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Related Concept Videos

PPE Use in Healthcare Settings I: Donning01:22

PPE Use in Healthcare Settings I: Donning

1.1K
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
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PPE Use in Healthcare Settings II: Doffing01:10

PPE Use in Healthcare Settings II: Doffing

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The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
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Personal Protective Equipment01:20

Personal Protective Equipment

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Personal protective equipment (PPE) is unique clothing or equipment worn by an employee to minimize or prevent exposure to infectious agents. PPE creates a barrier between the employee and the infectious materials. PPE must be readily available in the patient care area. PPE includes gloves, gowns and aprons, masks and respirators, goggles, face shields, shoes, and headcovers:
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Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

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Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
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Standard Precaution01:26

Standard Precaution

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
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Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

Transmission-based Precautions I: Contact, Enteric, and Droplets

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Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
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Related Experiment Video

Updated: Aug 16, 2025

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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A Simulation-based PPE orientation training curriculum for novice physicians.

Spencer W Greaves1, Scott M Alter1, Rami A Ahmed2

  • 1Department of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, USA.

Infection Prevention in Practice
|December 20, 2022
PubMed
Summary

A simulation-based training significantly reduced personal protective equipment (PPE) contamination and improved resident knowledge and adherence to protocols for preventing COVID-19 infection.

Keywords:
COVID-19Fluorescent tracerPPEQuality improvementSimulationTraining

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Area of Science:

  • Medical Education
  • Infectious Disease Prevention
  • Healthcare Simulation

Background:

  • Personal protective equipment (PPE) is crucial for preventing coronavirus disease (COVID-19) transmission.
  • The effectiveness of resident training in proper PPE use and donning/doffing procedures remains under-explored.
  • This study investigated the impact of a formalized PPE educational session on resident contamination and knowledge.

Purpose of the Study:

  • To evaluate the effectiveness of simulation-based training in improving resident knowledge and performance of PPE protocols.
  • To assess the reduction in contamination after a standardized PPE training session.
  • To measure improvements in donning and doffing sequence adherence among residents.

Main Methods:

  • First-year residents underwent a knowledge test, PPE donning, simulated resuscitation, and doffing before and after training.
  • A standardized simulation-based training focused on PPE donning and doffing protocols was implemented.
  • Contamination was assessed using ultraviolet light after doffing, and donning/doffing sequences were video-recorded and rated.

Main Results:

  • Post-training contamination decreased significantly from 81% to 17% (P<0.001), with wrist contamination reducing from 50% to 10%.
  • Adherence to donning and doffing sequences improved dramatically, from 52% to 98% and 46% to 85%, respectively (P<0.001).
  • Participant knowledge increased from 62% to 87% (P<0.001), alongside enhanced confidence and preparedness.

Conclusions:

  • Simulation-based training is an effective method for enhancing resident knowledge and performance in using PPE.
  • Formalized PPE training significantly reduces contamination and improves adherence to safety protocols.
  • This training approach is vital for equipping healthcare professionals to prevent infectious disease transmission.