When?• After removing gloves• After contact with body substances• Before and after each patient• Before eating, drinking or smoking• After going to the toilet

How?1.Wet hands with running water

2.Place soap in palms

3.Rub hands together to make a lather

4.Scrub hands vigorously for 20 seconds

5.Dry hands with a disposable towel

6.Turn off tap using the disposable towel

Using hand rubs

1.Place alcohol-based hand rub in palms

2.Apply to all surfaces of hands

3.Rub hands together until dry

Resource 1 – Australian Veterinary Association Guidelines for Veterinary Personal Biosecurity

HAND HYGIENE

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SEQUENCE FOR PUTTING ON PPE

GOWN• Fully cover torso from neck to knees, arms

to end of wrists, and wrap around the back• Fasten at the back of neck and waist

MASK• Secure ties or elastic bands at middle of

head and neck

PROTECTIVEEYEWEARORFACESHIELD• Place over face and eyes and adjust to fit

GLOVES• Extend to cover wrist of isolation gown

Note that for surgical procedures and dentistry, the sequence for putting on PPE differs. In these situations, masks and protective eyewear are applied first prior to hand preparation. Gown and gloves are then put on.

SEQUENCE FOR REMOVING PPEGLOVES• Outsideofgloveiscontaminated!• Grasp outside of glove with opposite

gloved hand; peel off• Hold removed glove in gloved hand• Slide fingers of ungloved hand under

remaining glove at wrist• Peel glove off over first glove• Discard gloves in waste container• Performhandhygiene

PROTECTIVEEYEWEARORFACESHIELD• Outsideofeyeprotectionorfaceshieldiscontaminated!

• To remove, handle by head band or ear pieces

• Place in designated receptacle for reprocessing or in waste container

GOWN• Gownfrontandsleevesarecontaminated!

• Unfasten ties• Pull away from neck and shoulders,

touching inside of gown only• Turn gown inside out• Fold or roll into a bundle and discard

MASK• Frontofmaskiscontaminated–DONOTTOUCH!

• Grasp bottom, then top ties or elastics and remove

• Discard in waste container

PerformhandhygieneimmediatelyafterremovingallPPE

Resource 2 – Australian Veterinary Association Guidelines for Veterinary Personal Biosecurity. Source: Australian guidelines for the prevention and control of infection in healthcare, adapted from http://www.cdc.gov/hicpac/2007ip/2007isolationprecautions.html, and used with permission.

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Glovesshouldbewornforanycontactwithbodysubstancesorobjectscontaminatedbybodysubstances.GlovesareNOTasubstituteforproperhandhygiene.

Changeglovesandwashhands

• when moving from dirty to clean areas on the same animal

• when moving from dirty to clean procedures on the same animal

• after contact with blood or body substances

• between individual animals

• before touching equipment such as computer keyboards during patient care

• if gloves become torn or damaged.

Resource 3 – Australian Veterinary Association Guidelines for Veterinary Personal Biosecurity

Dirty area Clean area

Dirty procedure

Clean procedure

GLOVES

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� Clean outerwear such as overalls, hat and washable boots

� Box of surgical gloves

� Surgical mask

� Respirator

� Water for washing hands and boots

� Alcohol-based hand rub

� Sharps container

� High risk site visit checklist (Resource 5 of Australian Veterinary Association Guidelines for Veterinary Personal Biosecurity)

Vehicle and site visit checklist

For low risk site visits, veterinary personnel should routinely protect themselves with clean overalls and boots, and disinfect on entering and leaving premises.

Veterinary vehicles used for site visits should carry all the following supplies for use in both high and low risk activities.

Resource 4 – Australian Veterinary Association Guidelines for Veterinary Personal BiosecuritySponsored by CEVA Animal Health

Resource 5 – Australian Veterinary Association Guidelines for Veterinary Personal BiosecurityThis diagram is reproduced with permission from Guidelines for veterinarians handling potential Hendra virus infection in horses

Version 4 (2010) published by Biosecurity Queensland http://www.dpi.qld.gov.au/4790_2900.htm. Sponsored by CEVA Animal Health

High risk site visit checklist 1.Identify clean, dirty and transition zones.

2.Set up decontamination equipment in transition area

� Lay out ground sheet (if you have one)� Dirty side: bucket of disinfectant for footbath, second bucket or spray bottle of

disinfectant, scrubbing brush and 2 x plastic bags with ties for waste� Clean side: bucket or spray bottle of disinfectant and 2 x plastic bags with ties for PPE

disposal

3.Put on PPE while in clean zone:

� Wash hands with soap and dry� Put on overalls with legs outside boots� Put on respirator. Check fit� Put on eye protection. Ensure it sits snugly over respirator� Put on gloves, double gloved, with outer pair snugly over overall sleeves

4.Enter dirty zone, conduct examination, sampling or post mortem. Double bag samples. Wipe each packaging layer with disinfectant.

5.Remove gross contamination while still in the dirty zone

� Use hose or tub of water and clean boots, overalls and gloves

6.Return to the transition area

� Dirty side: put waste in plastic bag, disinfect, put in second bag and disinfect again then place in clean zone. Disinfect boots and wash/spray hands, equipment and samples with disinfectant� Clean side: remove outer gloves and wash/spray inner gloves with disinfectant. Remove

overalls and boots, remove eye protection then remove respirator once any dust has settled. Put PPE in plastic bag. Remove inner gloves, put in plastic bag with other PPE and tie. Disinfect plastic bag then put in second plastic bag and disinfect again. Wash hands with soap and dry

Whenattendingsiteswheretheriskhasbeenassessedas‘veryhigh’,followthischecklisttoimplementhighlevelbiosecurityprotection.

These precautions should be taken by all people working nearby such as monitoring anaesthesia.

Resource 6 – Australian Veterinary Association Guidelines for Veterinary Personal BiosecurityThis diagram is reproduced with permission from Guidelines for veterinarians handling potential Hendra virus infection in horses

Version 4 (2010) published by Biosecurity Queensland http://www.dpi.qld.gov.au/4790_2900.htm

PPE for dental and obstetric procedures

Obstetrics• Impermeable outerwear

• Gloves

• Shoulder length sleeves if necessary

• Mask or respirator

• Face shield or goggles

Dental• Protective outerwear

• Gloves

• Mask or respirator

• Face shield or goggles

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