PPE Lecture.pptx

PPE Selection Guidance for the Selection and Use of Personal Protective Equipment (PPE) Personal Protective Equipment Definition “specialized clothing or equipment worn by an employee for protection against dangerous materials” (OSHA). Protective equipment, including personal protective equipment...

PPE Selection Guidance for the Selection and Use of Personal Protective Equipment (PPE) Personal Protective Equipment Definition “specialized clothing or equipment worn by an employee for protection against dangerous materials” (OSHA). Protective equipment, including personal protective equipment for eyes, face, head, and extremities, protective clothing, respiratory devices, and protective shields and barriers, shall be provided, used, and maintained in a sanitary and reliable condition wherever it is necessary by reason of hazards of processes or environment, chemical hazards, radiological hazards, or mechanical irritants encountered in a manner capable of causing injury or impairment in the function of any part of the body through absorption, inhalation or physical contact OSHA 29 CFR 1910.132–138 Personal protective equipment, or PPE, as defined by the Occupational Safety and Health Administration, or OSHA, is “specialized clothing or equipment, worn by an employee for Regulations and Recommendations for PPE ⚫ OSHA issues workplace health and safety regulations. Regarding PPE, employers must:   Provide appropriate PPE for employees Ensure that PPE is disposed, or reusable PPE is cleaned, laundered, repaired and stored after use. Types of PPE Used • Gloves – protect hands • Gowns/aprons – protect skin and/or clothing • Masks and respirators– protect mouth/nose – Respirators – protect respiratory tract from airborne dangerous agents • Goggles – protect eyes • Face shields – protect face, mouth, Factors Influencing PPE Selection • Type of exposure anticipated – Splash/spray versus touch – Category of isolation precautions • Durability and appropriateness for the task • Fit PPE Selection ⚫ When you are selecting PPE, consider three key things. ⚫ First is the type of anticipated exposure. This is determined by the type of anticipated exposure, such as touch, splashes or sprays, or large volumes of blood or body fluids that might penetrate the clothing. PPE selection, in particular the combination of PPE, also is determined by the category of isolation precautions a patient is on. ⚫ Second, and very much linked to the first, is the durability and appropriateness of the PPE for the task. This will affect, for example, whether a gown or apron is selected for PPE, or, if a gown is selected, whether it needs to be fluid resistant, Gloves • Purpose – environmental services, hazards of processes or environment, other • Glove material – vinyl, latex, nitrile, other • Sterile or non-sterile • One or two pair • Single use or reusable Do’s and Don’ts of Glove Use • Work from “clean to dirty” • Limit opportunities for “touch contamination” protect yourself, others, and the environment – Don’t touch your face or adjust PPE with contaminated gloves – Don’t touch environmental surfaces except as necessary during patient Do’s and Don’ts of Glove Use (cont’d) ⚫ Change gloves  During use if torn and when heavily soiled (even during use on the same product)  After use in each area ⚫ Discard in appropriate receptacle  Never wash or reuse disposable gloves Gowns or Aprons • Purpose of use • Define the type needed • Material – – Natural or man-made – Reusable or disposable – Resistance to fluid penetration Face Protection • Masks – protect nose and mouth – Should fully cover nose and mouth and prevent fluid/solids penetration – Respirators- protect pathways to the throat and lungs • Goggles – protect eyes – Should fit snuggly over and around eyes – Personal glasses not a substitute for goggles – Antifog feature improves clarity Face Protection ⚫ Face shields – protect face, nose, mouth, and eyes   Should cover forehead, extend below chin and wrap around side of face Face shields should be worn with goggles for an elevated level of protection from chemical hazards. Respiratory Protection • Purpose – protect from inhalation of hazards of processes or environment • PPE types for respiratory protection – Particulate respirators (N95) – Half- or full-face elastomeric respirators – Powered air purifying respirators (PAPR) Elements of a Respiratory Protection Program • Medical evaluation • Fit testing • Training • Fit checking before use Resources for Information • http://www.OSHA.gov • http://www.cdc.gov/niosh/npptl/res pir ators/ respsars.html • http://www.cdc.gov/niosh/99-143.h tml • http://www.cdc.gov/niosh/topics/re spi Application of PPE PPE Use : How to Safely Don, Use, and Remove PPE Key Points About PPE • Don before contact with hazards of processes or environment, generally before entering the room • Use carefully – don’t spread contamination • Remove