A comprehensive program for the use of PPE should be enforced. All the healthcare personnel should be trained in the use of PPE. They should be trained to clean, disinfect, store, and inspect their PPE. All staff should be strictly advised to use with the National Institute of Occupational Safety and Health (NIOSH)-certified N95 respirators. Personal goggles should be issued to every member of staff.

Hair covers or hoods should also be worn. Longer sleeved gloves are preferred to prevent exposure of the wrists with glove slippage. Alternately, vertical tape strips should be used to help keep gloves secured to the gown. Circumferential taping of gloves to the gown, such as used when wearing chemical PPE, is not necessary and makes gown and glove removal more challenging. Eye protection should include protection from side exposure with side shields or goggles. Full face shields advised since they help provide both eye protection and avoid facial and respirator contamination. Some disposable shoe covers may increase the risk of self-contamination during removal of protection clothing. Shoes worn should be impermeable to fluids and able to be decontaminated. Staff should wear operating room scrub suits or full coveralls under the PPE. Coveralls with an integrated hood may simplify the underlayer worn in conjunction with PPE, however the choice of product should be assessed for ease of removal to avoid contamination during removal. Hand hygiene must be performed after removing PPE, and in the event of inadvertent contamination of the hands by touching infected surfaces during PPE removal [48-50].

The Buddy System (two-person assistance system) with mutual supervision should be adopted unlike other countries. In addition, the Sky Eye monitoring system should be installed in nurse stations, physicians’ offices, PPE donning areas, and PPE-doffing areas to observe and monitor in real-time during arranging shifts of infection control teams on a 24hour basis. The staff should be reminded in a timely manner for the precautions to be taken during donning and doffing of the PPE to ensure their utmost safety. During doffing, the PPE should be gently rolled on the body and any vigorous movements should be avoided, also thus the soiled outside surface of PPE should be rolled inwards. A proper distance should be maintained when spraying the chlorine-based disinfectant to allow for full atomization and to achieve effective sterilization. Moreover, the spraying of disinfectant should avoid the head and face to prevent the disinfectant from irritating the respiratory tract and mucous membranes of the person. Healthcare professionals should avoid touching the side edges or front surfaces of face shield, eye-wear, headcaps, facemasks to prevent contamination. All healthcare professionals should strictly implement the seven-step handwashing technique for a minimum of 15 seconds [51].