The Personal Protective Equipment (PPE) required in a hospital radiology department varies depending on the procedures being conducted, the level of exposure risk to ionizing radiation, infectious agents, and other hazards. Here’s a breakdown of common PPE items and guidance on donning (putting on) and doffing (removing) them:
1. Lead Aprons and Thyroid Shields
Purpose:
- Protect against ionizing radiation.
Donning:
- Inspect for cracks or damage.
- Wear the lead apron over regular clothing, securing straps snugly.
- Attach the thyroid shield around the neck securely.
Doffing:
- Unfasten the straps and remove the apron gently to avoid strain.
- Hang it properly on designated racks to prevent damage.
2. Radiation Protective Glasses
Purpose:
- Protect eyes from scattered ionizing radiation.
Donning:
- Inspect lenses for scratches or damage.
- Wear the glasses, ensuring a snug fit over your eyes.
Doffing:
- Remove glasses by the temples to avoid contaminating hands or face.
- Clean and store them in a protective case.
3. Gloves
Purpose:
- Protect hands from contamination, including infectious agents and hazardous materials.
Donning:
- Sanitize hands before wearing gloves.
- Choose the correct size for a snug fit.
- Slide hands into gloves without touching the outer surface.
Doffing:
- Grasp the outside of one glove near the wrist, peel it away without touching skin.
- Ball it up in the gloved hand and use two fingers of the bare hand to remove the second glove, turning it inside out.
- Dispose of gloves in a biohazard bin and sanitize hands immediately.
4. Surgical Masks or Respirators (e.g., N95)
Purpose:
- Prevent inhalation of infectious agents.
Donning:
- Sanitize hands before touching the mask.
- Hold the mask by the straps, placing it over the nose and mouth.
- Secure straps over the ears or head, ensuring a snug fit.
- Check for seal tightness (for N95 respirators).
Doffing:
- Remove by the straps, avoiding contact with the mask surface.
- Dispose of the mask in a biohazard bin (or store in a clean, breathable container if reusing).
- Sanitize hands immediately.
5. Goggles or Face Shields
Purpose:
- Protect eyes and face from splashes, sprays, or infectious droplets.
Donning:
- Inspect for cleanliness and damage.
- Position goggles or shield over eyes/face and adjust for a snug fit.
Doffing:
- Remove by the straps or edges without touching the front.
- Clean with disinfectant if reusable; dispose of if single-use.
- Sanitize hands.
6. Gowns (Disposable or Lead-Lined)
Purpose:
- Protect clothing and skin from contamination or radiation.
Donning:
- Inspect for tears or damage.
- Put arms through the sleeves and secure ties at the back of the neck and waist.
Doffing:
- Untie the waist and neck ties.
- Peel away from the shoulders, turning it inside out.
- Dispose of in a biohazard bin or follow cleaning protocols for reusable gowns.
- Sanitize hands.
7. Shoe Covers
Purpose:
- Prevent contamination from or to the floor.
Donning:
- Ensure the covers are clean and intact.
- Slip them over shoes, securing snugly.
Doffing:
- Remove by grasping the edges without touching the shoe or outer surface.
- Dispose of properly and sanitize hands.
General Guidelines for Donning and Doffing PPE:
- Preparation (Donning):
- Perform hand hygiene.
- Don PPE in the order of gowns, masks, goggles/face shields, gloves.
- Ensure all equipment fits snugly and provides proper coverage.
- Removal (Doffing):
- Remove PPE in the order of gloves, goggles/face shields, gown, mask.
- Avoid touching the contaminated outer surfaces.
- Perform hand hygiene between each removal step and at the end.
- Key Practices:
- Always follow institutional protocols and training.
- Dispose of single-use PPE in designated biohazard bins.
- Clean and disinfect reusable PPE after use.
If you need additional details about specific PPE items or protocols, let SINOMOX know!