Table 4.

PPE Doffing Sequence.

Yes	Order for Removal of Equipment
	Remove surgical gloves as usual, without touching them on the outside.
	Wash the inner gloves with alcohol solution (the observed irrigates the surgeon's gloves).
	Remove the surgical gown as usual.
	Avoid touching it on the outside.
	Stretch it away from you at the front, breaking the ties.
	Fold it with the outer contaminated side toward the inside.
	Throw everything in a trash container (which should be close by).
	Wash the inner glove with alcohol solution (the observer irrigates the surgeon's gloves).
	Removal of leggings/shoe covers.
	Wash hands with alcohol solution.
	Remove the face shield: lower head, closing eyes and mouth.
	Place on a separate tray with disinfectant if it is to be used again.
	Throw away if disposable material.
	Remove external cap and throw away (closing eyes and mouth)
	Wash hand with alcohol solution.
	Remove goggles: lower head, closing eyes and mouth.
	Wash hands with alcohol solution.
	Remove mask and cap underneath. Lower head, closing eyes and mouth. Hold ties from the back and remove forwards and downwards. Do NOT touch front of mask. Throw away in trash container, holding only by ties.
	Wash hands with alcohol solution.
	Remove protective gown (same steps as surgical gown).
	Throw in trash container (should be a short distance).
	Wash hands with alcohol solution.
	Remove nitrile gloves, without touching the outside.
	Exit operating room.
	Surgical hand hygiene
	Remove FPP2/FPP3 mask.
	Remove initial cap.
	Wash hands with alcohol solution
	Don nitrile gloves.
	Spray clogs with alcohol solution and remove.
	Wash hands with alcohol solution up to elbows.
	Shower.

Limit number of staff and movement in operating room. Complete with an external observer other than persons wearing PPE.