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Zorluk: OrtaStandard and Transmission-Based Precautions

After completing wound care and administering oral medications for a client on both contact and droplet precautions, a practical nurse prepares to exit the isolation room. The nurse is currently wearing gloves, an isolation gown, a face shield, and a surgical mask. Arrange the steps for doffing the personal protective equipment in the correct sequence according to standard infection control guidelines.

  1. 1Remove the gloves by grasping the outside of one glove and peeling it off.
  2. 2Remove the face shield by handling the back of the headband or earpieces.
  3. 3Unfasten the gown ties and pull the gown away from the neck and shoulders.
  4. 4Remove the surgical mask by untying the bottom strings first, then the top strings.
  5. 5Perform thorough hand hygiene using soap and water or an alcohol-based hand sanitizer.

Cevap

The correct sequence for removing the personal protective equipment is: first remove the gloves, second remove the face shield, third remove the isolation gown, fourth remove the surgical mask, and finally perform hand hygiene.
According to the Centers for Disease Control and Prevention (CDC) guidelines, the standard order for doffing personal protective equipment (PPE) is designed to remove the most contaminated items first while protecting the face and respiratory system until the end. Gloves are removed first, followed by the face shield (handling only the clean back pieces). The gown is removed next by pulling it away from the body and rolling it inside out. The mask is removed last to ensure continuous respiratory protection while handling the contaminated gown. Finally, hand hygiene is performed immediately after removing all PPE to eliminate any potential contamination that occurred during the doffing process.

Adım Adım Çözüm

1
Identify and remove the most contaminated item of PPE.
The gloves are removed first.
Gloves touch the client and the immediate environment directly, making them the most contaminated. Removing them first prevents cross-contamination to the face or body when removing other items.
2
Remove the protective eyewear.
The face shield is removed second.
The front of the face shield is contaminated. Removing it by the clean headband prevents facial contamination while the gown and mask still provide protection.
3
Remove the isolation gown.
The gown is removed third.
The gown's front and sleeves are contaminated. Touching only the inside, the nurse unfastens it and rolls it away from the body into a bundle.
4
Remove the respiratory protection.
The surgical mask is removed fourth.
The mask protects the respiratory tract from any aerosolized particles that might have been disturbed while removing the gown. It is removed by the clean strings.
5
Eliminate any residual pathogens on the hands.
Hand hygiene is performed last.
Hand hygiene is always the final step in the doffing procedure to remove any pathogens inadvertently transferred to the hands.

Anahtar Kavram

Standard and Transmission-Based Precautions: PPE Doffing Sequence
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Standard and Transmission-Based Precautions

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