Table 3.

Sequence of donning and doffing of PPE

Donning PPE sequence 1. Remove any personal items 2. Put on the lead apron 3. Put on a first disposable gown 4. Gather the necessary PPE and check for their integrity 5. Perform hand hygiene with soap and/or hand gel/rub 6. Put on the proper disposable respirator N95 or FFP2 standard (FFP3 available for anaesthesiologist and nurse helping on airways manoeuvres) 7. Put on hair cover 8. Put on shoe covers 9. Put on googles and/or face shield avoiding any interference with the respirator. 10. Perform hand hygiene 11. Put on the first pair of gloves 12. Put on a gown (sterile or not according to your role in the cath lab) not using the inside tie 13. Put on a second pair of gloves (over cuff), sterile if needed.

Doffing PPE sequence

Inside the cathlab (or in the filter zone if available): 1. Wait until patient is out of the room; close the door. 2 .Perform hand hygiene over the gloves 3. Peel off gown and gloves together and roll inside, slowly and carefully, avoiding aerosol generation 4. If gloves are removed separately, touch only the external part (use glove-in-glove or beak technique) 5. Perform hand hygiene (over the internal gloves) 6. Remove face shield and/or googles avoiding contact with face and eyes and dispose of them safely or put in a separate container for reprocessing 7. Perform hand hygiene (over the internal gloves) 8. Remove hair cover and dispose of it safely 9. Remove shoe covers and dispose of them safely 10. Perform hand hygiene (over the internal gloves) 11 .Remove internal gloves and dispose of them safely 12. Perform hand hygiene 13. Step out of the cathlab and immediately close the door.

Outside the cathlab: 14. Put on another pair of gloves 15. Remove facial respirator without touching the front side of the respirator 16. Remove the gloves 17. Remove lead apron 18. Perform hand hygiene with soap and water and alcohol gel/rub.