• Step 1
  Put on shoe covers.

• Step 2
  Attach PAPR hose to power pack
  
  
  • Turn power pack on.
  • Verify air flow to hood.
    

• Step 3
  Put on head cover if half-hood is used
  
  
  • Hair must be covered.
  • Head cover is not needed if full hood is used.

• Step 4
  Put on power pack
  
  
  • Place power pack on mid-back and secure belt clasp around waist.
  • Turn on power pack.
    

• Step 5
  Attach PAPR hose to hood; place hood over head
  
  
  • Fully cover the face and chin.
    

• Step 6
  Put on fluid-resistant gown and gloves
  
  
  • Insert thumb into thumb hole.
  • Tie securely in back.
    
    
  • Pull gloves over sleeves to cover wrist.

Discard used items in red bag.

Following completion of patient cares and while still in negative air space:

• Step 1
  Shoe covers
  
  
  • Remove and discard shoe covers.
    

• Step 2
  Gown and gloves
  
  
  • Grasp shoulders of gown and pull forward.
  • Roll outside of gown inward, folding contaminated outside layer away from your body.
    
    
  • Remove gloves while rolling gown off arms; roll gloves into gown.
  • Avoid contaminating hands.
  • Keep hands on clean side of gown.
    
    
  • Discard gown and gloves.

• Step 3
  Perform hand hygiene
  
  
  • Clean hands with antimicrobial soap and water or alcohol-based hand rub.
    
    
  • Put on a new pair of gloves.
    

When using a PAPR, an assistant is required during PPE removal to assure proper removal and minimize contamination of equipment.

• Step 4
  Gloves

  Assistant: Put on gloves.
  

• Step 5
  Battery pack
  
  
  • Unfasten battery pack.

  Assistant: Support battery pack while wearer unfastens pack.
  

• Step 6
  Hood and head cover
  
  
  • Remove hood and head cover.
  • Discard head cover.

  Assistant: Continue supporting battery pack.
  

• Step 7
  Detach PAPR hose from hood
  
  
  • Hold hood and hose away from body to avoid contaminating clothing.
    
    
  • Hand hose to assistant.
  • Place PAPR hood in designated receptacle for reprocessing or disposal.
  
  
  
  

Assistant: Place hose and power pack in designated receptacle for reprocessing.

• Step 8
  Remove and discard gloves
  and
  perform hand hygiene
  
  
  • All personnel remove and discard gloves.
    
    
  • Clean hands with antimicrobial soap and water or alcohol-based hand rub.