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Difficulty: MediumStandard and Transmission-Based Precautions

A practical nurse is gathering supplies to enter the isolation room of an infant diagnosed with respiratory syncytial virus (RSV). The facility protocol requires full personal protective equipment (PPE) for this assignment. Arrange the following actions for putting on the required PPE in the correct chronological sequence.

  1. 1Perform thorough hand hygiene using an alcohol-based rub or soap and water.
  2. 2Slip into the isolation gown and fasten all closures securely at the neck and waist.
  3. 3Position the surgical mask over the nose and mouth, securing the ear loops or ties.
  4. 4Place the goggles or face shield comfortably over the eyes and adjust the fit.
  5. 5Pull the clean, non-sterile gloves on, ensuring they extend over the gown's wrist cuffs.

Answer

The correct sequence is to first perform hand hygiene, then put on the gown, followed by the mask, then the goggles or face shield, and finally the gloves.
According to standard CDC guidelines for infection control, the proper sequence for donning full personal protective equipment begins with hand hygiene to ensure cleanliness. The isolation gown is applied first to cover the torso and arms. Next, the mask is secured to protect the respiratory mucous membranes. Goggles or a face shield are applied over the mask to protect the eyes. Finally, gloves are donned last so they can be pulled securely over the wrist cuffs of the isolation gown, creating an unbroken barrier between the nurse and the client environment.

Step-by-Step Solution

1
Determine the correct starting point before applying any protective gear.
Hand hygiene must be performed first.
Starting with clean hands prevents the transfer of environmental pathogens onto the clean PPE supplies.
2
Identify the first physical garment to be worn.
The isolation gown is put on next.
The gown provides broad body coverage and serves as the primary base layer of the barrier protocol.
3
Determine the order for facial and respiratory protection.
The mask is applied before the goggles or face shield.
Securing the mask first ensures it fits tightly against the face. Eye protection is then placed over the top edge of the mask.
4
Identify the final step in the sequence.
Gloves are put on last.
Donning gloves at the end allows the nurse to pull the glove openings directly over the gown's long sleeves, creating a continuous seal without exposed skin.

Key Concept

Centers for Disease Control and Prevention (CDC) standardized sequence for donning personal protective equipment (PPE).
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Topics

Standard and Transmission-Based Precautions

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