The PPE has been classified according to the type of activity (Assistance / Non-assistance) and the area where the activity is carried out (Covid / Non-Covid). When PPE appears numbered in the drawing, it is very important to follow the order indicated for placement or removal.
Before putting on the PPE, remember:
Remove hanging objects (watch, jewelry, identification card).
Hair well collected, flat bun type.
Adequate and well-fitting footwear.
Hand hygiene with alcohol-based preparation or neutral soap and water.
Here you can also download all the infographics in PDF version:
Assistance activities that meet any of these circumstances:
- PROXIMITY TO THE PATIENT
- EXTENDED TIME
- GENERATION OF AEROSOLS
In spaces care facilities not closed (Frontal Gran Via), the protections will remain in place throughout the working day, with the exception of the break that is taken outside these spaces.
In sterile health procedures, the outer gloves will be placed next to the patient (surgical field).
Remember that the masks they must be properly placed to achieve respiratory protection.
The cleaning and disinfection activities of surfaces follow the same protection guidelines as care activities, except that they use reusable cleaning gloves.
Care must be taken when donning and, above all, removing PPE.
Daily replacement of the uniform.
WATERPROOF COAT
Well stretched, closed and placed. If it is with a bow, let it be on the well-stringed side.
HATS
It is recommended to wear 2 hats: one at the beginning and another after masks and glasses, to cover the rubbers and ears.
PROTECTIVE MASK (FFP2 / FFP3) + SURGICAL
Place the FFP2/FFP3 first. Adjusting the nose area (metal part or nose clip). Carry out adjustment test: inhaling and blowing.
Place on top of the surgical one, covering the previous one as much as possible.
GLASSES OR FACE SHIELD
If goggles are used, they will be full-frame in airway procedures that generate aerosols. In other procedures, anti-splash glasses. Cover rubbers with second hat.
GLOVES
Place double gloves only in care procedures that are required or to maximize professional protection during the removal of PPE. Change the outers for each patient. Inner gloves under the waterproof gown and outer gloves over the gown.
PLASTIC APRON AND HANDLEBARS
If applicable, for example in patient hygiene. Change to each patient.
Check that no PPE is broken and that it maintains integrity. If this is not the case, clean with gauze impregnated with 70º alcohol and then leave the area and remove the PPE.
Avoid stepping where there are visible biological fluids. If there are any, deactivate them with absorbent pads impregnated with chlorinated detergent (sodium hypochlorite 0,5%) before cleaning.
In the case of an isolation room, before leaving, clean the door lock with a gauze impregnated with 70º alcohol.
All waste is considered biosanitary group II.
Make the withdrawal without losing visual contact with hands.
Reject the FFP2/FFP3 mask if it is not intact or dry. It can be stored folded and protected in a clean bag.
When removing the PPE, the aim is to prevent the contaminated part from coming into contact with the inner clothing and, especially, with skin and mucous membranes.
Minimally touch the contaminated parts of the PPE in order to carry the least possible contamination. Gloves will become more contaminated as removal progresses.
Perform hand hygiene with an alcohol-based preparation at the end of removing the PPE.
PLASTIC APRON AND HANDLEBARS
If it has been used, remove it. Remove slowly, to avoid generating aerosols, and continue to muddle it until it is turned upside down.
OUTER GLOVES
See infographic on how to remove gloves safely.
When applicable. If a single pair of gloves is used, removal of PPE will always be done with a pair of clean gloves.
Remove a glove by pinching the outside. Remove the other glove by inserting 2 “turned” fingers between the inside of the glove and the waterproof gown.
OUTER HAT
Remove the outer surgical barrier, avoiding touching the head.
WATERPROOF COAT
Untie the robe touching the outer part as little as possible. Remove the gown very slowly, to avoid generating aerosols, and continue to stuff it until it is turned upside down.
GLASSES OR FACE SHIELD
Remove the glasses by holding the frame, avoiding contact with the skin and the surgical hat.
Glasses or screen are always reused by cleaning and disinfecting with chlorinated detergent (sodium hypochlorite 0,5%).
SURGICAL MASK
Grasp the mask with one hand by the middle, pull it away from the face and remove it by holding the rubber band with one hand.
INNER GLOVES
Remove in the same way as the exteriors. See infographic on how to remove gloves safely.
These protections will be placed for the activities that are carried out within the surgical field. Inside the operating room but in the adjoining areas, the following will be used: reusable waterproof gown and non-sterile gloves.
The cleaning and disinfection activities of surfaces follow the same protection guidelines as care activities, except that reusable cleaning gloves are used.
Remember that the masks they must be properly placed to achieve respiratory protection.
Care must be taken when donning and, above all, removing PPE.
SURGICAL HATS OR SQUAT SUIT
PROTECTIVE MASK (FFP2 OR FFP3) + SURGICAL
Place the FFP2/FFP3 first. Adjusting the nose area (metal part or nose clip). Carry out adjustment test: inhaling and blowing.
