TABLE 2.

Updated Doffing Checklist

	Participant Number
	Time
	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 Doffing PPE Competency Checklist
1	Uses gentle, slow technique to remove gown (principle: “clean on clean, dirty on dirty”)
2	Steps into chloride boot wash
3	Steps out of patient room into decontamination room, stays in “URENT” zone with trash receptacle at door
4	Spraying the gloves
5	Body being sprayed
6	Washes hands
7	Removes the long cuff outer gloves using glove-in-glove technique and discards in trash
8	Removes apron by pulling 1 of the ribbons on the back to untie the simple bow, taking in the top corner (not touching the front of the apron) and moving it carefully over the head
9	Discards apron in the bucket with chloride
10	Washes hands
11	Closes eyes and removes the goggles, pulling it forward so it is free from the face, gently pulling it off
12	Discards goggles in the chlorine bucket
13	Washes hands
14	Unties the ribbons on the hood; closes eyes and removes the hood by pulling it forward
15	Throws the hood in the trash
16	Washes hands
17	Opens coverall correctly: (1 + 2 + 3 + 4)
	(1) Opens the gown (without touching the face, therefore start opening from middle)
	(2) Washes hands
	(3) Finds the zipper from middle (not from the top part)
	(4) Opens the zipper
18	Washes hands
19	Removes coverall correctly (principle: “clean on clean, dirty on dirty”); doesn´t pull hands all the way out of sleeves; uses the inside clean part of the sleeves to bring the suit down around the boots; doesn´t touch boots on the dirty and outer side of the suit (1 + 2 + 3 + 4)
	(1) “Clean on clean, dirty on dirty”
	(2) Doesn´t pull hands all the way out of sleeves
	(3) Uses the inside clean part of the sleeves to bring the suit down around the boots
	(4) Doesn´t touch boots on the dirty and outer side of the suit
20	Leaves the suit on the floor for spraying
21	Carefully picks up suit, keeping it away from body and discards it in the trash
22	Washes hands
23	Removes respirator, pulling it forward away from face
24	Discards respirator in the trash
25	Washes hands
26	Removes the inner gloves (principle: “clean on clean, dirty on dirty”)
27	Spraying of boots (both sides)
28	Lifts the foot next to clean area, lets it be sprayed then steps with a clean foot into “REN” zone and lifts the other foot to be sprayed and then also steps with a clean foot into zone
29	Washes hands 0.05% chloride
30	Steps in the other chlorine boot wash