DONNING
In order to minimize the risk of transmission of infection, donning of PPE must be performed
in particular sequence
STEPS OF DONNING:
Preparation:
Donning to be performed only in the designated area
The HCW must be prepared for shift duty by taking a meal, using washroom &
drinking water prior to entering the donning area
Remove all the accessories, jewelry & change into hospital scrubs
Change into clean hospital scrubs & closed washable footwear
Perform hand hygiene with soap and water.
Step 1 : Hand Hygiene (follow all he steps of Hand rub/hand wash)
Step 2 : Inspect the gown for any defect or damage
Wear the first pair of gloves
Wear your Gown/coverall (you can use clean chair)
Start by wearing from below upwards (first leg sleeves, then arm sleeves, then ensure
to cover your neck)
Zip up your coverall or tie your gown from back
Step 3: Wear your shoe cover:
Sit on a clean chair & wear shoe cover & pull them above your calves over your gown
Step 4: Wear N-95 mask & wear Hood
Hold your N-95 mask like cup in your hand (with both straps hanging in front)
Place the mask on your face, pull & wear lower strap first by placing below ears &
then wear upper straps by wearing above the ear
Fit check your mask by compressing to ensure seal across face & exhaling & inhaling
to ensure there is minimal leakage
Wear the hood covering the forehead and cheeks
Step 5 : Wear Face shield/ eye goggles
Wear the face shield over the hood and ensure the fit (tighten and loosen it according
to need)
Step 6 : Wear the gloves
Wear the second pair of gloves
Pull them to cover the sleeve cuff & forearm as much as possible
FINAL CHECK :
Once fully donned, perform a final inspection of your PPE.
Make sure your gown is fully covering your clothing & there are no gaps where your
skin is exposed
DURING USE :
Avoid touching your face or adjusting PPE once its on
If any part of PPE becomes compromised, replace it immediately following proper
protocols
DOFFING
Doffing is extremely important as even a minor breach in the doffing procedure would
subject HCW to a huge risk of acquiring the infection. Hence Doffing must be performed in a
particular sequence
PREPARATION:
Doffing to be performed only in designated area
Check for any leak or soiling in PPE before doffing (disinfect the area)
Doffing room shove have 2 chairs – dirty & clean
Hand hygiene must be performed appropriately when required (After each step)
Step 1: Engage observer/call the designated person & check your PPE:
During entire doffing procedure, observer must not touch your PPE
Inspect your PPE for any gross contamination which could be disinfected with alcohol
based wipes
Step 2: Disinfect your gloves
with alcohol based hand rub, that is dispensed by automated system or by help of a
staff or by pressing nozzle with your elbow
Remove your gloves:
o Using a gloved hand, grasp the palm area of the other gloved hand & peel the
first glove
o Hold the removed glove in gloved hand and slide the fingers of ungloved hand
under the other glove at wrist & peel the second glove over the first glove
o First glove will remain inside the pouch of second glove
o Perform hand hygiene after removal, after discarding the gloves in red bin
Step 3: Remove & discard shoe covers
Sit on dirty chair
Remove the shoe cover by slowly pulling the outer surface starting from the top &
then pull from toe end.
Try not to cross over the legs while sitting & discard them in red bin.
Step 4: Remove the face shield/ eye goggle
Loosen your face shield
Remove by holding the back handle
Discard in red bin
Disinfect your hands
Step 5 : Remove hood and coverall
Slide back your head by holding it from top
Unzip your coverall or untie your gown (taking care that sleeves do not touch your
skin)
Holding suit at the arms, shrug it off the shoulder slightly, then pull the suit from side
of the waist & roll your arms out. By touching inner surface of the suit, carefully roll
out each leg
Fold the gown by touching from inner surface & discard in appropriate bins.
Step 6 : Perform Hand Hygiene , remove & discard N-95 masks
Perform hand hygiene appropriately to avoid contamination
Do not touch the exposed surface of the mask
Stoop forward & first remove the lower strap, then carefully remove the mask by
pulling the upper strap
Discard appropriately
Step 7 : Disinfect your shoes
Disinfect your shoes using alcohol wipes by sitting in clean chair
Step 8 : Remove Second pair of gloves
Step 9 : Perform appropriate hand hygiene
Follow all steps appropriately
FINAL CHECKING & ADDITIONAL CONSIDERATIONS:
After removing all PPE, perform thorough hand wash which is crucial to ensure any
potential contamination is eliminated
Doffing procedure should be slow & methodical
After leaving doffing area, showering is advised in highly communicable diseases