and discard carefully, either at the doorway or immediately outside the area where hazards of processes or environment exist; remove respirator outside room • Immediately perform hand hygiene PPE Disposal ⚫ When you have completed your tasks, remove the PPE carefully and discard it in the receptacles provided. Then immediately perform hand hygiene before going on to the next tasks. Sequence for Donning PPE • Gown first • Mask or respirator • Goggles or face shield • Gloves Gowning ⚫ The gown should be donned first. The mask or respirator should be put on next and properly adjusted to fit; remember to fit check the respirator. The goggles or face shield should be donned next and the gloves are donned last. Keep in mind, the combination of PPE used, and therefore the sequence for donning, will be determined by the precautions that need to be taken. How to Don a Frock/Jacket • Select appropriate type and size • Inspect the Frock to ensure cleanliness • Wear the frock jacket • Secure all buttons or snaps How to Don a Surgical Mask • Place over nose, mouth and chin • Fit flexible nose piece over nose bridge • Secure on head with ties or elastic • Adjust to fit How to Don a Particulate Respirator • Select a fit tested respirator • Place over nose, mouth and chin • Fit flexible nose piece over nose bridge • Secure on head with elastic • Adjust to fit • Perform a fit check – – Inhale – respirator should collapse – Exhale – check for leakage around face How to Don Eye and Face Protection • Position goggles over eyes and secure to the head using the ear pieces or headband • Position face shield over face and secure on brow with headband • Adjust to fit comfortab Eye Protection ⚫ If eye protection is needed, either goggles or a face shield should be worn. Position either device over the face and/or eyes and secure to head using the attached ear pieces or head band. Adjust to fit comfortably.Goggles should feel snug but not tight. How to Don Gloves • Don gloves last • Select correct type and size • Insert hands into gloves • Extend gloves over isolation gown cuffs (if applicable. Where skin would be exposed to an irritant wear protective sleeves. How to Safely Use PPE • Keep gloved hands away from face • Avoid touching or adjusting other PPE • Remove gloves if they become torn; perform hand hygiene before donning new gloves • Limit surfaces and items PPE Removal PPE Use How to Safely Remove PPE “Contaminated” and “Clean” Areas of PPE • Contaminated – outside front • Areas of PPE that have or are likely to have been in contact with body sites, materials, or environmental surfaces where the contamination may reside • Clean – inside, outside back, ties on head and back • Areas of PPE that are not likely to have been in contact with the contamination Sequence for Removing PPE • Gloves • Face shield or goggles • Gown • Mask or respirator Where to Remove PPE • At doorway, before leaving the area where hazards of processes or environment exist or exiting the manufacturing area • Remove respirator outside room, after door has been closed How to Remove Gloves (1) • Grasp outside edge near wrist • Peel away from hand, turning glove inside-out • Hold in opposite gloved hand How to Remove Gloves (2) • Slide ungloved finger under the wrist of the remaining glove • Peel off from inside, creating a bag for both gloves • Discard Remove Goggles or Face Shield • Grasp ear or head pieces with ungloved hands • Lift away from face • Place in designated receptacle for reprocessing or Removing Isolation Gown • Unfasten button or snaps • Peel gown away from neck and shoulders • Turn contaminated outside toward the inside • Fold or roll into a bundle • Discard in collection bin Removing a Mask • Untie the bottom, then top, tie • Remove from face • Discard Removing a Particulate Respirator ⚫ Lift the bottom elastic over your head first ⚫ Then lift off the top elastic ⚫ Discard Hand Hygiene • Perform hand hygiene immediately after removing PPE. – If hands become visibly contaminated during PPE removal, wash hands. • Wash hands with soap and water or use an alcohol-based hand rub PPE Use When : to Use PPE PPE for Standard Precautions (1) • Gloves – Use when hazards processes or environment exists • Gowns of – Use during operation when contact of clothing/ exposed skin with hazards of processes or environment is anticipated PPE for Standard Precautions (2) • Mask and goggles or a face shield – Use during the potential exposure of hazards of processes or environment. PPE Use :Final Thoughts ⚫ PPE is available to protect you from exposure to contamination from drug product, raw materials, and chemicals. ⚫ Know what type of PPE is necessary for the duties you perform and use it correctly PPE ⚫ You should remember that you are in charge of your own safety. ⚫ Never perform a task if you think it is unsafe. ⚫ Never ignore safety rules or precautions ⚫ Obey all safety signage and SOP’s.