• sdadas ha inviato un aggiornamento 2 anni, 6 mesi fa

    Introduction

    The aim of using personal protective equipment (PPE) is to protect against health or safety risks at work. The epic3 (Loveday et al, 2014) evidence-based guidelines on infection prevention and control state that selection of PPE should be based on an assessment of the:

    1. Risk of transmission of micro-organisms to the patient or carer;

    2. Risk of contamination of the health professional’s clothing or skin by the patient’s blood or body fluid or respired aerosols or droplets;

    3. Suitability of the equipment for the proposed use – does it fit, is it CE marked, do PPE items fit together?

    Before using PPE, staff should be educated and their competence assessed in the assessment of risk, and selection and use of PPE, as well as the use of standard precautions. It is important to assess whether the selected PPE will be effective – for example, staff using respirators will need to be “fit tested” to ensure Disposable Face Masks are a correct and safe fit (NHS England and Public Health England, 2013a).

    Using unfamiliar PPE can increase the risk of self-contamination due to lack of skill and confusion in the correct removal method. PPE should not be used, nor tasks undertaken that require its use, until staff are confident and competent in doing so.

    Used when handling sharps or contaminated devices (Loveday et al, 2014) – micro-organisms can survive on objects, or “fomites”, and become a risk for transmission of infection;

  • Removed as soon as the episode of care is completed – hands must be decontaminated immediately after glove removal;

  • Changed when soiled – they must not be washed or decontaminated with alcohol products between procedures and should be changed between caring for different patients.

  • Appropriate respiratory PPE should be chosen according to a risk assessment that takes account of the infective micro-organism, anticipated activity and duration of exposure. Respiratory PPE must fit the user correctly and staff must be trained in how to use and adjust it in accordance with Health and Safety Executive (2012)regulations. Staff should not use FFP3 respirators unless fit tested as safe.

    If you remove footwear and stand in the same space, your feet will be contaminated. Have a “dirty” area for footwear removal and a “clean” one where nobody walks in contaminated footwear;

  • There is little evidence of gross infection transmission from the floor surface unless there are large spillages of infected material so protective footwear is not usually required;

  • Where possible, protective footwear should be single-use. If re-used, follow the manufacturers’ instructions to decontaminate. Depending on the contamination 10,000ppm chlorine agent should be used.

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