Staying proper with your personal protective equipment: How to don and doff
Authors' conclusion
we have demonstrated that the underlying knowledge base from medical school regarding proper donning and doffing for respiratory isolation is insufficient for preventing self-contamination, and that Miller's pyramid-based training using both video and in-person instruction combined with task execution by learners can improve compliance with PPE donning and doffing protocols and more importantly decrease skin contamination among a group of early training anesthesiology residents.
Study context
- Population
- Anesthesiology interns and CA-1 residentscompleted the study
- Participants
- 54 participants
- Comparison
- Personal protective equipment (PPE) donning and doffing before vs after training
- Outcome
- PPE donning/doffing compliance and contamination (Glo Germ®)
Methodological detailsbefore-after comparison, Miller's pyramid-based training, video and in-person instruction
- Before-after comparison
- Miller's pyramid-based training
- Video and in-person instruction
Main finding
As reported in the abstract
| Group | Value | Donning compliance | Doffing compliance | Contaminated after doffing | Multiple sites of contamination | Multiple-site contamination |
|---|---|---|---|---|---|---|
| Before training | 60% | 60% | 48% | 70% | 46% | |
| After training | 6% |
Value
Before training60%
After training— not stated in the abstract
Donning compliance
Before training60%
After training— not stated in the abstract
Doffing compliance
Before training48%
After training— not stated in the abstract
Contaminated after doffing
Before training70%
After training— not stated in the abstract
Multiple sites of contamination
Before training46%
After training— not stated in the abstract
Multiple-site contamination
Before training— not stated in the abstract
After training6%
- Donning compliance increased by nearly 30%
- P < 0.001
- Doffing compliance increased by over 20%
- P < 0.001
- Overall contamination decreased by nearly 30%
- P = 0.029
- Multiple-site contamination decreased to 6%
- P = 0.013
Original publication
Staying proper with your personal protective equipment: How to don and doff. J Clin Anesth. Published 23 January 2023. doi:10.
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