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Donning and Doffing PPE

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21. Behavioural interventions to promote workers' use of respiratory protective equipment. Full Text available with Trip Pro

to 4.96). However, the active group scored significantly higher than the book group (MD 4.20, 95% CI 0.89 to 7.51) and the screen group (MD 7.00, 95% CI 4.06 to 9.94).One RCT compared computer-simulation training with conventional personal protective equipment (PPE) training but reported only results for donning and doffing full-body PPE. Education versus no educationOne RCT found that a multifaceted educational intervention increased the use of RPE (risk ratio (RR) 1.69, 95% CI 1.10 to 2.58) at three (...) traditional lecturesOne CBA study found that participants given motivational group interviewing-based safety education scored higher on a checklist measuring PPE use (MD 2.95, 95% CI 1.93 to 3.97) than control workers given traditional educational sessions.There is very low quality evidence that behavioural interventions, namely education and training, do not have a considerable effect on the frequency or correctness of RPE use in workers. There were no studies on incentives or organisation level

2016 The Cochrane database of systematic reviews

22. Assessment of Self-Contamination During Removal of Personal Protective Equipment for Ebola Patient Care. (Abstract)

HCP doffed EVD PPE using a standardized protocol. METHODS A total of 15 HCP donned EVD PPE for this study. Virus was applied to PPE, and a trained monitor guided them through the doffing protocol. Of the 15 participants, 10 used alcohol-based hand rub (ABHR) for glove and hand hygiene and 5 used hypochlorite for glove hygiene and ABHR for hand hygiene. Inner gloves, hands, face, and scrubs were sampled after doffing. RESULTS After doffing, MS2 virus was detected on the inner glove worn (...) Assessment of Self-Contamination During Removal of Personal Protective Equipment for Ebola Patient Care. OBJECTIVE Ebola virus disease (EVD) places healthcare personnel (HCP) at high risk for infection during patient care, and personal protective equipment (PPE) is critical. Protocols for EVD PPE doffing have not been validated for prevention of viral self-contamination. Using surrogate viruses (non-enveloped MS2 and enveloped Φ6), we assessed self-contamination of skin and clothes when trained

2016 Infection control and hospital epidemiology

23. Personal Protective Equipment for Infectious Disease Preparedness: A Human Factors Evaluation. (Abstract)

Personal Protective Equipment for Infectious Disease Preparedness: A Human Factors Evaluation. OBJECTIVE To identify issues during donning and doffing of personal protective equipment (PPE) for infectious diseases and to inform PPE procurement criteria and design. DESIGN A mixed methods approach was used. Usability testing assessed the appropriateness, potential for errors, and ease of use of various combinations of PPE. A qualitative constructivist approach was used to analyze participant (...) feedback. SETTING Four academic health sciences centers: 2 adult hospitals, 1 trauma center, and 1 pediatric hospital, in Toronto, Canada. PARTICIPANTS Participants (n=82) were representative of the potential users of PPE within Western healthcare institutions. RESULTS None of the tested combinations provided a complete solution for PPE. Environmental factors, such as anteroom layout, and the design of protocols and instructional material were also found to impact safety. The study identified the need

2016 Infection control and hospital epidemiology

24. Ebola virus disease: The use of fluorescents as markers of contamination for personal protective equipment. Full Text available with Trip Pro

splash. Each participant was assisted in PPE donning and doffing by an experienced trainer. A training mannequin was contaminated with fluorescent agents to simulate bodily fluids. Participants were then given clinical tasks to care for the EVD "patient." De-gowned participants were examined under "black light" for fluorescence indicative of contamination. One participant in each PPE arm had evidence of contamination. One of the contamination events was suspected during the patient care exercise (...) Ebola virus disease: The use of fluorescents as markers of contamination for personal protective equipment. The recent Ebola virus disease (EVD) outbreak has created interest in personal protective equipment (PPE) content and usage. PPE testing has historically been done by individual component, rather than as a bundle for contact isolation. Fluorescent agents are commonly used in training for infection control techniques. The purpose of our study was to compare 2 PPE bundles and to evaluate

