Open-source COVID-19 PPE training in your native language – long-awaited help to fellow frontline healthcare workers.


We are sharing an open-source COVID-19 personal protective equipment (PPE) training video.  With a few simple steps, it is possible to convert it to your native language to help fellow frontline physicians and nurses all over the world!  

COVID-19 is emerging globally and has already taken so many lives. The appropriate use of PPE is the main tool to stop the spread of SARS-CoV-2 among healthcare professionals.

Unfortunately, it is not safe and due to the limited resources not possible to perform PPE training on-site. Therefore, Exonicus Trauma Simulator in collaboration with Rigas Stradins University and healthcare professionals created a COVID-19 PPE training video based on World Health Organization and European Center for Disease Prevention and Control (ECDC) guidelines. 

The instruction video has been approved by The Center for Disease Prevention and Control in Latvia and converted to English with a goal to help frontline healthcare workers, like yourself, during COVID-19 pandemics and in the future!

After looking through evidence approving simulation and virtual reality (VR) based education as an effective tool in healthcare, we are already working on a VR game to help with the PPE training, evaluation of the contamination, and optimal management of COVID-19 patients! 1–7

You can join us whether as a healthcare professional or scientific collaborator! We are looking forward to bringing the solution to institutions and our colleagues!


Source for video



  1. Hung P-P, Choi K-S, Chiang V. Using Interactive Computer Simulation for Teaching the Proper Use of Personal Protective Equipment. Comput Inform Nurs CIN. 2014 Dec 17;33.
  2. Phan LT, Maita D, Mortiz DC, Weber R, Fritzen-Pedicini C, Bleasdale SC, et al. Personal protective equipment doffing practices of healthcare workers. J Occup Environ Hyg. 2019 Aug 3;16(8):575–81.
  3. Promoting Knowledge Construction: A Model for Using Virtual Reality Interaction to Enhance Learning - ScienceDirect [Internet]. [cited 2020 Apr 24]. Available from:
  4. Andonian J, Kazi S, Therkorn J, Benishek L, Billman C, Schiffhauer M, et al. Effect of an Intervention Package and Teamwork Training to Prevent Healthcare Personnel Self-contamination During Personal Protective Equipment Doffing. Clin Infect Dis. 2019 Sep 13;69(Supplement_3):S248–55.
  5. Drews FA, Mulvey D, Stratford K, Samore MH, Mayer J. Evaluation of a Redesigned Personal Protective Equipment Gown. Clin Infect Dis. 2019 Sep 13;69(Supplement_3):S199–205.
  6. Hall S, Poller B, Bailey C, Gregory S, Clark R, Roberts P, et al. Use of ultraviolet-fluorescence-based simulation in evaluation of personal protective equipment worn for first assessment and care of a patient with suspected high-consequence infectious disease. J Hosp Infect. 2018 Jun 1;99(2):218–28.
  7. Choi GYS, Wan WTP, Chan AKM, Tong SK, Poon ST, Joynt GM. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br J Anaesth [Internet]. [cited 2020 Apr 23]; Available from:















Instructions for putting on and taking off personal protective equipment for healthcare workers in contact with patients:

 - suspected of having Covid-19


 - with confirmed Covid-19

This instructional briefing is based on the guidelines of the European Center for Disease Prevention and Control (ECDC) and the World Health Organization.

There are two types of personal protective equipment kits. For convenience, we recommend designating the first one as Yellow. The Yellow kit is used to treat patients with suspected Covid-19. If not already with one, have the patient put a surgical face mask on to limit further spread of potential contagens!

We have designated the second PPE kit as Red. This kit is meant for care of a patient with confirmed Covid-19 or when performing aerosol generating procedures on a patient with suspected Covid-19.

RED KIT. It consists of:

Alcohol-based disinfectant for hand hygiene

Face-mask respirator with FFP2 or FFP3 filtration for respiratory protection

Face shield or tight-fitting goggles to protect the mucous membranes of the eyes

Waterproof disposable gown or coverall with long sleeves for body protection. It is important to have size variations available!

Appropriate size gloves for hand protection

Booties preferably with leggings

We recommend wearing a disposable surgical cap

For convenience and safety, we recommend that you prepare personal protective equipment kits in advance, thus making it easier and faster to put them on in an acute situation.

