose. (correct)
  • To provide a high level of protection against airborne transmission.
  • To filter out 95% of airborne particles.

Which statement accurately describes the fit check procedure for an N95 respirator?

  • Inhaling should cause the respirator to expand, and exhaling should reveal no leaks.
  • Inhaling and exhaling should not change the form of the respirator if fitted correctly.
  • Any changes in the respirator's form during inhaling or exhaling indicates an improper fit.
  • Inhaling should cause the respirator to collapse, and exhaling should reveal no leaks. (correct)

What is the correct procedure for removing a contaminated gown?

<p>Unfasten ties, peel the gown away from the neck and shoulder, turn the contaminated outside in, fold/roll it into a bundle, and discard. (C)</p> Signup and view all the answers

When should gloves always be changed to prevent contamination?

<p>After each invasive procedure or between patients. (C)</p> Signup and view all the answers

Which type of glove is most appropriate when a high barrier of protection is required, such as when handling blood-borne viruses or chemicals?

<p>Synthetic glove (B)</p> Signup and view all the answers

In what order should PPE be put on?

<p>Hand hygiene, gown, mask, eyewear, gloves (B)</p> Signup and view all the answers

What should be done immediately after removing and disposing of contaminated gloves?

<p>Wash hands with soap and water or use a hand sanitizer. (D)</p> Signup and view all the answers

What is the primary difference between P2 and N95 respirators in terms of their certification standards?

<p>P2 respirators follow European standards, while N95 respirators adhere to American standards. (B)</p> Signup and view all the answers

Under what circumstances should a health worker use a respirator rather than a surgical mask?

<p>When caring for a patient with a known or suspected airborne infection like tuberculosis. (A)</p> Signup and view all the answers

Flashcards

PPE Definition

Barriers protecting the body from infectious agents, used alone or in combination.

Surgical Mask

A single-use item that covers the nose and mouth to prevent splashes from contaminating them. Offers some protection from airborne transmission.

Respirator

Placed over the nose, mouth, and chin, secured with elastic. Used when a high risk of transmitting airborne droplets is present.

P2 Respirator

European standard respirator that filters 94% of particles.

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N95 Respirator

American standard respirator that filters at least 95% of airborne particles.

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Latex Glove

Manual dexterity, but some people are allergic.

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Synthetic Glove

High-barrier protection (e.g., blood-borne viruses, chemicals).

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Vinyl Glove

Good level of protection and can be loose.

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PPE - Putting On

Hand hygiene, gown, mask/respirator, eyewear/goggles, gloves.

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PPE - Taking Off

Gloves, hand hygiene, eyewear, gown, mask/respirator, hand hygiene.

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Study Notes

  • Barriers, used alone or in combination, protect areas of the body from infectious agents.

Gloves

  • Wear gloves when touching respiratory secretions, contaminated surfaces, and blood and body substances (fluids).
  • Gloves should be worn as a single-use item between each invasive procedure/patient.
  • Remove gloves before touching anything else to prevent contamination.

Gowns

  • Wear gowns if clothing is likely to be soiled with blood, body fluids, excretions, or secretions.
  • Aprons and gowns should be changed between patients.
  • Fitted by selecting the appropriate size/type, with openings in the back or front
  • Secure at the neck and wrist.
  • Remove by unfastening ties, peeling the gown away from the neck and shoulder, turning the contaminated outside of the gown inside, folding or rolling it into a bundle, and discarding it.

Eye Protection and Masks

  • Use eye protection and/or masks for procedures likely to generate splashes of blood/secretions.

Surgical Masks

  • A loose-fitting, single-use item designed to cover the nose and mouth.
  • Prevent splashes and sprays from contaminating the mouth and nose.
  • Offer some protection from airborne transmission, such as for patients with respiratory diseases.
  • Secured on the head with ties/elastic and adjusted for a proper fit.

Respirators

  • Use when working with patients who have a high risk of transmitting airborne droplets, or in labs with techniques that could lead to infected sprays/aerosols.
  • Placed over the nose, mouth, and chin.
  • Secure with elastic.
  • Perform a fit check by inhaling (respirator should collapse) and exhaling (check for leaks around the face).

Respirator Standards

  • P2 respirator (European standard): filters 94% of particles.
  • P3 masks (European standard, less common): filter 99.97% of airborne particles.
  • N95 respirator (American standard): filters at least 95% of airborne particles.
  • "N" means not oil resistant.
  • "95" indicates it filters at least 95% of particles.

Removing Goggles and Face Shields

  • Remove with an ungloved hand.
  • Place in a designated disposal area.

Glove Types

  • Latex gloves: Preferred for procedures involving manual dexterity; can cause allergic reactions in some individuals.
  • Synthetic gloves: Used when a high barrier of protection is required (e.g., blood-borne viruses, chemicals).
  • Vinyl gloves: Provide a good level of protection and can be loose-fitting.

Sequence for Putting on PPE

  • Hand hygiene.
  • Don gown.
  • Correctly fit mask/respirator.
  • Wear protective eyewear/goggles.
  • Put on gloves.

Removing PPE

  • Remove contaminated gloves correctly and dispose of them.
  • Perform hand hygiene.
  • Remove protective eyewear.
  • Remove the gown.
  • Remove mask/respirator.
  • Perform hand hygiene again.

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