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Question

Difficulty: EasyAccident, Error, and Injury Prevention

A practical nurse (PN) is preparing to remove personal protective equipment (PPE) after providing care to a client requiring airborne and contact precautions. Arrange the steps for safely removing the PPE in the correct sequence from first to last.

  1. 1Remove the gloves.
  2. 2Remove the goggles or face shield.
  3. 3Remove the gown.
  4. 4Remove the N95 respirator or mask.

Answer

The correct sequence for doffing personal protective equipment is: gloves, followed by goggles or face shield, then the gown, and finally the N95 respirator or mask.
According to standard infection control guidelines, personal protective equipment (PPE) must be removed in a specific order to minimize the risk of self-contamination. The sequence progresses from the most contaminated items to the least contaminated, prioritizing the maintenance of respiratory protection. Gloves are removed first, followed by the goggles or face shield, then the gown, and lastly the mask or respirator.

Step-by-Step Solution

1
Identify the most highly contaminated PPE item.
Gloves are identified as the most contaminated.
Gloves have direct contact with the client and environmental surfaces.
2
Determine the next piece of PPE to remove that protects the face but not the respiratory tract.
Goggles or face shield.
The front of the eyewear is contaminated and must be removed before the gown to avoid reaching up over a potentially contaminated gown later.
3
Identify the remaining large body covering.
The gown.
The gown's front and sleeves are contaminated. It is removed by touching only the inside and rolling it away from the body.
4
Determine the final piece of PPE to remove.
The N95 respirator or mask.
Airway protection must be maintained until all other contaminated items are removed and discarded safely.

Key Concept

Proper Sequence for Doffing Personal Protective Equipment (PPE)
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Topics

Accident, Error, and Injury Prevention

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