Place on top of the surgical one, covering the previous one as much as possible.
GLASSES OR FACE SHIELD
If goggles are used, they will be full-frame in airway procedures that generate aerosols. In other procedures, anti-splash goggles or face shield.
STERILE GLOVES
Use in procedures within the surgical field. Put on 2 pairs of gloves.
STERILE REINFORCED COAT
In procedures within the surgical field, use a sterile reinforced gown. If not, reusable waterproof gown.
LEGGINGS
Check that no PPE is broken and that it maintains integrity. If this is not the case, clean with gauze impregnated with 70º alcohol and then leave the area and remove the PPE.
If there are biological fluids on the floor, inactivate them with disinfectant-impregnated mops before cleaning.
All waste is considered biosanitary group II.
Make the withdrawal without losing visual contact with hands.
Reject the FFP2/FFP3 mask if it is not intact or dry. It can be stored folded and protected in a clean bag.
When removing the PPE, the aim is to prevent the contaminated part from coming into contact with the inner clothing and, especially, with skin and mucous membranes.
Minimally touch the contaminated parts of the PPE in order to carry the least possible contamination. Gloves will become more contaminated as removal progresses.
Perform hand hygiene with an alcohol-based preparation at the end of removing the PPE.
OUTER GLOVES
See infographic on how to remove gloves safely.
Remove a glove by pinching the outside. Remove the other glove by inserting 2 “turned” fingers between the inside of the glove and the gown.
OUTER HAT
Remove the outer surgical barrier, avoiding touching the head.
BAT
Untie the robe touching the outer part as little as possible. Remove the gown very slowly, to avoid generating aerosols, and continue to stuff it until it is turned upside down.
GLASSES OR FACE SHIELD
Remove the glasses by holding the frame, avoiding contact with the skin and the surgical hat.
Glasses or screen are always reused by cleaning and disinfecting with chlorinated detergent (sodium hypochlorite 0,5%).
SURGICAL MASK
Grasp the mask with one hand by the middle, pull it away from the face and remove it by holding the rubber band with one hand.
LEGGINGS
INNER GLOVES
Remove in the same way as the exteriors. See infographic on how to remove gloves safely.
Assistance activities that meet any of these circumstances:
- PROXIMITY TO THE PATIENT
- EXTENDED TIME
- GENERATION OF AEROSOLS
In welfare activities in non-closed COVID areas (Frontal Gran Via) and in Home care, these protections are a possible alternative to the protections indicated for assistance activities in the COVID area, where the waterproof coat is replaced by the granota.
Remember that the masks they must be properly placed to achieve respiratory protection.
Care must be taken when putting on and, above all, removing PPE (frog: high difficulty).
Daily replacement of the uniform.
FROG
PROTECTIVE MASK (FFP2 / FFP3) + SURGICAL
Place the FFP2 or FFP3 first, and on top of the surgical one.
GLASSES OR FACE SHIELD
If goggles are used, they will be full-frame in airway procedures that generate aerosols. In other procedures, anti-splash glasses.
FROG HOOD
GLOVES
Place double gloves only in care procedures that are required or to maximize professional protection during the removal of PPE. Change the outers for each patient. Inner gloves under the frog and outer gloves above the frog.
PLASTIC APRON AND HANDLEBARS
If applicable, for example in patient hygiene. Change to each patient.
Check that no PPE is broken and that it maintains integrity. If this is not the case, clean with gauze impregnated with 70º alcohol and then leave the area and remove the PPE.
Avoid stepping where there are visible biological fluids. If there are any, deactivate them with absorbent pads impregnated with chlorinated detergent (sodium hypochlorite 0,5%) before cleaning.
In the case of an isolation room, before leaving, clean the door lock with a gauze impregnated with 70º alcohol.
Reject the FFP2/FFP3 mask if it is not intact or dry. It can be stored folded and protected in a clean bag.
All waste is considered biosanitary group II.
Make the withdrawal without losing visual contact with hands.
When removing the PPE, the aim is to prevent the contaminated part from coming into contact with the inner clothing and, especially, with skin and mucous membranes.
Minimally touch the contaminated parts of the PPE in order to carry the least possible contamination. Gloves will become more contaminated as removal progresses.
Perform hand hygiene with an alcohol-based preparation at the end of removing the PPE.
PLASTIC APRON AND HANDLEBARS
If it has been used, remove it. Remove slowly, to avoid generating aerosols, and continue to muddle it until it is turned upside down.
OUTER GLOVES
See infographic on how to remove gloves safely.
When applicable. If a single pair of gloves is used, removal of PPE will always be done with a pair of clean gloves.
Remove a glove by pinching the outside. Remove the other glove by inserting 2 "turned" fingers between the inside of the glove and the frog.
FACIAL SCREEN
If you wear a screen, remove it.
The screen is always reused by cleaning and disinfecting it with chlorinated detergent (sodium hypochlorite 0,5%).
