The Caregiver


Use of Personal Protective Equipment


Personal protective equipment, also known as PPE, is item worn by you to protect you from exposure to hazards during work.  A work area assessment will help you determine the potential hazards and select the appropriate PPE for adequate protection.


Common PPE used in home for health care includes glove, apron, and mask.


Use of Gloves as Personal Protective Equipment


Always wear gloves when handling blood soiled items, body fluids, excretions, and secretions, as well as surfaces, materials, and objects exposed to them.


Select the correct size gloves to provide proper protection against infectious agents.


Disposable non-sterile gloves are required when performing any general clinical procedure that may expose you to the person's blood or other body substances.


Sterile disposable gloves are to be worn for procedures that need sterile technique such as cleaning certain wound.


Gloves should be worn to protect skin lesions such as cuts and scratches in the skin on your hands when rendering care to a person.


If a glove is torn it should be removed and replaced with a new glove.


After coming in contact with any infected material, you should change gloves if care is not completed.


Once used, gloves must be discarded before leaving the person's room.


Wash your hands immediately after removing gloves.


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Steps in Removal of Soiled Gloves


The correct technique of removing soiled gloves from your hands is important to prevent self-contamination.


Below are the steps of removing soiled gloves from your hands:



Pinch the outer surface of one glove at the wrist level without touching the skin of your forearm.




Pull the glove towards your fingertips, thus turning the glove inside out.



Ball the removed glove up and hold it in the palm of your gloved hand.




Insert two fingers of the ungloved hand inside between the glove and the wrist.




Slide your fingers down towards your fingertips, rolling the glove down and fold into the balled glove. Be careful not to touch the outside of the glove which is contaminated.




Discard the gloves appropriately and wash your hands.


Step 1


Step 2

Step 3


Step 4




Step 5


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Use of Apron or Gown as Personal Protective Equipment


Apron or gown should be worn to prevent soiling of clothing during procedures that may involve contact with body fluids, blood, secretions, or excretions.


Sterile apron/gown is only required for procedures that need a sterile field.


Apron/gown must be large enough to cover your clothing which is likely to be contaminated.


Apron or gown should be made of moisture-resistant material that provides an effective barrier to body substances.


Apron or gown should be changed after giving care to an individual person and after performing any procedure which involves contact with blood or body substances.


When removing a soiled apron/gown, minimise contamination of your hands and clothes.  The apron/gown should be held inside without touching the outside (the outer surface of the apron/gown is referred to as 'outside' and it is the part that is exposed to contamination).


Used apron or gown must be disposed off into proper receptacle.


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Use of Mask as Personal Protective Equipment


A mask protects you from breathing in microorganisms from the person's respiratory tract and vice versa.


Disposable masks are to be worn whenever there is a reasonable expectation that droplet transmission may occur.


A properly applied mask fits snugly over your mouth and nose, and covers the chin area, so that infectious organisms and body fluids cannot enter or escape through the sides.


If you wear glasses, the top edge of the mask should fit below the glasses so that they will not cloud over as you exhales.


Talking should be kept to a minimum while wearing a mask to reduce respiratory air flow.


Before removing a mask, remove your gloves (if worn) or wash your hands if they have come in contact with infectious material.


A mask that has become moist is ineffective and should be discarded.


Dispose off mask after each use.  It should never be reused.


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Sequence of Donning and Removing Personal Protective Equipment


If you are using mask, apron, and gloves in your care procedure, know the correct sequence of donning and removing them to reduce self-contamination.


Donning PPE

Before the procedure, PPE should be donned in the following sequence:


1. Apron or gown

2. Mask

3. Gloves


Removing PPE

After the procedure, PPE should be removed in the following sequence:


1. Gloves (most contaminated)

2. Apron or gown

3. Mask

* Discard used PPE immediately into the appropriate trash container to prevent contamination of the clean area.  Wash hands immediately after removing PPE.