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Difficulty: MediumHandling Hazardous and Infectious Materials

A nurse is preparing to enter the room of a client who has disseminated herpes zoster and is on airborne and contact precautions. In what order should the nurse don the required personal protective equipment (PPE)? Arrange the following steps in the correct sequence.

  1. 1Perform hand hygiene using an alcohol-based hand rub or soap and water.
  2. 2Put on a clean isolation gown and fasten the ties securely at the neck and waist.
  3. 3Put on a fit-tested N95 respirator and perform a user seal check.
  4. 4Put on a face shield or goggles to protect the mucous membranes of the eyes.
  5. 5Put on clean gloves, ensuring they extend over the cuffs of the isolation gown.

Answer

The correct sequence for donning PPE is: perform hand hygiene, put on the isolation gown, put on the N95 respirator, put on the face shield or goggles, and finally put on the gloves.
According to standard infection control guidelines, the sequence for donning personal protective equipment (PPE) begins with hand hygiene to prevent contaminating the clean equipment. Next, the isolation gown is put on to cover the torso and arms, and it is tied securely. Following the gown, the N95 respirator is placed and seal-checked to protect against airborne pathogens. Eye protection (goggles or a face shield) is then applied over the respirator straps. Finally, clean gloves are donned last, ensuring they extend over the cuffs of the gown to provide a continuous, secure barrier against contact transmission.

Step-by-Step Solution

1
Perform hand hygiene using an alcohol-based hand rub or soap and water.
Hands are clean and ready to handle sterile or clean PPE.
Prevents the transfer of pathogens to the clean PPE during the donning process.
2
Put on a clean isolation gown and fasten the ties securely at the neck and waist.
The torso, arms, and clothing are covered and protected.
The gown provides the largest surface area of protection and must be secured before facial PPE.
3
Put on a fit-tested N95 respirator and perform a user seal check.
The respiratory tract is protected from airborne particles.
The respirator is secured before eye protection to ensure the straps lie flat on the head and the seal is tight.
4
Put on a face shield or goggles.
The mucous membranes of the eyes are protected.
Eye protection is placed over the respirator to ensure it does not break the seal of the N95.
5
Put on clean gloves, ensuring they extend over the cuffs of the isolation gown.
The hands and wrists are completely covered.
Gloves must be placed last so they can wrap over the gown cuffs, eliminating exposed skin at the wrists.

Key Concept

Personal Protective Equipment (PPE) Donning Sequence
Estimated Time:1m 0s
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Topics

Handling Hazardous and Infectious Materials

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