Question

Difficulty: MediumStandard and Transmission-Based Precautions

A nurse is preparing to enter the isolation room of a client who requires both droplet and contact precautions due to bacterial meningitis and a methicillin-resistant *Staphylococcus aureus* (MRSA) wound infection. Arrange the following steps for donning the required personal protective equipment (PPE) in the correct chronological sequence.

  1. 1Cleanse hands thoroughly using an alcohol-based hand rub or soap and water.
  2. 2Fasten the ties of an isolation gown at the neck and waist.
  3. 3Secure a standard procedure mask over the nose and mouth.
  4. 4Place a face shield or eye protection over the face.
  5. 5Apply non-sterile examination gloves, pulling them over the gown cuffs.

Answer

The correct sequence is: cleanse hands, put on the isolation gown, apply the procedure mask, place the eye protection, and finally apply the examination gloves.
According to standard infection control guidelines, the proper sequence for donning full PPE begins with hand hygiene to ensure clean handling of the equipment. The gown goes on first to cover the torso and uniform. Next, the mask and eye protection are applied to protect the face and respiratory tract. Finally, gloves are donned last so they can be pulled securely over the cuffs of the gown, creating an uninterrupted barrier against both contact and droplet transmission.

Step-by-Step Solution

1
Cleanse hands thoroughly.
Hands are free of pathogens.
Prevents contamination of the clean PPE before donning.
2
Fasten the ties of the isolation gown.
Torso and clothing are covered.
Provides a primary barrier and allows the gloves to eventually overlap the sleeves.
3
Secure a standard procedure mask.
Respiratory tract is protected.
Provides a barrier against droplet transmission.
4
Place eye protection over the face.
Eyes are shielded.
Protects mucous membranes from infectious splashes or sprays.
5
Apply non-sterile examination gloves.
Hands and wrists are covered.
Completes the continuous barrier by covering the cuffs of the gown.

Key Concept

Standardized Sequence for Donning Personal Protective Equipment
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