Visit gov.uk/coronavirus for more information

And then the patient rings the bell again!!

I disagree with this order. Its more logical to take off the gloves first, only if you wear double gloves. Then remove the gown, then the second gloves, then use the alcohol solution. In my opinion its wrong to open the door without using an alcohol solution, the door knob is contaminated in this way.

I am shocked to see the potential contamination of hands during step 2 not immediately being reduced by alcohol rubbing hands, after which the lady walks to the door and contaminates the handle...this needs to be amended please!

After washing hands, better close the taps using paper towels, hence not having any direct skin contact with 'contaminated' taps.

Surely it makes more sense to double glove. Remove one pair, then the gown and then the final pair

I work as a newly trained phlebotomist, we have been told by our management that we can carry out venepuncture from confirmed and suspected cases of Covid 19 wearing only plastic aprons, face masks and gloves. We have had no proper training in PPE at all, only a five minute discussion with one of the nurses on the ward. After dealing with these patients we then go on to take blood from patients around the hospital and in the outpatients department. From watching this video I realise we are risking our own health and that of others. Having seen what’s happening in Italy and realising that we are only a few weeks away from this situation I’m worried that the our Trust isn’t taking this situation as seriously as it should be. Thank you for this video, I will pass the information on to my team I will be taking it up again with the management to ensure everyone’s safety.

David Kotwinski almost got it right! 1. remove the visor as this is contaminated with the gloves on. Hold it on the face shield part and do not touch your hair or skin. 2. untie or rip the ties - as many surgeons do - and then take the disposable gown off OVER your gloves, so only contaminated parts of the gown get in contact with the contaminated parts of the glove. 3. remove your gloves and make sure the dirty side of hand 1 touches the outside glove of hand 2 and removes it and the hand 2 slip under the inside of the glove on hand 1 and pulls this off and you hold onto the inside of your glove. Then use gel or soap and water. Ideally there are electronic contacts in wall and floor for water and door control..... Not in the NHS though, so you will get contaminated when you clean yourself and leave the room.

I'm a student nurse, currently on placement on a medical ward. We have a number of patients who have possible coronavirus. Staff working that end of the ward get changed into disposable scrubs and are told to wear a surgical mask, short gloves and white pinny, our arms and face/eyes are not covered. We have been told to take pinny an gloves off in the room and keep the same mask on for 4 hours otherwise they will run out, domestic staff were told they didnt need a mask because they do not deal with the patients directly. When I worked that end of the ward I was told we were not allowed to go in to the other bays with none infected patients. Yesterday the staff working that end of the ward were in an out of all the rooms and there was even people wearing the disposable scrubs wondering around the hospital an sitting in the canteen after being in close contact with patients who might have the coronavirus. It seems nobody is on the same page and nobody has a clue what they are doing which is a worrying thought. All hospitals should be following the same procedures and guidelines and all staff should be trained and treated the same regardless of role.

Hmmmm, I am surgeon and we remove gown together with gloves.

The NHS do not have a designated ED doffing area!± There is no Buddy!!! Give us some REAL advice

As a firefighter we double glove to hazmat/radiological incidents. The woman in the video touches the gown as she draws arms out of sleeves, then visor, then door handle.

Removing the gown in this way contaminates hands (sleeves are turned inside out with 'outside' touching uncovered hands) - suggest either double gloving or an extra alcohol gel step BEFORE using those hands on the face to remove mask/visor!

Important while removing glove to take from the outside of first glove then from the inside with second glove while holding first glove in a ball with dirty second glove so it ends up inside that glove!!!

Great video to watch and thanks. I am a student nurse and looking forward to following the procedure on my placement practice.

At 1:43 the advice is to undo neck tie then waist. At 2:07 Cecilia did it the other way around, potentially contaminating the back of her neck having touched the waist tie. It's so easy to get it wrong. As for the buddy, one hopes that one is always available to take your glasses off and put them back on when you're ready

Need to give consistent information - narrator says undo neck ties first when doffing gown but video shows nurse undoing waist ties first :(

Doesn’t seem logical for us to remove gloves before removing gown. She obviously came into contact with the outside of the sleeves as she pulled them over her bare hands. I have to do my first shift tomorrow in an emergency dental clinic where we will be performing aerosol generating procedures and I would expect the sleeves of my gown to be highly contaminated. Double gloving and removing the inner pair along with the gown would seem the best option. Any opinions out there?

Video guidelines on what to do with a reusable respirator for those who do not fit a disposable?

