A Practical Guide to a Safe Sequence of Donning and Doffing of Personal Protective Equipment in Relation to COVID-19

Vijay Samuel Richard, Muralidhar Kanchi


When caring for patients with suspected or confirmed COVID-19 (coronavirus disease 2019), especially when involved in procedures that generate aerosol, personal protective equipment (PPE) with full-body coverage is recommended. The Centers for Disease Control and Prevention emphasizes and recommends the following principles with regard to donning and doffing of PPE: (1) training and education (rigorous and repeated training of the health care workers [HCWs]), (2) all HCWs must exhibit competency in the PPE donning and doffing, and (3) PPE doffing should be done in a manner that prevents self-contamination or self-inoculation with contaminated PPE or hands (remove the most contaminated PPE items first, perform hand hygiene at each stage of doffing, and discard disposable items in containers for biomedical waste).

Keywords: doffing – donning – PPE – COVID-19.

Publication Date: 21 May 2020 (online)
©2020 Official Publication of The Simulation Society (TSS), accredited by International Society of Cardiovascular Ultrasound (ISCU).
DOI https://doi.org/ 10.1055/s-0040-1712804
ISSN 2457-0206.