A practical nurse has finished providing care for a client on Contact and Droplet precautions. The nurse is currently wearing gloves, an isolation gown, a face shield, and a surgical mask. In what order should the nurse safely remove the personal protective equipment (PPE)? Arrange the steps in the correct sequence from first to last.
- 1Remove and discard the gloves.
- 2Remove the face shield by handling only the back of the strap.
- 3Unfasten the gown and pull it away from the neck and shoulders.
- 4Remove the surgical mask by grasping the ear loops or ties.
- 5Perform hand hygiene using an alcohol-based hand rub or soap and water.
Answer
The correct doffing sequence is: 1) Remove gloves, 2) Remove face shield, 3) Remove gown, 4) Remove surgical mask, 5) Perform hand hygiene.
The standard sequence for removing PPE is designed to minimize the risk of self-contamination. Gloves are the most contaminated and are removed first. The face shield is removed next, handling only the clean back strap. The gown is then unfastened and rolled inside out. The mask is removed last to protect the airway while other items are doffed. Finally, hand hygiene is mandatory to remove any residual pathogens.
Step-by-Step Solution
Key Concept
Personal Protective Equipment (PPE) Doffing Sequence