A practical nurse (PN) is preparing to perform tracheostomy suctioning for a pediatric client diagnosed with Respiratory Syncytial Virus (RSV). The facility's infection control protocol requires full personal protective equipment (PPE) due to contact and droplet precautions, as well as the high risk of splashing respiratory secretions. Arrange the steps for donning the necessary PPE in the correct sequence according to the Centers for Disease Control and Prevention (CDC).
- 1Perform hand hygiene using an alcohol-based hand rub or antimicrobial soap.
- 2Put on the isolation gown and fasten the ties securely at the neck and back.
- 3Apply a surgical mask and fit the flexible band securely to the bridge of the nose.
- 4Place goggles or a face shield comfortably over the eyes and face.
- 5Don clean examination gloves, ensuring they extend over the cuffs of the gown.
Answer
The correct sequence for donning PPE is: perform hand hygiene, put on the isolation gown, apply the surgical mask, place the goggles or face shield, and finally don the examination gloves.
According to the Centers for Disease Control and Prevention (CDC), the standard sequence for donning personal protective equipment (PPE) maintains the cleanliness of the equipment and ensures a continuous protective barrier. Hand hygiene must always be performed first. The gown is donned next as it covers the largest area. The mask is applied to protect the airway, followed by eye protection which often rests slightly over the top of the mask. Finally, gloves are donned last and must be pulled completely over the gown cuffs to ensure no skin is exposed at the wrists.
Step-by-Step Solution
Key Concept
The Centers for Disease Control and Prevention (CDC) sequence for donning personal protective equipment is designed to ensure maximum protection and prevent contamination of the equipment before providing care.