REMOVING PPE TASK EVALUATION FORM

Used a gloved hand grasp the opposite glove at the outside cuff. Pulled downward, turning the glove inside out while pulling it away from the hand.

For the other hand, used ungloved fingers to grasp the inside (uncontaminated area) of the cuff of the remaining glove. Pulled downward to remove the glove, turning it inside out.

Discarded the gloves into the waste receptacle.

Washed and thoroughly dried hands

Removed the eyewear by touching it only on the ear rest. Placed the eyewear on a disposable towel for proper cleaning and disinfecting

Slid fingers on each hand under the elastic strap in front of ears and removed the mask, ensuring that fingers contacted only the mask’s ties or elastic strap.

Discarded the mask into the waste receptacle.

Pulled the gown off, turning it inside out during removal.

Ensured that the contaminated outside surface of the gown did not touch underlying clothes or skin during removal.

Washed and thoroughly dried hands.