Double Gloving and PPE Guidance for EMS and First Responders

Double Gloving and PPE Guidance for EMS and First Responders

The following video provides double gloving guidance and tips for added protection from COVID-19 for EMS and first responders.

Video Transcript

Step 1: Perform Hand Hygiene

Use an alcohol-based (≥ 60%) hand sanitizer for 20 seconds or wash hands with soap and water for at least 20 seconds

Step 2: Don PPE in the following order:

Step 3: Perform Hand Hygiene

Use an alcohol-based (≥ 60%) hand sanitizer for 20 seconds or wash hands with soap and water for at least 20 seconds

Step 4: Don First Pair of Gloves

  • Choose darker color glove for first layer and a lighter glove on top to help identify a break or tear
  • If available, select a longer glove style first to help cover gown cuff and aid removal
  • Inspect for any pinholes, tears, or defects

If available, select a longer glove style first to help cover gown cuff and aid in removal

Place glove over hands and extend gloves over gown cuff to cover wrist and limit exposure

Step 5: Don Second Pair of gloves

  • Inspect the lighter colored top glove for pinholes, tears, or defects
  • If possible, use one size larger to aide donning
  • Leave second glove cuff higher to make removal easier

 

Doffing Two Pairs of Exam Gloves in Sequence with PPE

Step 1: Remove Left Glove

  • Use right hand to remove left glove
  • Grab the overglove by pinching near palm of the hand
  • Pull glove down and off fingers
  • Hold the left glove in the fist of your right hand and form it in a ball

Step 2: Remove Right Glove

  • Use left hand to remove right glove
  • Grab the overglove by pinching near palm of the hand
  • Pull glove down and off fingers, turning gloves inside out

Step 3: Discard the First Pair of Gloves

Step 4: Perform Hand Hygiene

  • Use an alcohol-based (≥ 60%) hand sanitizer for 20 seconds or wash hands with soap and water for at least 20 seconds

*Recommended to disinfect between glove removal to limit cross contamination

Step 5: Remove Left Underglove

  • Use right hand to remove left glove
  • Grab the overglove by pinching near palm of the hand
  • Pull glove down and off fingers
  • Hold the left glove in the fist of your right hand and form it in a ball

Step 6: Remove Right Underglove

  • With left hand, reach for right wrist
  • With two finger from left hand, insert UNDER right glove cuff
  • Pull glove down and off fingers, turning gloves inside out

Step 7: Discard Gloves

Step 8: Perform Hand Hygiene

  • Use an alcohol-based (≥ 60%) hand sanitizer for 20 seconds or wash hands with soap and water for at least 20 seconds

Step 9: Removal of Gown

  • Untie the back of gown and unsnap the neck collar from behind
  • Carefully pull the gown down and away from your body then grab INSIDE the gown
  • Roll the gown down
  • Discard in a sealed trash receptacle

Step 10: Perform Hand Hygiene

  • Use an alcohol-based (≥ 60%) hand sanitizer for 20 seconds or wash hands with soap and water for at least 20 seconds

Step 11: Remove Eye Protection

Discard eye protection as per policy

Step 12: Remove Mask/Respirator

Discard mask/respirator per policy

Step 13: Perform Hand Hygiene

  • Use an alcohol-based (≥ 60%) hand sanitizer for 20 seconds or wash hands with soap and water for at least 20 seconds