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The Provincial Status indicators are a method of informing Ontarians of a developing or existing health emergency.
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Donning and Removal of Personal Protective Equipment
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Important Health Notices for Health Care Professionals

Emergency Infection Control Kit

Donning and Removal of Personal Protective Equipment

Personal protective equipment (PPE) is designed to protect health care providers in health care settings from exposure to potentially infectious material. When providing care to patients, these products protect the skin and mucous membranes of the eyes, nose, and mouth from exposure to blood, body and respiratory secretions.

Always perform hand hygiene immediately before donning and after removing PPE.

Always don your PPE before contact with patients.

Sequence for donning PPE
  • perform hand hygiene
  • gown (if applicable)
  • mask
  • eyewear
  • gloves (if applicable)
1. How to don a gown
  • opening is in the back
  • fully cover torso from neck to knees, arms to end of wrists, and wrap around the back
  • secure at neck and waist
  • if gown is too small, use two gowns: the first ties in front, the second ties in back
2. How to don a mask
  • secure on head with ear loops
  • place over nose, mouth, and chin
  • fit flexible nose piece over bridge
  • adjust fit - snug to face and below chin
3. How to don eye protection
  • position eyewear over eyes and secure to head using ear pieces
4. How to don gloves
  • don gloves last
  • insert hands into gloves
  • extend gloves over gown cuffs (if wearing gown)
5. How to use gloved hands
  • keep gloved hands away from face
  • avoid touching or adjusting other PPE
  • remove gloves if they become torn; perform hand hygiene before donning new gloves
  • limit surfaces and items touched
Sequence for removing PPE
  • all items must be removed and discarded carefully
  • perform hand hygiene after gloves/gown removal before your hands go near your face (for removal of masks and eye protection) and after completion of PPE removal, and any time you suspect your hands are contaminated during PPE removal.
1. Glove removal
  • outside of glove is 'dirty'; use glove-to-glove/ skin-to-skin handling method
  • grasp outside edge near wrist
  • peel away from hand, turning glove inside out
  • hold in opposite gloved hand
  • slide ungloved finger under wrist of remaining glove
  • peel off from inside, creating a bag for both gloves
  • discard
2. Gown removal
  • gown front and sleeves are 'dirty'; handle by inside/back of gown
  • unfasten ties
  • peel gown away from neck and shoulder
  • turn contaminated outside surface toward the inside
  • fold or roll into a bundle
  • discard
3. Perform hand hygiene

4. Eyewear removal
  • outside of eyepiece is 'dirty'; handle by earpieces
  • grasp earpieces with ungloved hands
  • pull away from face
  • place in designated receptacle for reprocessing
5. Mask removal
  • front of mask is 'dirty'; handle by ear-loops
  • remove from face, in a downward direction, using ear-loops
  • discard
6. Perform hand hygiene immediately after removing PPE.

For more information
Ministry of Health and Long-Term Care
Emergency Management Branch
415 Yonge Street, 8th Floor
Toronto, Ontario
Canada   M5B 2E7
Fax : 416-212-4466
TTY : 1-800-387-5559
E-mail : emergencymanagement.moh@ontario.ca
Healthcare Provider Hotline
Toll free : 1-866-212-2272

CritiCall Ontario provides a 24 hour call centre for hospitals to contact on-call specialists; arrange for appropriate hospital bed access and facilitate urgent triage for patients
1-800-668-4357

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