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Difficulty: EasyStandard and Transmission-Based Precautions

After providing care to a client on transmission-based precautions, a nurse prepares to exit the room and must remove all personal protective equipment (PPE). Arrange the following PPE removal steps in the correct standard sequence from first to last.

  1. 1Remove the gloves.
  2. 2Remove the protective eyewear or goggles.
  3. 3Remove the isolation gown.
  4. 4Remove the face mask.

Answer

The correct sequence for removing PPE is: gloves first, followed by protective eyewear/goggles, then the isolation gown, and finally the face mask.
The standard sequence for removing (doffing) personal protective equipment ensures that the healthcare worker does not contaminate their own skin, clothing, or mucous membranes. Gloves are typically the most contaminated and are removed first. Eyewear is removed next, followed by the gown. The mask is always removed last to provide continuous respiratory protection during the doffing process.

Step-by-Step Solution

1
Identify the most contaminated PPE.
Gloves are removed first.
To avoid spreading pathogens to the hair, face, or uniform while removing other items.
2
Identify the next contaminated item that protects the face.
Eyewear or goggles are removed second.
The outside of the goggles is contaminated and should be handled with clean hands.
3
Identify the item covering the body.
The gown is removed third.
It must be removed carefully, peeling away from the body, to prevent contamination of underlying clothing.
4
Identify the final item to remove.
The mask is removed last.
Respiratory protection must be maintained until all other contaminated items are removed and the nurse is ready to leave the room.

Key Concept

Standard Sequence for Removing (Doffing) Personal Protective Equipment
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Topics

Standard and Transmission-Based Precautions

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