What ppe is required to care for a patient with influenza?

For communicable disease exposure, PPE is specialized clothing or equipment used to prevent contact with hazardous substances. Its use is an integral part of infection control and prevention measures that protect workers from exposure to blood, body fluids, and other potentially infectious materials. PPE such as gowns, gloves, masks, and goggles provide physical barriers that prevent the hands, skin, clothing, eyes, nose, and mouth from coming in contact with infectious agents. PPE is used to reduce transmission of communicable diseases when other measures such as engineering controls and work practices cannot completely eliminate exposure.

Employers are required by OSHA standard 29 CFR Part 1910.132 to assess the workplace for hazards that necessitate the use of PPE and document that such an assessment has been done. They must also provide appropriate PPE in the workplace, store and maintain PPE in good working order, train employees on proper use of PPE, and ensure that employees use PPE appropriately. The following PPE affords protection of mucous membranes, skin, and clothing from infectious agents. Local public health agencies must have these items readily available at all times for use by employees with exposure to communicable diseases. Items such as uniforms, pants, blouses, and eyewear not intended to protect against communicable diseases are not considered PPE.

Disposable gloves are available in latex, vinyl, and nitrile materials. Since many individuals are allergic to latex, vinyl, or nitrile gloves are recommended alternatives. Vinyl gloves can be used for brief patient contact but nitrile gloves provide greater barrier protection for extended patient care activities or those requiring more manual dexterity. Local health agencies can select either vinyl or nitrile products for their clinical functions.

Discard gloves at point of use and wash hands immediately after removing gloves.

Surgical masks are used to protect the mouth and nose from splashes or sprays of blood/body fluids, or respiratory secretions, and to place on coughing patients to reduce dissemination of respiratory secretions. They may have either ear loops or ties, and can be either pleated or made of molded material.

Surgical masks are cleared by the FDA as having fluid-resistant properties.

Procedure or isolation masks may also be used to protect the mouth and nose, but are not cleared by the FDA for fluid resistant properties. There is no evidence to show that surgical masks are more protective than procedure masks, but there may be more variation in quality and performance among procedure masks. Many procedure masks have built-in eye protection, and are available in pleated or molded styles.

Local health agencies may select either surgical or procedure masks, depending on employees’ preference.

Goggles or face shields are used to protect eyes from splashes or sprays of blood/body fluids. Personal eye glasses or contact lenses are not considered adequate eye protection. Goggles and face shields should wrap around the sides of the face to protect splashes from all angles.

PAPRs are battery operated respirators that filter the air before it enters a hood worn over the head. Loose fitting PAPRs do not require fit-testing but users must undergo a medical evaluation prior to wearing. Many users prefer PAPRs over an N-95 FFP as a more comfortable option for respiratory protection. Unlike N-95 FFPs, PAPRs require battery maintenance and cleaning procedures between uses.

Wear gloves to protect hands, and a surgical mask to prevent ingestion of aerosolized particles that may have been generated in the contaminated area. Gowns are also recommended if clothing or skin will come in contact with potentially infectious material. 

Disposable items used for clean-up and PPE saturated or dripping with infectious material should be discarded into red biohazard bags, otherwise items may be placed into the regular trash.

A NIOSH certified fit-tested N-95 filtering face piece (FFP) or a powered air-purifying respirator (PAPR) must be worn by staff sharing the same air space as a potentially infected person. Staff persons who have not been fit-tested or have not received a medical evaluation for the ability to wear a respirator must NOT have exposure to potentially infectious air.

Use a NIOSH certified fit-tested N-95 filtering face piece or PAPR, gown, and gloves. These diseases also require use of eye protection (goggles or face shield) during patient contact.

PPE such as gowns, gloves, and surgical masks should be donned in an entrance of the home where a client is least likely to have contaminated the area. Clients should be notified in advance of the visit, if possible, to make sure they are not at the entrance when local health agency staff arrives.

If respiratory protection is needed, however, the N-95 filtering face piece or PAPR must be applied before entering the home and remains on until outside the home. Fit-check steps should be performed before entering the home when wearing an N-95 filtering face piece.

Initial training must be done prior to use of PPE, and thereafter when an employer has reason to believe that an employee does not have the understanding of use of PPE, or when there are changes in the workplace or types of PPE rendering previous training obsolete.

There are no specific requirements for the person assigned to provide training. However, it is best to select someone with knowledge in this area.

Generally PPE should be stored in a dry area at room temperature, protected from dust and moisture. Check with the manufacturer for more specific storage conditions. Some items may have expiration dates and will require rotation of stock to avoid outdating.

Wisconsin DHS Personal Protective Equipment

Healthcare-Associated Infection (HAI) Prevention Program Division of Public Health Bureau of Communicable Diseases Phone 608-267-7711

Fax 608-261-4976

Last Revised: October 6, 2020

• About Us
• Events
  

  Throughout any given year, the National Academies convene hundreds of conferences, workshops, symposia, forums, roundtables, and other gatherings that attract the finest minds in academia and the public and private sectors. These venues for discussion and debate are essential for allowing the scientific process to unfold.

  See All Events

• Our Work

Engagement

A powerful way to foster appreciation for the impact of science and critical and innovative thinking is through art and the humanities. Learn more about the National Academies’ various programs designed to connect, engage, and inspire.

Learn More