Before dressing, remove jewelry, watches and other accessories, including earrings. If you have long hair, make sure it is collected and not loose.

Personal protective equipment is worn on top of the hospital's specially designed clothing and not on personal clothing.



The first step

Perform hand disinfection!

Into your palm apply enough disinfectant so that it can cover the surface of both palms!

Rub your hands against each other in a circular motion!

With one hand on another, alternately distribute the disinfectant using vertical movements!

Interchangeably rub your fingers, one hand with the other, interlocking your fingers!

Clean the tips of your fingers, by holding your fingers together, clasping one hand in the other and using a semicircular motion!

Alternately grasp the thumb with the opposite palm and rub in a circular motion!

Put your fingers together and rub their ends one then the other using circular movements of the opposite palms!

Rub the base of the wrist in a circular motion!

When the product is dry, the hand disinfection is complete.


The second step.

Put on a disposable, waterproof gown!

If you are using a gown that is closed at the back, have an assistant help you close it. Tie the belt.

If you wear optical glasses, remove and clean them before taking the next steps!


The third step.

Put on a FFP2 or FFP3 filtered face-mask respirator!

Make sure the face-mask respirator fits your face well! Model the metal strip of the nose bridge so that it fits snugly on both sides of your nose.

If you cannot achieve a good position of the facial mask against the face, you can try to cross the fastening straps, placing the bottom up and vice versa.

Check that the facial mask fits snug and tight!

Check when inhaling and exhaling, that there is no air leakage along the edges of your face mask! If the air leaks along the nose, adjust the metal strip! If the air leaks along the lower edge of the mask, adjust the rubber straps!

If the patient is to undergo aerosol generating procedures, use a FFP3 filtered face mask!

If you wear optical glasses, wear them now!


The fourth step.

Put on your surgical cap!


The fifth step.

Put on a face shield or goggles!

Make sure the lower edge of the face shield covers your chin!

If you wear goggles, make sure the bottom edge of the goggles covers the top edge of the mask. Make sure your glasses fit well and do not squeeze!


The sixth step.

Put on your booties!


The seventh step.

Perform hand disinfection!

Follow the hand disinfection instructions!


The eighth step.

Put on gloves! Choose the right size gloves! It is important that their ends can be easily pulled over the sleeves of the protective suit and do that they do not slip off!

You have completed all the steps of putting on the Red personal protective equipment.

When in contact with the patient, make sure that your mask and goggles maintain their position and that you are not exposed to additional risks!

If you suspect that one of the components of your personal protective equipment is not performing its function, leave the contaminated room immediately!

Removing or de-gowning from the Red personal protective equipment in twelve steps.

Remember - the Red set is removed before leaving the patient's room, but your mask is only removed after leaving the patient's room! Perform all the steps precisely to reduce the risk of self-contamination!


The first step.

Take off your gloves! Gloves should be removed very carefully as they have been subjected to the greatest contamination! Grasp the glove of the other hand with the gloved fingers of one hand at the base of the hand from the outside of the glove, carefully pull the gripped glove off half way! Now with the half gloved hand, grab the glove of the other hand at the base of the hand from the outside of the glove with the surface facing outwards, then pull both gloves off together and throw them away!


The second step. 

Perform hand disinfection! Follow the hand disinfection instructions!


The third step.

Put on a new pair of gloves!

This is necessary to reduce the risks of self-contamination in the next steps.


The fourth step.

Take off your protective clothing!

Untie the belt, open the back of the protective suit, carefully grasp the upper ends and slowly, and carefully pull it off, moving the gown away from you. Fold the contaminated surfaces against each other, keeping the contaminated side of the suit away from you! Never shake or wave this now contaminated gown around! Once removed, carefully dispose of the gown in a biohazard receptacle!


The fifth step.

Remove your face shield or goggles! Removal is done by grasping the straps, never by the cover itself or the glasses, as they are contaminated!


The sixth step.

Remove your surgical cap!


The seventh step.

Remove your booties, inverting them to contain all possible cross contamination!

The eighth step.

Take off your gloves!


The ninth step.

Perform hand disinfection! Follow the hand disinfection instructions!


The tenth step.

Leave the patient's room!


The eleventh step.

