An intensive care unit nurse is preparing to enter the negative-pressure isolation room of a client who has both active pulmonary tuberculosis and a heavily draining abdominal wound infected with methicillin-resistant *Staphylococcus aureus* (MRSA) that requires irrigation. Arrange the following steps for donning the required personal protective equipment (PPE) in the correct sequential order.
- 1Perform hand hygiene using an alcohol-based hand rub or soap and water.
- 2Put on the isolation gown and fasten all ties at the neck and back.
- 3Apply the N95 respirator, secure the elastic bands, and perform a user seal check.
- 4Place the face shield over the face and eyes, adjusting the headband to fit securely.
- 5Don clean gloves and extend them to cover the wrist cuffs of the isolation gown.
Answer
The correct sequence is: Perform hand hygiene, put on the isolation gown, apply the N95 respirator, place the face shield, and finally don the gloves.
According to standardized infection control guidelines, the proper sequence for donning personal protective equipment (PPE) is: 1) Hand hygiene, 2) Gown, 3) Mask or respirator, 4) Goggles or face shield, and 5) Gloves. This specific sequence ensures that the equipment fits correctly and provides maximum protection. Hand hygiene prevents contamination of clean supplies. The gown goes on first to protect the torso and clothing. The N95 respirator is applied next, allowing the straps to sit securely against the head for a proper seal. The face shield is then placed over the respirator to protect against splashes. Finally, the gloves are donned last so they can be pulled up and over the cuffs of the isolation gown, ensuring there is no exposed skin at the wrists.
Step-by-Step Solution
Key Concept
The correct Centers for Disease Control and Prevention (CDC) sequence for donning personal protective equipment is hand hygiene, gown, mask or respirator, goggles or face shield, and finally gloves.