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CME/CE

EBOLA: CDC Enhanced Guidelines for Wearing PPE

  • Authors: Faculty: Arjun Srinivasan, MD (CAPT, USPHS), Bryan Christensen, PhD, Barbara A. Smith, BSN, MPA
    CME Author: Amy Bernard, MS, BSN, RN-BC
  • CME/CE Released: 11/6/2014
  • THIS ACTIVITY HAS EXPIRED FOR CREDIT
  • Valid for credit through: 11/6/2015, 11:59 PM EST
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Target Audience and Goal Statement

This article is intended for healthcare workers who may come in contact with persons who have suspected or confirmed Ebola virus disease.

The goal of this activity is to provide medical news to primary care clinicians and other healthcare professionals in order to enhance patient care.

Upon completion of this activity, participants will be able to:

  1. Describe key principles for utilizing personal protective equipment (PPE) in the management of patients with Ebola virus disease
  2. Distinguish appropriate use of PPE when treating patients with Ebola virus disease


Disclosures

As an organization accredited by the ACCME, Medscape, LLC, requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.

Medscape, LLC, encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.


Faculty

  • Arjun Srinivasan, MD (CAPT, USPHS)

    Associate Director, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia

    Disclosures

    Disclosure: Arjun Srinivasan, MD (CAPT, USPHS), has disclosed no relevant financial relationships.

  • Bryan Christensen, PhD

    CDC Epidemiologist, Domestic Infection Control Team for the Ebola Response, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia

    Disclosures

    Disclosure: Bryan Christensen, PhD, has disclosed no relevant financial relationships.

  • Barbara A. Smith, BSN, MPA

    Division of Infection Control and Epidemiology, Mount Sinai St. Luke's Hospital and Mount Sinai Roosevelt Hospital, New York, New York

    Disclosures

    Disclosure: Barbara A. Smith, BSN, MPA, has disclosed no relevant financial relationships.

Editor/CME Reviewer

  • Nafeez Zawahir, MD

    CME Clinical Director, Medscape, LLC

    Disclosures

    Disclosure: Nafeez Zawahir, MD, has disclosed no relevant financial relationships.

CME Author/Nurse Planner

  • Amy Bernard, MS, BSN, RN-BC

    Lead Nurse Planner, Medscape, LLC

    Disclosures

    Disclosure: Amy Bernard, MS, BSN, RN-BC, has disclosed no relevant financial relationships.


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CME/CE

EBOLA: CDC Enhanced Guidelines for Wearing PPE

Authors: Faculty: Arjun Srinivasan, MD (CAPT, USPHS), Bryan Christensen, PhD, Barbara A. Smith, BSN, MPA CME Author: Amy Bernard, MS, BSN, RN-BCFaculty and Disclosures
THIS ACTIVITY HAS EXPIRED FOR CREDIT

CME/CE Released: 11/6/2014

Valid for credit through: 11/6/2015, 11:59 PM EST

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Editor's Note: Medscape collaborated with experts from the Centers for Disease Control and Prevention (CDC) to prepare this video for healthcare professionals, offering step-by-step guidance regarding the new personal protective equipment (PPE) recommendations for patients with suspected or confirmed Ebola virus disease.

Clinical Context

This video is based on CDC Guidance on Personal Protective Equipment To Be Used by Healthcare Workers During Management of Patients with Ebola Virus Disease in U.S. Hospitals, Including Procedures for Putting On (Donning) and Removing (Doffing) , as of October 20, 2014. This video demonstrates one methodology for putting on and taking off personal protective equipment safely. Healthcare facilities may need to adapt this protocol to their needs. Healthcare providers should be well trained on the protocol they are going to follow, practice rigorously in advance, and utilize a trained observer to ensure oversight and safety. The names of any commercial products that appear in this video are for information purposes only, and the use of these names does not represent an endorsement of those products by the Centers for Disease Control and Prevention or Medscape.

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Clinical Implications

  • Key principles to ensure the safe and effective use of personal protective equipment (PPE) during the management of patients with Ebola virus disease include the following:
    • Proper training and demonstrated competency of healthcare workers in performing Ebola-related infection control practices and procedures, including donning and doffing
    • No skin should be exposed during patient care
    • Donning and doffing should be done at a very deliberate pace, making sure everything is properly in place
    • Remove PPE slowly to avoid contaminating yourself
    • A trained observer should supervise PPE donning/doffing to ensure proper protocols are followed
  • The general sequence for putting on -- or donning -- PPE prior to exposure to a patient with Ebola is as follows: clean hands with alcohol-based hand sanitizer (hand hygiene), inner gloves, shoe covers, gown, N95 respirator, hood, outer gloves, face shield, inspection and range of motion assessment, and hand hygiene.
  • The general sequence for removing -- or doffing -- PPE after exposure to a patient with Ebola is as follows: inspect PPE, hand hygiene, remove shoe covers, remove outer gloves, inspect inner gloves, remove face shield, hand hygiene, remove hood, hand hygiene, remove gown, hand hygiene, remove inner gloves, hand hygiene, apply new pair of gloves, remove N95 respirator, hand hygiene, apply disinfectant wipe to clean shoes, hand hygiene, remove gloves, hand hygiene, and inspection.

Recommended Resources

  1. Infection Prevention and Control Recommendations for Hospitalized Patients with Known or Suspected Ebola Virus Disease in U.S. Hospitals
  2. Guidance on Personal Protective Equipment To Be Used by Healthcare Workers During Management of Patients with Ebola Virus Disease in U.S. Hospitals, Including Procedures for Putting On (Donning) and Removing (Doffing)
  3. Interim Guidance for Environmental Infection Control in Hospitals for Ebola Virus

CME Test

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