Sequence for donning (putting on) and doffing (taking off) Personal Protective Equipment
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Healthcare infection (HAI) can occur in any setting and infection prevention measures are applied to protect both patients and staff.The basic measures to prevent transmission of infection from patients to staff include:
Under current workforce health and safety legislation – Work Health and Safety Regulations, 2012 (SA), it is the responsibility of each healthcare worker to be familiar with and comply with these protective measures at all times when there is an identified risk of exposure.
Work related exposures to an infection risk should be managed in accordance with the SA Health Prevention and Responding to Work Related Exposure to Infectious Diseases Policy Guideline (PDF 672KB).
Personal protective equipment (PPE) consists of several items of equipment including:
Detailed information regarding the selection and use of PPE can be found in the SA Health Personal Protective Equipment (PPE) Selection Policy Guideline (PDF 860KB).
All clinical staff should be trained in their proper application and use, and should be able to assess when each item is required for the task at hand. Most healthcare facilities will have posters and signage to assist staff in the correct selection of PPE when required.
P2 (or N95) respirators are required to be fitted to each staff member individually using an approved fit testing method (refer to Australian standards AS/NZ 1715:2009). Staff should be trained in their use and how to perform a 'fit check' each time the respirator is worn. Only those staff who are required to perform aerosol-generating procedures as part of their normal duties are required to be fit tested. This will normally include those staff working in high risk areas such as emergency, respiratory and infectious diseases wards and intensive care units. More information can be found in the SA Health Respiratory Protection Guideline (PDF 252KB).
In July 2020, SA Health introduced the D95+ respirator mask. This is equivalent to the P2/N95 surgical respirator masks currently in use. These locally produced respirators have been designed in partnership with SA Health so they match the needs of our workforce.
You can learn more about the new D95+ Respirator in these Frequently Asked Questions (PDF 956KB). To find out how to correctly use the mask, see the Donning and doffing respirator mask instructions (PDF 439KB) or watch the instructional video.
Several resources are available to assist staff in understanding the correct way to apply personal protective equipment, including a sequencing poster which was developed for use in a pandemic situation, but contains much information applicable to routine situations.
For further information protection from infections, contact SA Health's Infection Control Service.