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CBRNE Training Academy
CBRNE Training Academy
Advanced Personal Protective Advanced Personal Protective Equipment (PPE) and Equipment (PPE) and Standard PrecautionsStandard Precautions
Advanced Personal Protective Advanced Personal Protective Equipment (PPE) and Equipment (PPE) and Standard PrecautionsStandard Precautions
ObjectivesObjectives
• Establish the buddy system• Show standard precautions• Illustrate preparation• Illustrate proper donning of PPE• Illustrate proper doffing of PPE• Describe post operation activities• Define safety and health issues
• Establish the buddy system• Show standard precautions• Illustrate preparation• Illustrate proper donning of PPE• Illustrate proper doffing of PPE• Describe post operation activities• Define safety and health issues
Find a buddyFind a buddy
Tie back all hairTie back all hair
Remove watches, jewelry, etc.
Remove watches, jewelry, etc.
Before anything else. . .Before anything else. . .
Drink waterDrink water
Go to the bathroomGo to the bathroom
Brief exam and vital signsBrief exam and vital signs
What equipment do we use?
What equipment do we use?
Duct tape . . . Check.Duct tape . . . Check.
Inner gloves . . . Check.Inner gloves . . . Check.
Outer gloves . . . Check.Outer gloves . . . Check.
Footies (clear) . . . Check.Footies (clear) . . . Check.
Standard footies . . . Check.
Standard footies . . . Check.
Outer rubber boots . . . Check.
Outer rubber boots . . . Check.
Tyvek suit . . . Check.Tyvek suit . . . Check.
No rips, intact seams . . . Check.
No rips, intact seams . . . Check.
Everything togetherEverything together
Air filters for PAPR . . . Check.
Air filters for PAPR . . . Check.
Battery pack . . . Check.Battery pack . . . Check.
PAPR hood and hose . . . Check.
PAPR hood and hose . . . Check.
Everything togetherEverything together
DonningDonning
Sit and take off your shoesSit and take off your shoes
Put on foot coversPut on foot covers
Suit on to waistSuit on to waist
Heavy outer bootsHeavy outer boots
Pull them all the way onPull them all the way on
Your buddy can help youYour buddy can help you
Tape the boot to the suitTape the boot to the suit
Seal it tightlySeal it tightly
Leave a flap for laterLeave a flap for later
Put on inner glovesPut on inner gloves
Outer gloves on (or not)Outer gloves on (or not)
Suit on, outer gloves overSuit on, outer gloves over
Buddy tape on outer gloves
Buddy tape on outer gloves
Make a tight sealMake a tight seal
Secure this wellSecure this well
Don’t forget the flapDon’t forget the flap
Sealed outer glove (with flap)
Sealed outer glove (with flap)
Zip the suit (almost all the way)
Zip the suit (almost all the way)
Tuck in the suit hoodTuck in the suit hood
Prepare filtersPrepare filters
Remove screw capRemove screw cap
***Remove pull tab******Remove pull tab***
*** Remove pull tab ****** Remove pull tab ***
Screw filter to PAPRScrew filter to PAPR
Screw filter to PAPRScrew filter to PAPR
Screw filter to PAPRScrew filter to PAPR
Plug in the battery, test flow
Plug in the battery, test flow
Check air flow meterCheck air flow meter
Put the hood onPut the hood on
Adjust so you can seeAdjust so you can see
Buddy help put on beltBuddy help put on belt
PAPR beltPAPR belt
Cinch the belt tightlyCinch the belt tightly
Tuck in the PAPR inner flapTuck in the PAPR inner flap
Tuck the inner flapTuck the inner flap
Tuck all aroundTuck all around
Now seal the front of the suit
Now seal the front of the suit
Take the air hose and . . .Take the air hose and . . .
Put it OVER your shoulderPut it OVER your shoulder
Fully CHARGED batteryFully CHARGED battery
Hook battery to beltHook battery to belt
Battery out of the wayBattery out of the way
Secure the connectionSecure the connection
Fully suited . . .Fully suited . . .
Label everyone clearlyLabel everyone clearly
Record the “time on air”Record the “time on air”
Ready to go!Ready to go!
DoffingDoffing
Last one through . . .Last one through . . .
Nothing like a showerNothing like a shower
Border of warm and cold zones
Border of warm and cold zones
Sit downSit down
Your buddy is watchingYour buddy is watching
Undo the tape flapUndo the tape flap
Un-tape the outer bootsUn-tape the outer boots
Un-tape bootsUn-tape boots
What is wrong with this?What is wrong with this?
Dispose in CLEAR bagsDispose in CLEAR bags
Remove the outer bootRemove the outer boot
Collect (or dispose) outer boot
Collect (or dispose) outer boot
Grasp outer glove tape flap
Grasp outer glove tape flap
Remove tapeRemove tape
Remove tapeRemove tape
Remove outer glovesRemove outer gloves
Unhook the PAPR beltUnhook the PAPR belt
Pull the outer flap OVER head
Pull the outer flap OVER head
Pull PAPR hood forwardPull PAPR hood forward
Place hood on groundPlace hood on ground
Unseal and unzip suitUnseal and unzip suit
Unzip suitUnzip suit
Peel front to backPeel front to back
Unroll like a bananaUnroll like a banana
Keep peelingKeep peeling
Unpeel into receptacleUnpeel into receptacle
Remove shoe coversRemove shoe covers
Warm ZoneWarm ZoneWarm ZoneWarm Zone
Cold ZoneCold ZoneCold ZoneCold Zone
Removing the inner gloveRemoving the inner glove
Warm ZoneWarm ZoneWarm ZoneWarm Zone
Cold ZoneCold ZoneCold ZoneCold Zone
Removing the inner gloveRemoving the inner glove
Warm ZoneWarm ZoneWarm ZoneWarm Zone
Cold ZoneCold ZoneCold ZoneCold Zone
Remove the other gloveRemove the other glove
Warm ZoneWarm ZoneWarm ZoneWarm Zone
Cold ZoneCold ZoneCold ZoneCold Zone
Remove the other gloveRemove the other glove
Warm ZoneWarm ZoneWarm ZoneWarm Zone
Cold ZoneCold ZoneCold ZoneCold Zone
Remove the other gloveRemove the other glove
Warm ZoneWarm ZoneWarm ZoneWarm Zone
Cold ZoneCold ZoneCold ZoneCold Zone Warm ZoneWarm ZoneWarm ZoneWarm Zone
Post operation checkPost operation check
Did we forget anything?Did we forget anything?
Recheck vitalsRecheck vitals
Drink MORE waterDrink MORE water
A job well done!A job well done!
Standard precautions doffStandard precautions doff
• Follows same principles as PPE• See handout in appendix
• Follows same principles as PPE• See handout in appendix
Fully protected, now doneFully protected, now done
First, the glovesFirst, the gloves
Grasp outer, peel offGrasp outer, peel off
Peel off, like a bananaPeel off, like a banana
Now the other gloveNow the other glove
Slide under cuff, peel outSlide under cuff, peel out
Peel away from skinPeel away from skin
Throw into receptacleThrow into receptacle
Now the gown . . .Now the gown . . .
Just like a bananaJust like a banana
Always in front of youAlways in front of you
Into the trashInto the trash
Now the mask . . .Now the mask . . .
Fini!Fini!
Questions ?Questions ?