Remove your mask! When removing your mask, grasp it alternately by the straps, carefully lift it over your head without touching the surface of the mask, as it is contaminated!


The twelfth step.

Perform hand disinfection! Follow all hand disinfection steps!






Instruktāža individuālo aizsarglīdzekļu uzvilkšanai un novilkšanai veselības aprūpes darbiniekiem, saskaroties ar pacientiem:

 - ar aizdomām par covid-19


 - ar apstiprinātu covid-19


Instruktāža izveidota, balstoties uz eiropas slimību profilakses un kontroles centra (ecdc) un pasaules veselības organizācijas vadlīnijām.

Pastāv divu veidu individuālo aizsardzības līdzekļu komplekti. Pirmo, ērtības labad, rekomendējam marķēt kā dzeltenu. To velk, aprūpējot pacientu ar aizdomām par covid-19. Svarīgi  lai pacientam būtu uzlikta ķirurģiskā sejas maska!

Otro rekomendējam marķēt kā sarkanu. To velk, aprūpējot pacientu ar apstiprinātu covid-19 vai veicot aerosolu veidojošas procedūras pacientam ar aizdomām par covid-19.


SARKANAIS KOMPLEKTS. Tā sastāvā ietilpst:

Spirtu saturošs dezinfekcijas līdzeklis roku higiēnas veikšanai

Respirators ar FFP2 vai FFP3 filtru elpceļu aizsardzībai

Sejas aizsegs vai piegulošas brilles acu gļotādu aizsardzībai

Ūdensnecaurlaidīgs vienreizlietojams halāts vai kombinezons ar garām piedurknēm ķermeņa aizsardzībai. Svarīgi, lai būtu pieejamas izmēru variācijas!

Atbilstoša izmēra cimdi roku aizsardzībai


Rekomendējam lietot cepurīti

Ērtības un drošības labad iesakām individuālo aizsardzības līdzekļu komplektus sagatavot iepriekš, tādējādi akūtā situācijā atvieglojot un paātrinot to uzvilkšanu.

Pirms apģērbšanās, novelc rotaslietas, pulksteņus un citus aksesuārus, ieskaitot auskarus. Ja tev ir gari mati, parūpējies par to, lai tie būtu savākti un netraucētu.

Individuālos aizsardzības līdzekļus velc pa virsu slimnīcas speciāli tam paredzētajam apģērbam nevis personīgajām drēbēm.




Pirmais solis

Veic roku dezinfekciju!

Saliec plaukstu un uzklāj gana daudz dezinfekcijas līdzekļa tā, lai tas spētu nosegt abu plaukstu virsmu!

Berzē plaukstas vienu pret otru apļveida kustībām! 

Sakrustojot pirkstus, pārmaiņus pārklāj plaukstu virspuses un veic vertikālas kustības!

Sakrustojot pirkstus vienu pret otru, berzē plaukstas vertikālām kustībām! 

Saliecot pirkstus, satver pretējo plaukstu un veic pusapļveida kustības! 

Pārmaiņus ar pretējo plaukstu satver īkšķi un berzē apļveida kustībām! 

Ieliec pirkstus un pārmaiņus to galus berzē pret pretējo plaukstu apļveida kustībām! 

Apļveida kustībām berzē plaukstas pamatni! 

Kad līdzeklis nožuvis, roku dezinfekcija ir pabeigta. 


Otrais solis.

Uzvelc vienreizlietojamu, ūdensnecaurlaidīgu halātu!

Ja tu izmanto tērpu, kurš tiek noslēgts mugurpusē, asistents palīdz to aiztaisīt. Aizsien jostu. 

Ja tu nēsā optiskās brilles, pirms nākamo soļu veikšanas tās noņem un notīri!


Trešais solis.

Uzliec respiratoru ar FFP2 vai FFP3 filtru!

Pārliecinies, vai respirators labi pieguļ sejai! Piemodelē metāla strēmeli tā, lai tā labi pieguļ deguna sāniem.

Ja nevari panākt labu respiratora pozīciju pret seju, var mēģināt stiprinošās lences krustot, apakšējo novietojot augšā un otrādi. 

Pārbaudi, vai respirators ir uzvilkts pareizi un ir piegulošs!

