Prior to entering a negative-pressure isolation room to perform routine care and oral suctioning for a client with a highly contagious respiratory pathogen, a practical nurse gathers the required supplies. The client requires strict Airborne and Contact precautions. Arrange the following actions for donning personal protective equipment (PPE) in the correct chronological sequence.
- 1Perform comprehensive hand hygiene using an alcohol-based hand sanitizer or antimicrobial soap.
- 2Apply a fluid-resistant isolation gown and fasten all ties securely at the neck and waist.
- 3Place a NIOSH-approved N95 respirator over the nose and mouth, performing a user seal check.
- 4Position a full face shield over the eyes and face, adjusting the headband for a snug fit.
- 5Put on clean protective gloves and extend the cuffs completely over the wrists of the isolation gown.
Answer
The correct sequence for donning full personal protective equipment is: Hand hygiene, followed by the isolation gown, the N95 respirator, the face shield, and finally, the gloves.
According to standard infection control guidelines, PPE must be donned in an order that ensures maximum protection and structural integrity of the gear. Hand hygiene always precedes PPE contact. The gown is applied first due to its bulk. The respirator follows so it can be fitted tightly to the face. Eye protection rests over the respirator, and gloves are applied last to seal the gown cuffs.
Step-by-Step Solution
Key Concept
Donning Sequence for Personal Protective Equipment (PPE)