Procedure

ActionRationale

1. 1.Show
   If there is an ante room or lobby, this should be used for removal of personal protective equipment (PPE).
   To minimize the amount of waste in the room and provide space for applying and removing PPE.C
2. 2.Show
   If wearing gloves, remove and discard them in the hazardous waste bag.
   To avoid transferring any contamination on the gloves to other areas or items (Loveday et al. [73], C).
3. 3.Show
   Remove apron by holding the inside of the apron and breaking the ties at the neck and waist. Discard it into the hazardous waste bag.
   To avoid transferring any contamination on the apron to other areas or items (Loveday et al. [73], C).
4. 4.Show
   Clean hands with soap and water or an alcohol‐based handrub. Do not use alcohol‐based handrub when dealing with faeces.
   Hands must be cleaned after contact with the patient or their immediate environment (WHO [124], C).

   Alcohol is less effective against C. difficile spores and some enteric viruses and in the presence of organic material such as faeces (Fraise and Bradley [41], E).
5. 5.Show
   Leave the room, shutting the door behind you.
   To reduce the risk of airborne organisms leaving the room (Kao and Yang [68], R).

   To preserve the patient's privacy and dignity. E
6. 6.Show
   Clean hands with an alcohol‐based handrub on leaving the room.
   Hands must be cleaned after contact with the patient or their immediate environment (WHO [124], C).