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Zorluk: OrtaAccident, Error, and Injury Prevention

A practical nurse has completed care for a client on contact and droplet precautions and is preparing to exit the room. The nurse is wearing a gown, gloves, a surgical mask, and goggles. Arrange the following steps for removing (doffing) the personal protective equipment (PPE) in the correct sequence to minimize the risk of cross-contamination.

  1. 1Remove and discard the gloves.
  2. 2Remove the goggles by handling only the earpieces.
  3. 3Untie and remove the gown, rolling it inside out.
  4. 4Remove the surgical mask by grasping the ties or ear loops.
  5. 5Perform thorough hand hygiene.

Cevap

The correct sequence for doffing PPE is to first remove the gloves, followed by the goggles, then the gown, then the surgical mask, and finally perform hand hygiene.
The standard sequence for removing PPE ensures that the most contaminated items (gloves) are removed first. Items protecting the respiratory tract and mucous membranes (mask and goggles) are removed subsequently by handling only their 'clean' straps or earpieces. Hand hygiene must always conclude the process to eliminate any residual contamination.

Adım Adım Çözüm

1
Remove and discard the gloves.
The most contaminated PPE is safely disposed of.
Gloves are the most likely items to carry pathogens and must be removed first to prevent transferring pathogens to the face or other clean areas.
2
Remove the goggles by handling only the earpieces.
Eye protection is safely removed without touching the contaminated front.
The outside of the goggles is contaminated; they must be removed by the clean earpieces to protect the nurse's bare hands and face.
3
Untie and remove the gown, rolling it inside out.
The gown is safely bundled and discarded.
Rolling the gown inside out traps any pathogens on the outside of the gown, preventing environmental cross-contamination.
4
Remove the surgical mask by grasping the ties or ear loops.
The mask is safely removed without touching the contaminated front surface.
The front of the mask is highly contaminated from droplet exposure and must be handled only by the straps to protect the respiratory tract.
5
Perform thorough hand hygiene.
Any remaining pathogens on the nurse's hands are eliminated.
Hand hygiene is the essential final step to ensure absolute safety before interacting with the environment or other clients.

Anahtar Kavram

Personal Protective Equipment (PPE) Doffing Sequence
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Konular

Accident, Error, and Injury Prevention

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