Table 1.
Order of Tasks in Practical Training.
| Task | Category | Content | Time |
|---|---|---|---|
| Orientation | Orientation for practical training | Explain the practical training on use of PPE. | 20 minutes |
| Preparation of the practical training room | Preparation | Practical training is conducted in a negative-pressure isolation room with a preparation room to isolate patients with infectious disease. Use the materials in the isolation room as-is and apply fluorescent lotion over the entire body of the simulation patient and surrounding environment. | |
| Scenario | Initiation | The participant enters the room with an isolated TB patient with carbapenem-resistant enterococcus, a multidrug resistant strain. Transfer the simulation patient from a wheelchair to the bed, perform basic change in body position, and exit the room. | |
| On-site practical education (video filming) | Hand hygiene | Check to make sure the participant performs the tasks accurately as indicated in the checklist. | 30 minutes |
| Use of PPE | Enter the room after putting on the PPE (gloves, gown, and TB mask) outside the room. | ||
| Move patient | Move the patient to allow the contaminant to be applied to the PPE. | ||
| PPE removal | Take off PPE in proper order and discard it in a medical waste basket. | ||
| TB mask removal | Remove the TB mask. | ||
| Feedback | Step 1: visual feedback | The educator irradiates ultraviolet light rays to allow participants to visually check for themselves whether the contaminant has touched their body. The educator checks the contamination sites in the checklist. | 30 minutes |
| Step 2: self-observation feedback | The participants personally check the videos acquired using a mobile phone for identification of problems and recording of checklist items. | ||
| Step 3: evaluator feedback | The educator compares the checklist items recorded by the evaluator and self-recorded by the participants to provide comprehensive review feedback. | ||
| Step 4: TB mask fitting feedback | TB mask fitting test is performed to determine whether the mask was put on successfully and feedback is provided on the proper method of use. | 10 minutes |
PPE = personal protective equipment; TB = Tuberculosis.