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Dispense the recommended volume of product
Apply product to the palm of one hand
Rub hands together, covering all surfaces of hands and fingers until they are dry (no rinsing is required)
Apply soap to hands
Rub hands vigorously for at least 15 seconds, covering all surfaces of hands and fingers
Rinse hands with water and dry thoroughly with paper towel
Use paper towel to turn off water faucet
Before exiting the patient’s care area after touching the patient or the patient’s immediate environment
After contact with blood, body fluids or excretions, or wound dressings
Prior to performing an aseptic task (e.g., accessing a port, preparing an injection)
If hands will be moving from a contaminated-body site to a clean-body site during patient care
After glove removal
Do not wear the same pair of gloves for the care of more than one patient
Do not wash gloves for the purpose of reuse
Perform hand hygiene before and immediately after removing glove
Remove gown and perform hand hygiene before leaving the patient’s environment (e.g., exam room)
May be used in combination with goggles or face shield to protect the mouth, nose and eyes
When placing a catheter or injecting material into the spinal canal or subdural space (to protect patients from exposure to infectious agents carried in the mouth or nose of healthcare personnel)
Wear a facemask to perform intrathecal chemotherapy
May use goggles with facemasks, or face shield alone, to protect the mouth, nose and eyes
Respirators
If available, wear N95-or higher respirators for potential exposure to infectious agents transmitted via the airborne route (e.g., tuberculosis).
All healthcare personnel that use N95-or higher respirator are fit tested at least annually and according to OSHA requirements
If wearing a gown, don the gown first and fasten in back accordingly
If wearing a facemask or respirator:Secure ties or elastic band at the back of the head and/or neckFit flexible band to nose bridgeFit snug to face and below chin
If wearing goggles or face shield, put it on face and adjust to fit
If wearing gloves in combination with other PPE, don gloves last
Remove PPE before leaving the exam room or patient environment (except respirators which should be removed after exiting the room)
Removal of gloves:Grasp outside of glove with opposite gloved hand; peel offHold removed glove in glove handSlide ungloved fingers under the remaining glove at the wrist; peel off and discard
Removal of gowns:Remove in such a way to prevent contamination of clothing or skinTurn contaminated outside surface toward the insideRoll or fold into a bundle and discard
Removal of facemask or respiratorAvoid touching the front of the mask or respiratorGrasp the bottom and the ties/elastic to remove and discard
Removal of goggles or face shieldAvoid touching the front of the goggles or face shieldRemove by handling the head band or ear pieces and discard
Always perform hand hygiene immediately after removing PPE
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