2016 IDCases Controlled trial quality: uncertain

25. Ebola Virus (Follow-up)

(rather than goggles), in addition to either a N95 respirator or powered air-purifying respirator instead of a mask. The CDC now recommends that clinicians train rigorously at donning and doffing PPE in a stepwise manner and demonstrate competency. A trained monitor should oversee each time a clinician puts on and takes off this gear. During patient care, the PPE should not be adjusted, and the worker’s gloved hands should be disinfected frequently using an alcohol-based hand rub (ABHR), especially (...) in U.S. Hospitals, Including Procedures for Putting On (Donning) and Removing (Doffing). Available at . Accessed: October 21, 2014. Kennedy SB, Bolay F, Kieh M, et al. Phase 2 Placebo-Controlled Trial of Two Vaccines to Prevent Ebola in Liberia. N Engl J Med . 2017 Oct 12. 377 (15):1438-1447. . Sullivan NJ, Sanchez A, Rollin PE, Yang ZY, Nabel GJ. Development of a preventive vaccine for Ebola virus infection in primates. Nature . 2000 Nov 30. 408(6812):605-9. . Geisbert TW, Pushko P, Anderson K

2014 eMedicine.com

26. Ebola Virus (Treatment)

(rather than goggles), in addition to either a N95 respirator or powered air-purifying respirator instead of a mask. The CDC now recommends that clinicians train rigorously at donning and doffing PPE in a stepwise manner and demonstrate competency. A trained monitor should oversee each time a clinician puts on and takes off this gear. During patient care, the PPE should not be adjusted, and the worker’s gloved hands should be disinfected frequently using an alcohol-based hand rub (ABHR), especially (...) in U.S. Hospitals, Including Procedures for Putting On (Donning) and Removing (Doffing). Available at . Accessed: October 21, 2014. Kennedy SB, Bolay F, Kieh M, et al. Phase 2 Placebo-Controlled Trial of Two Vaccines to Prevent Ebola in Liberia. N Engl J Med . 2017 Oct 12. 377 (15):1438-1447. . Sullivan NJ, Sanchez A, Rollin PE, Yang ZY, Nabel GJ. Development of a preventive vaccine for Ebola virus infection in primates. Nature . 2000 Nov 30. 408(6812):605-9. . Geisbert TW, Pushko P, Anderson K

2014 eMedicine.com

27. Ebola Virus

mortality: 70% Findings suggestive or worse prognosis to coma Refractory shock Persistently high or increasing Ebola Virus RNA titers XI. Prevention Full (PPE) for healthcare workers (donning and doffing) XII. Resources CDC: Ebola WHO: Ebola Pubmed Ebola XIII. References Black, Martin, DeVos (2018) Crit Dec Emerg Med 32(8): 3-12 Bray in Hirsch (2014) Ebola and Marburg Virus Disease, UpToDate, accessed online 11/5/2014 Images: Related links to external sites (from Bing) These images are a random sampling

2015 FP Notebook

28. Training retention of Level C personal protective equipment use by emergency medical services personnel. Full Text available with Trip Pro

Training retention of Level C personal protective equipment use by emergency medical services personnel. To assess the six-month training retention for out-of-hospital providers donning and doffing Level C personal protective equipment (PPE).In this prospective observational study, 36 out-of-hospital providers enrolled in a paramedic program were trained in Level C (chemical-resistant coverall, butyl gloves, and boots and an air-purifying respirator) PPE use. A standardized training module (...) and checklist of critical actions developed by a hazardous materials (hazmat) technician were used to evaluate donning and doffing. Students were trained until they were able to correctly don and doff the Level C PPE. An investigator used the checklist accompanying the training module to assess proficiency and remediate mistakes. Six months after initial training, the subjects were reassessed using the same investigator and checklist. Errors were designated as either critical (resulted in major self

2007 Academic Emergency Medicine

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