PDF《gowns with long cuffed sleeves》

Personal Protective Equipment for Culling Operation 1.

Personal Protective Equipment (PPE) z Protective clothing, preferably impermeable coverall or disposable impermeable gowns with long cuffed sleeves z Disposable cap z Eye protection (preferably full face shields) z N95 respirator or surgical mask z Heavy duty rubber gloves (surgical gloves may be used together as inner gloves) z Rubber boots Personnel rotective clothing Outside the culling area1 with physical separation from the culling area Inside the culling area, where culling operation is conducted mpermeable coverall or isposable impermeable gowns with long uffed sleeves

9 isposable cap

9 ye protection2

9 95 respirator3 or surgical mask Surgical masks

9 urgical gloves optional4 eavy duty rubber gloves

9 ubber boots

9 P I d c D E N S H R

1 Risk of acquired infection is relative low outside culling area. Put on surgical mask as minimal PPE. In case of contact with contaminated environment/ personnel;

use other PPE (e.g. gloves and gown) based on risk assessment.

2 Face shield is recommended to provide full facial protection.

3 N95 respirator masks are preferred1. Standard well-fitted surgical masks should be used if N95 respirators are not available. http://www.who.int/csr/disease/avian_influenza/guidelines/Avian%20Influenza.pdf

4 Optional to use as inner gloves, but have to remove with heavy duty rubber gloves at the same time 2. Donning Procedures Donning procedures are in the following order - 2.1 For those who wear impermeable coverall (Appendix 2a): - Perform hand hygiene (As Appendix 1) - Put on N95 respirator or surgical mask - Put on impermeable coverall - Put on eye protection - Put on disposable cap - Put on rubber boots - Perform hand hygiene - Put on surgical gloves (optional) and heavy duty rubber gloves 2.2 For those who wear disposable impermeable gown with long cuffed sleeves (Appendix 2b): - Perform hand hygiene (As Appendix 1) - Put on N95 respirator or surgical mask - Put on eye protection - Put on disposable cap - Put on disposable impermeable gowns with long cuffed sleeves - Put on rubber boots - Perform hand hygiene - Put on surgical gloves (optional) and heavy duty rubber gloves After donning on the above mentioned PPE, it is important to ensure the culling workers are protected against heat stress during the field operation. Therefore, in addition to a suitable work-rest cycle with adequate supply of drinkable water, other appropriate means, for example, putting on the cooling vest, should also be considered for controlling the risk of heat stress on the workers concerned. 3. Post Operation Decontamination After culling operation, the outer surface of the PPE and the soles of the boots (body parts that may have been contaminated should be disinfected too) should be initially decontaminated5 by using

500 ppm bleach spray* before entering into the enclosed de-gowning area for don off procedures. *500 ppm bleach solution can be prepared by adding

1 part of 5.25% household bleach in

99 parts of water or using product containing chlorine such as Presept tablet dissolved in water with proper dilution as indicated in the product insert. As spraying of household bleach may cause droplets carrying viruses to be air-borne, it is advisable that workers performing this procedure should wear gowns, gloves, N95 respirators and eye protection. 4. Doffing Procedures Doffing procedures are in the following orderC 4.1 For those who wear impermeable coverall (Appendix 3a): - Remove all gloves (heavy duty rubber and surgical gloves) - Perform hand hygiene - Remove disposable cap, and remove eye protection - Perform hand hygiene - Remove impermeable coverall and rubber boots - Perform hand hygiene - Remove N95 respirator or surgical mask - Perform hand hygiene - Put on surgical mask 4.2 For those who wear disposable impermeable gown with long cuffed sleeves (Appendix 3b): - Remove all gloves (heavy duty rubber and surgical gloves) - Perform hand hygiene - Remove disposable impermeable gown with long cuffed sleeves - Perform hand hygiene - Remove disposable cap and eye protection - Perform hand hygiene - Remove N95 respirator or surgical mask - Take off rubber boots - Perform hand hygiene - Put on surgical mask Put the impermeable coveralls /disposable impermeable gowns with long cuffed sleeves, disposable caps, surgical masks, N95 respirators, surgical gloves and disposable eye protection into refusal bags and spray with