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Zorluk: ZorStandard and Transmission-Based Precautions

After performing nasotracheal suctioning on a client colonized with methicillin-resistant Staphylococcus aureus (MRSA) in the sputum, the practical nurse is standing near the room exit. The nurse is currently wearing a fluid-resistant isolation gown, disposable gloves, a surgical mask, and a protective face shield. To adhere to strict infection control protocols and prevent self-contamination, in what exact chronological sequence must the nurse execute the removal of these items?

  1. 1Grasp the outside of one glove at the wrist, peel it away from the hand, and discard both.
  2. 2Reach behind the head or ears to lift and remove the protective eyewear.
  3. 3Unfasten the neck and waist ties, pulling the garment forward and rolling it inside out.
  4. 4Untie the bottom string followed by the top string to lift the facial covering away without touching the front.
  5. 5Perform thorough hand hygiene using an alcohol-based hand rub or antimicrobial soap.

Cevap

The correct sequence for doffing full personal protective equipment is to first remove the gloves, followed by the face shield, then the gown, then the surgical mask, and finally concluding with hand hygiene.
According to standardized infection control guidelines, the removal of personal protective equipment must proceed from the most contaminated item to the least, protecting the respiratory tract until the very end. The exact sequence is: gloves, goggles/face shield, gown, mask/respirator, and hand hygiene. This specific order ensures that contaminated items are not brought near the unprotected face and that any airborne particles disturbed during gown removal do not enter the respiratory tract.

Adım Adım Çözüm

1
Remove and discard the disposable gloves.
The hands are freed from the most heavily soiled barrier.
This prevents transferring gross contamination to the face, neck, or uniform during the subsequent removal steps.
2
Remove the face shield by handling only the back straps.
Eye protection is safely taken off without touching the contaminated front surface.
This eliminates splash hazards while keeping the nurse's respiratory tract protected during the next steps.
3
Unfasten and remove the isolation gown by rolling it inside out.
The gown is safely contained in an inside-out bundle and discarded.
Rolling the gown inside out prevents pathogens on the exterior from transferring to the nurse's uniform or skin.
4
Remove the surgical mask by handling only the ear loops or ties.
The respiratory barrier is taken off as the final piece of apparel.
The mask must remain on during gown removal in case any pathogens become aerosolized while manipulating the contaminated gown fabric.
5
Perform thorough hand hygiene.
The hands are completely sanitized.
This eradicates any microorganisms that may have incidentally contacted the bare skin during the doffing procedure.

Anahtar Kavram

Standardized CDC Sequence for Doffing Personal Protective Equipment (PPE)
Tahmini Süre:1m 30s
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Konular

Standard and Transmission-Based Precautions

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