Interim Ebola Guidance* for the Use of

Personal Protective Equipment

For Health Department Triage
Note: These guidelines are not sufficient for protection of personnel involved in direct clinical care of hospitalized Ebola patients

Personal Protective Equipment (PPE) Checklist

Supplies:

Alcohol-based hand sanitizer and EPA-registered

disinfectant wipes
Nitrile gloves (preferably long cuffs and 2 different colors)
Gown (fluid resistant or impermeable)
Fit-tested N95 respirator
Face shield

Personnel:
Caregiver provides patient care
Trained Observer/Buddy observes all PPE donning and
doffing and monitors PPE integrity
Trained Observer/Buddy donned in: fluid
impermeable gown, gloves (two pairs) and a face
shield

Order of Procedures for Donning (Putting on) PPE Completed using the Buddy System with the Trained Observer/
Buddy
1.
2.
3.
4.
5.
6.
7.
8.

Remove all jewelry, tie hair back; men should be clean shaven
Apply hand sanitizer
Put on first layer of gloves extend to cover wrists
Put on gown fully cover torso, arms to wrist, and wrap around the back, fasten at the neck with Velcro, tie inner and
then outer ties of gown; tuck inner gloves under gown sleeves
Put on N95 respiratorfit-check respirator
Put on second pair of gloves extending over the gown cuffs/sleeves
Put on face shield ensure it wraps around eyes and covers down to chin
Undergo inspection before entering patient care area, check range of motion to assess proper fit of PPE

Order of Procedures for Doffing (Taking off) PPE Completed using the Buddy System with the Trained Observer/
Buddy
1. Undergo inspection to detect visible contamination, rips or
tears in PPE (remove with wipe if visibly contaminated)
2. Decontaminate gloves with hand sanitizer/wipes
3. Remove outer gloves
4. Decontaminate inner gloves with hand sanitizer/wipes and
inspect for tears
5. Remove gown touching only the inside of the gown
6. Decontaminate gloves with hand sanitizer/wipes
7. Remove inner gloves touching only the inside of gloves
8. Apply hand sanitizer
9. Don a clean pair of gloves

10. Remove face shield do not touch the front

11. Decontaminate gloves with hand sanitizer/wipes
12. Remove N95 respirator remove lower strap over the
head, follow by upper strap, avoiding contact with front of
the respirator
13. Decontaminate gloves with hand sanitizer/wipes
14. Wipe shoes
15. Decontaminate gloves with hand sanitizer/wipes
16. Remove gloves
17. Apply hand sanitizer
18. Undergo final inspection

Key Concepts of Safe Work Practices to Protect Yourself and Limit the Spread of Contamination:
Keep your hands away from your face
Be slow and very deliberate. Count to 5 between each
step
Limit surfaces touched
Carefully follow directions
Change gloves when torn or contaminated
Change all PPE if other contamination is noted
For visual depiction of effective donning and doffing, see CDCs video at http://gnyha.org/ebolatraining
*Adapted from the CDC guidance released October 20, 2014 provided at http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html