here is some info too help
Explanation:
Healthcare workers caring for patients with Ebola must have received comprehensive training and demonstrated competency in performing Ebola-related infection control practices and procedures.
PPE that covers the clothing and skin and completely protects mucous membranes is required when caring for patients with Ebola.
Personnel providing care to patients with Ebola must be supervised by an onsite manager at all times, and a trained observer must supervise each step of every PPE donning/doffing procedure to ensure established PPE protocols are completed correctly.
Individuals unable or unwilling to adhere to infection control and PPE use procedures should not provide care for patients with Ebola.
Updates to previous versions of this guidance
This Ebola PPE guidance has been updated to add detail, clarify where needed, and improve the format. Specifically, the guidance was updated to:
Expand the rationale for respiratory protection;
Clarify that the trained observer should not serve as an assistant for doffing PPE;
Suggest that a designated doffing assistant or “buddy” might be helpful, especially in doffing with the powered air purifying respirator (PAPR) option;
Modify the PAPR doffing procedure to make the steps clearer;
Change the order of boot cover removal. Boot covers should now be removed after the gown or coverall;
Clarify the types of gowns and coveralls that are recommended and provide a link to considerations for gown and coverall selection; and
Emphasize the importance of frequent cleaning of the floor and work surfaces in the doffing area.
Selecting Protective Clothing >
Respiratory Protection for Ebolaexternal icon
Web-based PPE training
Web-based PPE training
Introduction
The following guidance on the types of PPE to be used and the processes for donning (putting on) and doffing (removing) PPE is for all personnel entering the room of a patient hospitalized with Ebola. This guidance reflects lessons learned from the recent experiences of U.S. hospitals caring for patients with Ebola and emphasizes the importance of training, practice, competence, and observation of healthcare workers, especially in correct donning and doffing of PPE.
In healthcare settings, Ebola is spread through direct contact with blood or body fluids of a person who is sick with Ebola or with objects (e.g., bathroom surfaces, medical equipment) that have been contaminated with infectious blood or body fluids. The virus in blood and body fluids can enter a person’s body through broken skin or unprotected mucous membranes in, for example, the eyes, nose, or mouth. For all healthcare workers caring for patients with Ebola, PPE that fully covers skin and clothing and prevents any exposure of the eyes, nose, and mouth is recommended to reduce the risk of accidental self-contamination of mucous membranes or broken skin. All PPE must be used in the context of a comprehensive infection control program that follows CDC recommendations and applicable Occupational Safety and Health Act of 1970 (OSHA) requirements, including the Bloodborne Pathogens (29 CFR 1910.1030)external icon, PPE (29 CFR 1910.132)external icon, and Respiratory Protection (20 CFR 1910.134)external icon standards, and other requirements under OSHA (e.g., the General Duty Clause, section 5(a)(1); and prohibitions against discrimination or retaliation against workers, section 11(c)).
To protect healthcare workers who are caring for patients with Ebola, healthcare facilities must provide onsite management and oversight of adherence to safely using PPE, and implement administrative and environmental controls with continuous safety checks through direct observation of healthcare workers, including during the PPE donning and doffing steps.
