I have concerns about ED staff doffing PPE that they are not used to wearing and their risk of contamination. What do you do to prepare them? How often should they be trained? Do you train everyone or a select group?

We train a cohort of “super users” in the emergency department (e.g., charge nurses) that can assist others who need to doff PPE under these circumstances. This personnel would be trained by our special pathgens team in donning and doffing PPE required for PUIs with Ebola virus disease. This would include super users for all shifts. We also have super users from among the isolation unit care team that are available to assist staff with less frequent training.