Most people bend their head down when they take their face shield off and touch their scrubs with the face shield. A buddy will prevent that but why not remove it before the gown? Also, your mask/N95 should not get contaminated if you are wearing a shield..Something to think about if you are running out of N95s

The nurse contaminated her hands with the outer part of the gown when doffing the gown(its hard not to, using these steps. The contaminated hands were used to doff the mask(she might have touched her head ). This video needs to be review.

I think the NHS should invest in sensor hand gel/rub/soap and faucet. Is the hand gel/rub good for one person use only?

Surely the gloves should come off the last. With gloves on, you pull and untie the gown rope and the top. holding one gown arm from outside to take off, the glove on that hand will come off the gown, then clear hand can hold inside of the gown to get it off another arm.

This needs modification - the hands repeatedly become contaminated at each stage

Once gown removed hands should be washed again every time you remove a piece of PPE wash your hands. or double glove, lastly hair cover

It's something wrong in 1st video when she went.in the red area : SHE DIDN'T COVERED HER SHOES!!!!

very detailed

Very last moment hands are washed by using the potentially contaminated hands to open the tap, which is then closed with the elbows thereby contaminating them. Should taps not be opened/closed by elbows (akin to when surgical scrubbing) or by the buddy?

The video was helpful

This makes no sense to me, so after removing my gown, visor and ffp3 I walk to another area to use a soap dispenser with my contaminated hands?

This is dreadful. She touches the outside of her apron with her bare L hand at 2min15 then drags the outside of her sleeves over both hands as she turns the sleeves inside out and removes them. Next she takes off her visor with her contaminated hands, touching her hair and exits using the door handle before cleaning her hands. It is dangerous for this to be used for instruction

well after hand washing you should also advice to wash their face too.

Hi Anna, it’s very informative.😚

I agreed

Diana Burwood from Merces Letifer?

I think students should keep a distance of about 2 meters between each other during the lesson .it is more practical for health

It’s hard when most of it is out of date init

STEP 5: Do not leave the faucet on while scrubbing your hands.

Give tell me how bio medical waste dispose?

This video makes it sound nice and safe, but in the real world we are asked to disinfect and reuse disposable PPE. Of course we self-contaminate, if instead of binning contaminated disposable PPE we are asked to clean them and put them aside for future use! There is NO SAFE WAY of doffing, when you must disinfect and put aside disposable PPE for further use.

done

Disinfected her hands THEN touched contaminated gown straps, then touched her head...wrong. THEN washed her hands at the end and turned the water off with the back of her hands then dried. Again wrong. Dry your hands then turn the faucet off with the dirty towels, not your hands.

What PPE??? I work for pennine care in mental health and we have no PPE and have been told we have to enter a covid19 present ward to help out when our ward is clear of it??? Same old story STAFF DONT MATTER!!!

Goodness, whole process is amature. We habe not learnt anything.

when she throws away the ffp3... boujee honestly

Always wear double gloves please. Doffing the only single pair of gloves liable to give you exposure.

This video does not apply to real-life situations in hospitals nor care homes, where there is no 'doffing area' between the room doors and the corridor, with washbasins in. The order of doffing is questionable, as it results in contamination of hands from outside of gown, and then touching the doors, and then contamination of head while removing face-mask; and the buddy that hald the glasses, if following same procedure, did so with contaminated hands. When hands have been washed, they should be held up/out front, not down by sides (basic surgical training from 30 years ago), and taps should be activated by elbows alone, or paper towels, or feet/sensors. I think a much better sequence and video could have been shown. Ask IPC how to do it.

WHY IS THERE A SHORTAGE OF THIS ITS MASS PRIDUCED PLASTIC. MAKE MORE STOP MAKING OTHER PLASTIC RUBBISH

that’s is why frontliners are more infected because of the wrong way of doffing PPE,

👎o..no

Is this about something else ???

Total disorder

Meanwhile, back in the real world of Care Homes with 2 staff to feed and wash 12+ residents who are all high dependency. I have no idea why my agency is insisting its staff watch this video - talk about setting people up to fail. All this will do is give the moaners a good excuse to moan even more and the rest of us a good laugh. If care home staff farted around like this even more of our clients would expire of dehydration than they are now. I think a reality check is in order for the numpty who thinks it's a good idea for care home staff to watch this - obviously conditions are vastly different in the NHS - no wonder waiting lists are getting longer by the day and despite all this most people will get infected in hospital.