Veicot ieelpu un izelpu, pārliecinies, ka nenotiek gaisa noplūde gar respiratora malām! Ja gaisa noplūde ir gar degunu, pieregulē metāla strēmeli! Ja gaisa noplūde ir gar respiratora apakšējo malu, pieregulē gumijas lences!

Ja pacientam paredzēts veikt aerosolu veidojošas procedūras, lieto respiratoru ar FFP3 filtru!

Ja tu nēsā optiskās brilles, tad uzvelc tās tagad!


Ceturtais solis.

Uzliec cepurīti! 


Piektais solis.

Uzliec sejas aizsegu vai aizsargbrilles!

Pārliecinies, ka sejas aizsega apakšējā mala nosedz zodu!

Ja tu lieto aizsargbrilles, seko, lai briļļu apakšējā mala pārklātu respiratora augšējo malu. Pārliecinies, ka brilles labi pieguļ un nespiež!


Sestais solis.

Uzvelc bahilas!


Septītais solis.

Veic roku dezinfekciju! 

Ievēro roku dezinfekcijas instrukciju!


Astotais solis. 

Uzvelc cimdus! Izvēlies atbilstoša izmēra cimdus! Svarīgi, lai to galus varētu viegli pārvilkt pāri aizsargtērpa piedurknēm un tie neslīdētu nost!

Tu esi pabeidzis visus sarkanā aizsargtērpa uzvilkšanas soļus.

Esot kontaktā ar pacientu, rūpīgi seko līdzi tam, lai respirators un brilles saglabātu savu pozīciju un tu netiktu pakļauts papildus riskam! 

Ja rodas aizdomas, ka kāda no individuālo aizsardzības līdzekļu komponentēm neveic savu funkciju, nekavējoties pamet kontaminēto telpu!


Sarkanā komplekta novilkšana divpadsmit soļos.


Atceries - sarkanā komplekta novilkšanu veic pirms iziešanas no pacienta telpas, bet respiratoru noņem pēc iziešanas no pacienta telpas! Veic visus soļus precīzi, lai samazinātu paškontaminācijas risku!


Pirmais solis.

Novelc cimdus! Cimdus novelc ļoti uzmanīgi, jo tie tikuši pakļauti vislielākajai kontaminācijai! Ar vienas rokas pirkstiem saķer otras rokas cimdu pie plaukstas pamatnes no cimda ārpuses, satverto cimdu uzmanīgi velc nost līdz pusei! Tagad ar uz āru vērsto virsmu saķer otras rokas cimdu pie plaukstas pamatnes no cimda ārpuses, novelc un izmet! 


Otrais solis. Veic roku dezinfekciju! Ievēro roku dezinfekcijas instrukciju!


Trešais solis. 

Uzvelc jaunus cimdus!

Tas nepieciešams, lai mazinātu paškontaminācijas riskus, veicot nākamos soļus.


Ceturtais solis. 

Novelc aizsargtērpu!

Atsien jostu, ttaisi aizsargtērpu mugurpusē, uzmanīgi satver tā augšējos galus un lēnām, uzmanīgi velc nost, virzot to prom no sevis. Saloki kontaminētās virsmas vienu pret otru, turot kontaminēto tērpa pusi prom no sevis! Nekādā gadījumā nepurini un nesvaidi tērpu! Kad esi to novilcis, uzmanīgi izmet tam paredzētajā tvertnē pie bioloģiski bīstamajiem atkritumiem!


Piektais solis.

Noņem sejas aizsegu vai aizsargbrilles! Noņemšanu veic, tverot aiz lencēm, nekādā gadījumā aiz paša aizsega vai brillēm, jo tās ir kontaminētas!

Sestais solis. 

Noņem cepurīti!


Septītais solis.

Novelc bahilas! 


Astotais solis. 

Novelc cimdus!


Devītais solis. 

Veic roku dezinfekciju! Ievēro roku dezinfekcijas instrukciju!


Desmitais solis. 

Izej no pacienta telpas!


Vienpadsmitais solis. 

Noņem respiratoru! Veicot respiratora noņemšanu, satver to pamīšus aiz lencēm, uzmanīgi cel pāri galvai, nepieskaroties respiratora virsmai, jo tā ir kontaminēta!


Divpadsmitais solis. 

Veic roku dezinfekciju! Ievēro visus roku dezinfekcijas soļus! 







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