|
Time of Performance (min) |
|
Levels of Performance (L of P) |
|
0 Not applicable |
|
1 Needs assistance (little or no experience) |
|
2 Minimal assistance (some experience) |
|
3 Perform independently (competent, experienced) |
|
4 Resource/instructor (competent/able to teach) |
|
Updated Donning PPE Competency Checklist
|
1 |
Performs donning in a clean area |
2 |
Performs hand hygiene |
3 |
Ties hair up and back from face and removes jewelry (to avoid contamination and damaging PPE) |
4 |
Ensures that equipment is not damaged and dons gown (Note: All TIES should be properly secured with a SIMPLE BOW.) |
5 |
Dons boots (pulls the outside of the gown over the boots so nothing can fall inside the boots) |
6 |
Applies standard gloves (puts the elastic from gown over the finger to avoid sleeves rolling upward) |
7 |
Finishes donning gown (closes the gown to the top and ensures the zipper is pointing downward; asks buddy to help with rolling down the hood; ensures that all fit well and cover the intended areas) |
8 |
Applies N-95 respirator (seals respirator to the face, ensuring straps are not crossed and are properly located at the crown of the head and base of the neck) |
9 |
Performs a fit check of the respirator |
10 |
Dons surgical hood (assists with holding the hood while buddy closes the surgical hood on the back of the head, binds the 2 long ones in a simple bow on the stomach) |
11 |
Dons apron (asks buddy to close the apron with a simple bow) |
12 |
Applies long cuff gloves over the standard gloves (asks for help from buddy if needed to pull the gloves up to the elbow; puts on elastics to avoid gloves rolling down) |
13 |
Applies goggles (asks buddy to check that there is no skin exposed) |
14 |
Appropriately works with a donning partner |
15 |
Uses donning partner for assistance and to obtain any supplies |