Attachment 2 HS Donning and Doffing CleanRoom Suites.pptx

Remove make-up, jewelry, and extra clothing; tie up hair Clean personal glasses with glass cleaner and kimtech wipes on frames and lenses Don 1 pair of bootie covers Wash hands Enter the ante-room Before Entering Ante-Room/C-SCA

Doffing – EMS only

EMS only - Garbing PPE Procedure for Non-HD Ante/Buffer Dirty Side Ante-Room Clean Side Ante-Room

Non-HD Buffer Room

VHA BHHCS PHARMACY

11/2021

Don Facemask and head cover (bouffant cap) Facemask: bend nose bar; pull down under chin, no gaps; beard cover over mask if goatee and full head cover if beard.

Head Cover: ensure ears are covered If monthly cleaning with peridox, cleaning underneath HD BSC or CACI bench, don respirator or PAPR instead of facemask.

If cleaning above eye level, don wrap-around eye googles unless wearing full-face respirator/PAPR hood

2. Don 1 pairs of shoe covers on each foot, one foot at a time crossing over the line of demarcation(LOD).

3. Perform hand hygiene, including a 30 second lather to the elbows after using nail pick on wet, soap lathered hands.

Dry hands with low-lint wipes.

Don a non-HD gown.

Do not put thumb loops in place.

7. Enter the Non-HD buffer room.

Obtain 2 pair of exam or sterile gloves.

Apply alcohol-based hand rub to nails, hands, and wrists.

When hands are dry, put the non-HD gown’s thumb loops in place and don the 1st pair of gloves, ensuring the cuff of this pair is placed over the gown’s sleeve.

Don the 2nd pair of gloves.

Garbing complete.

Dirty Side Ante-Room Clean Side Ante-Room

1. Exit the Non-HD buffer room.

2. Continue cleaning the Ante-Room, cleaning self out of the room.

3. Exit Ante-Room, remove PPE and wash hands with soap and water

Garbing Procedures C-SCA General Pharmacy Area Inside C-SCA

VHA BHHCS PHARMACY

3/2021 Don Facemask and head cover (bouffant cap) Facemask: bend nose bar; pull down under chin, no gaps; beard cover over mask if goatee and full head cover if beard.

Head Cover: ensure ears are covered If monthly cleaning with peridox, cleaning underneath HD BSC or CACI bench, don respirator or PAPR instead of facemask.

If cleaning above eye level, don wrap-around eye googles unless wearing full-face respirator/PAPR hood

2. Don 1 pair of shoe covers on each foot.

3. Perform hand hygiene, including a 30 second lather to the elbows after using nail pick on wet, soap lathered hands.

4. Dry hands with low-lint wipes.

5. Enter the C-SCA and stay inside the “doffing area”

8. EMS: Apply alcohol-based hand rub to all surfaces of nails, hands, and wrists and allows them to dry. When hands are dry, put the don 1 pair of chemo rated exam or sterile gloves. Then, place HD gown’s thumb loops in place and don 2nd pair of chemo rated exam or sterile gloves. Ensure the cuff of the gloves are placed over the gown’s sleeves.

8. Compounding Staff:

Obtain 2 pairs of sterile chemo gloves. Remove both from their outer packages at counter surface.

Apply alcohol-based hand rub to nails, hands, and wrists.

When hands are dry, don the 1st pair of gloves then, use the sterile paper from the 1st pair of gloves to pull the HD gown sleeves down and put the HD gown’s thumb loops in place.

Don the 2nd pair of gloves (cuffs over HD gown sleeves). Donning complete.

6. Don a Hazardous Drug gown. Do not put thumb loops in place. Pull the sleeves of the HD gown up to mid-forearm.

7. Don 2 pair of shoe covers on each foot, one foot at a time crossing over the line of demarcation(LOD).

Inside Doffing Lines in C-SCA

Doffing Procedures C-SCA Inside C-SCA General Inpatient Area

VHA BHHCS PHARMACY

11/2021 Remove outer pair of sterile gloves before doffing line. Dispose in yellow sharps container (in trolley)

6. *Immediately outside of C-SCA, remove PAPR/Respirator (if wearing), headcover, facemask, and inner shoe covers.

7. Proceed to the sink to wash hands with soap and water.

2. Remove outer most shoe covers one at a time, sit on a stool placed at the doffing line. Beginning with the foot closest to the doffing line, remove the outer shoe cover, put this foot across the line and into the doffing area. Discard the shoe cover in yellow chemo bin. Repeat with other outer most shoe cover.

At Doffing Lines Inside Doffing Lines

3. Remove the HD gown by pulling from the waist/hips until it releases from the shoulders. Do NOT touch your collar or loosen the Velcro with gloved hands. Slowly remove the gown, turning it inside out and balling it up. Discard in the yellow chemo bin.

4. Remove your inner gloves by grasping the first glove by the palm, removing it, and placing it in the palm of the hand with the remaining glove. Slide your index finger under the remaining glove, pulling it off to make an inside-out pouch of the used gloves. Discard in yellow chemo bin.

5. Exit the C-SCA.

* Provided that coated gowns and water-proof, 2nd pair of shoe covers are used AND doffing is performed correctly, these items are not considered contaminated with HD residue.

Doffing

Garbing PPE Procedure for Non-HD Ante/Buffer Dirty Side Ante-Room Clean Side Ante-Room

Non-HD Buffer Room

VHA BHHCS PHARMACY

11/2021

Don the head cover (bouffant cap).

Don a facemask with folds down on outside; bend nose bar; pull down under chin, no gaps; beard cover over mask if goatee/beard.

If monthly cleaning with peridox, don respirator or PAPR instead of facemask.

If cleaning above eye level don wrap-around eye googles unless wearing full-face respirator/PAPR hood.

Don 1 pairs of shoe covers on each foot, one foot at a time crossing over the line of demarcation(LOD).

Perform hand hygiene, including a 30 second lather to the elbows after using nail pick on wet, soap lathered hands.

Dry hands with low-lint wipes.

Don a non-HD gown.

Do not put thumb loops in place.

7. Enter the Non-HD buffer room.

Obtain 1 pairs of sterile gloves. Remove from outer package at counter surface.

Apply alcohol-based hand rub to nails, hands, and wrists.

When hands are dry, put the non-HD gown’s thumb loops in place and don the pair of gloves, ensuring the cuff of the glove is placed over the non-HD gown’s sleeve.

Garbing complete.

Dirty Side Ante-Room Clean Side Ante-Room Remove gloves, then gown. Gown maybe hung on hook and reused during shift by same employee. Discard at end of shift.

Wash hands and wrists with soap and water.

Walk to the dirty side of the ante-room or exit the ante room and remove the remainder of the garb (bouffant cap, Respirator/PAPR hood if applicable, mask, and inner shoe covers).

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