FROG HOOD
FROG
Remove by touching the outer part as little as possible, very slowly, to avoid generating aerosols, and continue to push it until it is turned upside down.
It is preferable to sit down to remove one leg first and then the other.
GLASSES
Remove the glasses by holding the frame, avoiding contact with the skin and the surgical hat.
Glasses are always reused by cleaning and disinfecting with chlorinated detergent (sodium hypochlorite 0,5%).
SURGICAL MASK
Grasp the mask with one hand by the middle, pull it away from the face and remove it by holding the rubber band with one hand.
INNER GLOVES
Remove in the same way as the exteriors. See infographic on how to remove gloves safely.
These protections are indicated for the non-care professionals (for example: pharmacy distribution, warehouse, maintenance, waste, clothing distribution) that are in COVID care areas outside the room.
In the event that these professionals are in a room, or in non-closed COVID areas such as Frontal Gran Via, the EPI must be placedassistance activities in COVID areas. In other words, a gown, gloves, eye protection, or hat must be worn, depending on the proximity to the patient, the length of stay and the activity to be performed. Remove properly.
Remember that the mask must be properly placed to achieve protection.
A mask can be stored folded and protected in a clean bag.
Remember the importance of careful and frequent hand hygiene.
PROTECTIVE MASK (FFP2) + SURGICAL
Place the FFP2 first, and on top of the surgical one. In the common areas, the surgical mask must be changed.
GLOVES
If applicable for your activity.
UNIFORMITY
Clothing and footwear according to the activity. Recommended daily replacement of the uniform.
Care activities that comply alguna of these circumstances:
- PROXIMITY TO THE PATIENT
- EXTENDED TIME
The gown, gloves, eye protection and apron will be used if the procedure to be performed requires it: proximity, risk of splashing. Respiratory protection (FFP2+MQ) if the time spent near the patient is prolonged, if the patient is without a mask or the procedure indicates it. See more infographic EPI nursing team in care of the non-Covid patient.
In procedures that generate aerosols (airway interventions), will be used protections indicated for assistance activities in the COVID area.
Remember that the masks they must be properly placed to achieve respiratory protection.
Reject the FFP2/FFP3 mask if it is not intact or dry. It can be stored folded and protected in a clean bag.
The cleaning and disinfection activities of surfaces follow the same protection guidelines as care activities, except that they use reusable cleaning gloves.
Care must be taken when donning and, above all, removing PPE.
Remember the importance of careful and frequent hand hygiene.
Recommended daily replacement of the uniform.
SURGICAL HAT
Recommended only if hair can prevent proper use and removal of PPE.
PROTECTIVE MASK (FFP2) + SURGICAL
Respiratory protection according to healthcare procedure or prolonged time of stay in the vicinity of the patient. See "Nursing team infographic in non-Covid patient care".
Place the FFP2 first and, on top, the surgical one. In common spaces, it is necessary to change the surgical mask used in the assistance.
NON-WATER COAT
Use only if the care procedure requires it.
When removing, to avoid generating aerosols, push it until it is turned upside down.
GLOVES
Use only if the care procedure requires it. Place covering the cuff of the gown. Change to each patient.
GLASSES OR FACE SHIELD
Use only if the care procedure requires it.
Glasses or screen are always reused by cleaning them with chlorinated detergent (0,5% sodium hypochlorite).
PLASTIC APRON AND HANDLEBARS
If applicable, for example in patient hygiene. Change to each patient.
Care activities that comply both circumstances:
- NO PROXIMITY TO THE PATIENT
- SHORT DURATION
The gown, gloves and eye protection will be used if the procedure to be performed requires it. They will not be used if there is no direct patient contact. Respiratory protection: Surgical mask (MQ) if the time of stay near the patient is short, if the patient is wearing a mask or if the procedure does not indicate FFP2. See more infographic EPI nursing team in care of the non-Covid patient.
In procedures that generate aerosols (airway interventions), will be used protections indicated for assistance activities in the COVID area.
The cleaning and disinfection activities of surfaces follow the same protection guidelines as care activities, except that they use reusable cleaning gloves.
Remember that the masks they must be properly placed to achieve respiratory protection.
Care must be taken when donning and, above all, removing PPE.
Remember the importance of careful and frequent hand hygiene.
Recommended daily replacement of the uniform.
SURGICAL MASK
Correctly placed and adjusted.
NON-WATER COAT
Use only if the care procedure requires it.
When removing, to avoid generating aerosols, push it until it is turned upside down.
When not worn, for example during times of intake or rest in the open air (with distance), the mask will be folded and stored in a white bag, in a pocket of the uniform.
Remember that the mask must be properly placed to achieve protection.
Remember the importance of careful and frequent hand hygiene.
SURGICAL MASK
Use throughout the working day. The mask can be used as long as it is intact and dry.
UNIFORMITY
Clothing and footwear according to the activity (user service, food, maintenance, warehouse, waste, clothing distribution, etc.).
Recommended daily replacement of the uniform.