Archive of Protecting Healthcare Personnel Tools and Resources
Retired Guidance and Resources
The following guidance and resources have been retired and are included on this webpage for historic and reference purposes only. These are no longer considered current CDC guidance.
- Guidance for the Selection and Use of Personal Protective Equipment in Healthcare Settings (2004), PowerPoint version ppt icon[PPT – 1 MB], PDF version pdf icon[PDF – 49 Pages] – see Trainer’s Information section.
- Exposure to Blood – What Healthcare Personnel Need to Know pdf icon[PDF – 10 Pages] (2003).
- Preventing Needlestick Injuries in Healthcare Settings NIOSH 1999
- Evaluation of Safety Devices for Preventing Percutaneous Injuries Among Healthcare Workers During Phlebotomy Procedures 1993-1995. MMWR 1997
- Evaluation of Blunt Suture Needles in Preventing Percutaneous Injuries Among Healthcare Workers During Gynecologic Surgical Procedures March 1993-June 1994. MMWR 1997
- Case-control study of HIV seroconversion in Healthcare worker after percutaneous exposure to HIV-infected blood MMWR 1995
- USPHS/IDSA Guidelines for the prevention of opportunistic infections in persons infected with human immunodeficiency virus: a summary. MMWR 1995
- Guidelines for preventing the transmission of HIV through transplantation of human tissue and organs. MMWR 1994
- Use of vaccines and immune globulin in persons with altered immunocompetence (Recommendations of the ACIP). MMWR 1993 Recommendations for HIV testing services for inpatients and outpatients in acute-care hospital settings. MMWR 1993
- Recommendations for Preventing Transmission of Human Immunodeficiency Virus and Hepatitis B Virus to Patients During Exposure-Prone Invasive Procedures MMWR July 12, 1991 / 40(RR08)
- Guidelines for Prevention of Transmission of Human Immunodeficiency Virus and Hepatitis B Virus to Health-Care and Public-Safety Workers A Response to P.L. 100-607 The Health Omnibus Programs Extension Act of 1988 MMWR June 23, 1989 / 38(S-6);3-37
- CDC’s Perspectives in Disease Prevention and Health Promotion Update: Universal Precautions for Prevention of Transmission of Human Immunodeficiency Virus, Hepatitis B Virus, and Other Bloodborne Pathogens in Health-Care Settings – MMWR June 24, 1988 / 37(24);377-388
- CDC Recommendations for prevention of HIV transmission in Healthcare settings MMWR August 21, 1987 / 36(SU02);001.
Personal Protective Equipment (PPE) in Healthcare Settings – Trainer’s Information
Introduction and Purpose
CDC has developed this slide set for use by staff development, infection control, and occupational health personnel for training healthcare personnel on how to select and use personal protective equipment (PPE) to protect themselves from exposure to microbiological hazards in the healthcare setting. The need for training materials on PPE use was identified during the worldwide outbreak of SARS when observations of PPE use among healthcare personnel showed potentially unsafe practices when donning, using, and removing PPE.
The information that follows describes how this program can be used to enhance adult learning. Trainers may use all or part of this material and enhance as needed to optimize the learning environment and meet audience needs.
Increase the safety of the healthcare work environment through improved use of PPE by healthcare personnel.
- Provide information on the selection and use of PPE in healthcare settings
- Practice how to safely put on and remove PPE
At the end of this presentation, the healthcare worker should be able to:
- Identify the appropriate circumstances for which each type of PPE is indicated
- List at least 3 safe practices that should be followed when using PPE
- Correctly demonstrate how to don and remove PPE
Use of the slide set:
The slide set is designed to be a didactic and interactive presentation aimed at a healthcare audience. However, the slide set may also be used for individual self-study or adapted for web application.
Presentation Time: 60-120 minutes
Didactic presentation – 35-45 minutes
Question and answer – 10-15 minutes
PPE demonstration – 15 minutes
PPE return demonstration – 30 – 60 minutes
This material is targeted for nurses, physicians, technicians, and ancillary personnel (e.g., housekeepers, maintenance workers) in healthcare settings.
The text is at a ~12th grade language level. The trainer may need to simplify language to make the presentation appropriate for some audiences.
Overview of the Materials:
There are slides with accompanying text. The slides are grouped into three sections for ease of adaptation to audience needs.
This section provides an overview of PPE in healthcare and reviews PPE terminology, how to select it, and the types of PPE available for use in healthcare settings. (NOTE: Trainers should plan to bring samples of PPE used in that particular healthcare setting or by the target audience.)
This section describes how to safely put on (don), use, and remove PPE.
This section describes when to use PPE based on task that is to be performed. The concepts of Standard and Expanded Precautions and the criteria for PPE use within those precautions are discussed.
Following the didactic part of this section, it is recommended that trainers provide a demonstration of proper PPE use and, if time permits, that the audience give a return demonstration of PPE use. Because this entire program is quite lengthy, incorporating respirator training and fit-testing is NOT advised.
Suggestions for the trainer
Ice breaker (5 minutes)
Ask members of the audience to respond to one of the following questions
- For you, what is the biggest challenge (problem) in using personal protective equipment (write down the answers)
- Do you feel protected when you are wearing PPE?
- What type of PPE do you use most frequently?
- What are the biggest mistakes that you think healthcare workers make when wearing PPE?
PPE return demonstration (30-60 minutes)
- Divide the group into teams of 3 or 4. Have each person act as an observer at least twice and comment on the correctness of PPE donning and removing of another team member.
- If the group is exceptionally large, divide into 4 groups, and have one person demonstrate proper PPE donning/removal and allow others to comment.
Other training exercises
Develop patient scenarios that describe the type of interaction that will occur between the healthcare worker and patient. Divide into small groups, have each group discuss one scenario and report back to the larger group what PPE they would use.
- AV projector and screen
- Flip chart and pens
- Supply of PPE