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:

• Gown
• Mask/Respirator
• Eye Protection

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