Table 2.
Mastery Learning Checklist* for donning and doffing personal protective equipment, with pre-intervention checklist performance by item and participant role.
| Items not completed | Faculty members (N = 56) | Residents (N = 61) | Total participants (N = 117) |
|---|---|---|---|
| Donning sequence | |||
| Performs hand hygiene | 11 (19.6) | 19 (31.1) | 30 (25.6) |
| Dons inner layer of gloves | 2 (3.6) | 3 (4.9) | 5 (4.3) |
| Dons gown | 9 (16.1) | 3 (4.9) | 12 (10.3) |
| Dons mask | 1 (1.8) | 5 (8.2) | 6 (5.1) |
| Adjusts nosepiece of mask | 14 (25) | 28 (45.9) | 42 (35.9) |
| Demonstrates mask seal check | 29 (51.8) | 48 (78.7) | 77 (65.8) |
| Dons eye shield | 2 (3.6) | 0 (0.0) | 2 (1.7) |
| Dons outer layer of gloves | 3 (5.4) | 4 (6.6) | 7 (6.0) |
| Enters room and closes door | 0 (0.0) | 0 (0.0) | 0 (0.0) |
| Doffing sequence | |||
| Begins doffing 6′ from patient | 7 (12.5) | 3 (4.9) | 10 (8.5) |
| Doffs gown with outer gloves | 15 (26.8) | 14 (23.0) | 29 (24.8) |
| Disposes of gown and outer gloves in room | 3 (5.4) | 3 (4.9) | 6 (5.1) |
| Performs hand hygiene on inner gloves | 25 (44.6) | 25 (41.0) | 50 (42.7) |
| Doffs eye shield in room | 30 (53.6) | 42 (68.9) | 72 (61.5) |
| Disposes of eye shield in room | 30 (53.6) | 43 (70.5) | 73 (62.4) |
| Performs hand hygiene on inner gloves | 43 (76.8) | 52 (85.2) | 95 (81.2) |
| Exits room and closes door | 2 (3.6) | 3 (4.9) | 5 (4.3) |
| Performs hand hygiene on inner gloves | 41 (73.2) | 44 (72.1) | 85 (72.6) |
| Removes and disposes of mask | 4 (7.1) | 9 (14.8) | 13 (11.1) |
| Removes and disposes of gloves | 20 (35.7) | 19 (31.1) | 39 (33.3) |
| Performs hand hygiene | 2 (3.6) | 1 (1.6) | 3 (2.6) |
*
Two-glove technique for personal protective equipment use with airborne, contact, and droplet precautions. See Online Supplement 1 for definitions of “complete” for each checklist item.