Checklist for removing PPE, using a gown with fixed neck ties. Inside the patient room (or ante-room): 1. Clean gloves with ethanol hand sanitizer 2. Remove face shield. - Grab the shield firmly by the sides and pull it forwards away from your face. - Avoid touching your hair or face. 3. Clean gloves again with ethanol hand sanitizer 4. Remove gown and gloves - Holding the gown from the front, pull the gown over the head. Avoid touching the face. This is probably the highest risk component of this procedure. - Roll gown inside out and away from body, bending forwards - This creates a "glove/gown ball" 5. Clean hands again with alcohol-based hand sanitizer. Outside the patient room: 1. Remove N95/surgicaI mask using the straps to pull the mask away from your face. - Front of the mask may be contaminated — don't touch this. - Avoid touching your mouth/nose with hands or straps of the mask. 2. Clean hands again with alcohol-based hand sanitizer. Dr. Josh Farkas @pulmcrit via Internet Book of Critical Care @iBookCC #PPE #Removal #Donning #Doffing #Checklist #Management #COVID19 #SARSCoV2 #PersonalProtectiveEquipment