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Difficulty: MediumStandard and Transmission-Based Precautions

A practical nurse is preparing to enter the room of an infant diagnosed with respiratory syncytial virus (RSV). The facility policy requires both contact and droplet precautions. Arrange the steps for donning the required personal protective equipment (PPE) in the correct sequence.

  1. 1Put on an isolation gown, fastening it securely at the neck and waist.
  2. 2Apply a surgical mask, securing the bands and fitting the flexible band to the nose bridge.
  3. 3Place goggles or a face shield over the eyes and face, adjusting for a snug fit.
  4. 4Don clean procedure gloves, pulling the cuffs over the edges of the isolation gown sleeves.

Answer

The correct sequence for donning PPE is: Gown, Mask, Goggles/Face Shield, and then Gloves.
The Centers for Disease Control and Prevention (CDC) sequence for donning PPE is designed to maximize protection and minimize the risk of self-contamination during the process. The correct order is gown, mask or respirator, goggles or face shield, and finally gloves. The gown is applied first to cover the torso and arms. The mask is applied next to protect the respiratory system. Eye protection is then added. Gloves are always donned last so they can be securely pulled over the cuffs of the gown, completing the continuous barrier.

Step-by-Step Solution

1
Don the isolation gown.
The nurse's torso, arms, and clothing are covered.
Applying the gown first prevents contamination of the uniform and allows for unrestricted movement when securing the remaining PPE.
2
Don the surgical mask.
The respiratory tract is protected from large respiratory droplets.
The mask must be secured before eye protection to ensure a proper fit over the nose bridge.
3
Don goggles or a face shield.
The eyes are protected from potential splashes or respiratory secretions.
Eye protection rests over the upper edge of the mask to provide complete facial coverage.
4
Don procedure gloves.
The hands are protected and the gown cuffs are sealed tightly.
Gloves must be placed last so they can be pulled up and over the cuffs of the gown, preventing any exposed skin at the wrists.

Key Concept

Standard and Transmission-Based Precautions
Estimated Time:1m 0s
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Topics

Standard and Transmission-Based Precautions

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