Table 2.

Instructions for putting on and removing IPE in the surgery room.

Sequence for putting on IPE	Sequence for removing IPE
Take off all personal objects from the body and pockets of the gown	Take off gloves without touching the outer surface
Normal hand wash with water and soap or alcohol gel	Wash inner gloves with alcohol gel
Put on shoe covers and first disposable head piece	Remove surgical apron without touching the outer sidea
Put on the first pair of nitriI gloves	Wash inner glove with alcohol gel
Put on impervious apron	Remove outer shoe covers (2nd pair)
Put on FPP2 or FPP3 mask	Wash inner gloves with alcohol gel
Affix surgical mask over the first mask	Take off goggles and/or facial protectorsb
Put on protective goggles and/or facial protector	Remove outer head piece
Ports on disposable head piece over the first one and put on the second pair of shoe covers	Wash inner gloves with alcohol gel
Surgical hand wash wearing nitril gloves	Take off the surgical mask and inner headpiecec
Enter the surgery room	Wash inner gloves with alcohol gel
Put on surgical apron as usual	Take off impervious inner apron without touching the outer surfacea
Put on the usual sterile gloves	Wash inner gloves with alcohol gel
	Remove gloves without touching the outer surface
	Exit the surgery room
	Surgical hand washing
	Take off FFP2/FFP3 mask
	Take off the inner head piece
	Wash hands with hydro-alcohol gel
	Take off inner shoesd
	Wash hands up to elbows with hydro-alcohol gel
	Shower

Adapted from Balibrea et al.¹⁷

^aPull from the front to break tape, fold with outer surface inwards and dispose of in the nearest container.

^bClose eyes and mouth and place on tray with disinfectant.

^cLean head downards, close eyes and mouth, hold tapes and pull forward and downward to break them without touching the frontal surface of the mask.

^dSpray with alcohol solution or diluted sodium hypochlorite.