ppe exercise session 6 infection control for lpha train the trainer course august 25, 2005

PPE ExercisePPE ExerciseSession 6Session 6

Infection Control for LPHAInfection Control for LPHA

Train the Trainer CourseTrain the Trainer Course

August 25, 2005 August 25, 2005

ObjectivesObjectives

• Demonstrate the ability to don and Demonstrate the ability to don and

remove PPE correctlyremove PPE correctly

• Demonstrate the ability to select and Demonstrate the ability to select and wear the appropriate PPE in given wear the appropriate PPE in given situationssituations

PPE exercisePPE exercise

Order of Donning PPEOrder of Donning PPE

1.1. GownGown

2.2. Mask or respiratorMask or respirator

3.3. Goggles or face shieldGoggles or face shield

4.4. glovesgloves


Order of Removing PPEOrder of Removing PPE

1.1. GlovesGloves

2.2. Goggles or face shieldGoggles or face shield

3.3. GownGown

4.4. Mask or respiratorMask or respirator


• Type of PPE used is based on: Type of PPE used is based on: – disease/symptoms = modes of disease/symptoms = modes of

transmissiontransmission– tasks/procedurestasks/procedures

PPE exercisePPE exercise(see notes pages for answers)(see notes pages for answers)

Scenario 1: Scenario 1: A mass smallpox vaccination clinic has been A mass smallpox vaccination clinic has been

initiated in your jurisdiction due to cases on the initiated in your jurisdiction due to cases on the east and west coasts. You are a worker assigned east and west coasts. You are a worker assigned to administer smallpox vaccine at the vaccination to administer smallpox vaccine at the vaccination station. station.– What disease is of concern?What disease is of concern?– What mode(s) of transmission is (are) involved?What mode(s) of transmission is (are) involved? – What PPE should you wear?What PPE should you wear?– Why?Why?– Where should you dispose of used PPE?Where should you dispose of used PPE?


Scenario 2:Scenario 2:

You are a public health nurse administering You are a public health nurse administering immunizations at your local health department immunizations at your local health department immunization clinic.immunization clinic.

– What PPE would you wear?What PPE would you wear?– Why?Why?– Where would you dispose of PPE?Where would you dispose of PPE?– What mode(s) of transmission and what diseases are of What mode(s) of transmission and what diseases are of

concern?concern?


Scenario 3:Scenario 3: You are assigned to do directly observed therapy on a TB You are assigned to do directly observed therapy on a TB

case in your county. You will be visiting the client in his case in your county. You will be visiting the client in his home. home. – What mode(s) of transmission is (are) of concern?What mode(s) of transmission is (are) of concern?– What PPE will you wear?What PPE will you wear?– Why?Why?– At what point will you begin wearing the PPE?At what point will you begin wearing the PPE?– In addition to donning the PPE, what step should you In addition to donning the PPE, what step should you

take?take?– Where/when will you remove the PPE?Where/when will you remove the PPE?– Where will you dispose the PPE?Where will you dispose the PPE?


Scenario 4 :Scenario 4 :

A mom and her three children are sitting in the waiting area of your facility. A mom and her three children are sitting in the waiting area of your facility. One of the children becomes sick and you need to clean up the emesis in One of the children becomes sick and you need to clean up the emesis in the waiting area. the waiting area.

• What PPE would you select for the task?What PPE would you select for the task?• Why?Why?• Describe the steps to clean the area.Describe the steps to clean the area.• How would you dispose of used PPE?How would you dispose of used PPE?• How would you dispose of the cleaning items (towels, rags, cloths)?How would you dispose of the cleaning items (towels, rags, cloths)?

PPE exercisePPE exercise Scenario 5: Scenario 5: You need to visit a suspect SARS case on You need to visit a suspect SARS case on

home isolation to collect a blood home isolation to collect a blood specimen. He has had a fever and cough specimen. He has had a fever and cough for 3 days, and is not improving. He will be for 3 days, and is not improving. He will be able to come to the door to let you in, able to come to the door to let you in, however. When you arrive, you realize he however. When you arrive, you realize he lives in a mobile home with no entry—you lives in a mobile home with no entry—you will be in the patient’s immediate will be in the patient’s immediate environment the moment you step in to environment the moment you step in to the home. It is December, and the the home. It is December, and the temperature is 5 degrees below zero. temperature is 5 degrees below zero.


Scenario 5Scenario 5– What mode(s) of transmission is(are) involved?What mode(s) of transmission is(are) involved?– What PPE will you wear?What PPE will you wear?– Why?Why?– When and where will you put it on?When and where will you put it on?– What might you consider telling the patient before What might you consider telling the patient before

arriving?arriving?– When and where will you remove PPE?When and where will you remove PPE?– How will you dispose of it?How will you dispose of it?– What other equipment do you need?What other equipment do you need?

PPE exercise PPE exercise

Scenario 6:Scenario 6: It is Tuesday and that means Hmong refugees It is Tuesday and that means Hmong refugees in your area will be bringing in their stool in your area will be bringing in their stool

samples for you to package for shipment to samples for you to package for shipment to WSLH.WSLH. – Mode(s) of transmission?Mode(s) of transmission?– PPE? Why?PPE? Why?– Where should the specimens be processed?Where should the specimens be processed?– What should be done after they are processed?What should be done after they are processed?


Scenario 7:Scenario 7: It is health screening day and many clients are at your It is health screening day and many clients are at your

facility waiting for their BP checks and cholesterol facility waiting for their BP checks and cholesterol screening. You notice an elderly woman with cold-like screening. You notice an elderly woman with cold-like symptoms, including a cough. symptoms, including a cough.

– What, if anything, should you do?What, if anything, should you do?– What mode of transmission is of concern?What mode of transmission is of concern?– What PPE, if any, would be used?What PPE, if any, would be used?– Who would wear it?Who would wear it?

Infection Control Principles Infection Control Principles and Practicesand Practices

Gwen Borlaug, CIC, MPHGwen Borlaug, CIC, MPH

Infection Control EpidemiologistInfection Control Epidemiologist

Bureau of Communicable DiseasesBureau of Communicable Diseases

1 West Wilson Street Room 3181 West Wilson Street Room 318

Madison, WI 53701Madison, WI 53701

[email protected]@wisconsin.gov

ppe exercise session 6 infection control for lpha train the trainer course august 25, 2005

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