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Zorluk: ZorStandard and Transmission-Based Precautions

A practical nurse (PN) is preparing to provide care for a newly admitted client with suspected avian influenza. Facility infection control protocols mandate airborne, contact, and eye precautions. In what order should the PN don the required personal protective equipment (PPE) before entering the client's room? Arrange the actions from first to last.

  1. 1Perform hand hygiene using an alcohol-based hand rub or soap and water.
  2. 2Put on the fluid-resistant isolation gown and securely fasten the ties.
  3. 3Apply the fit-tested N95 respirator and perform a user seal check.
  4. 4Position the face shield over the eyes and adjust the headband.
  5. 5Don clean gloves and extend the edges over the cuffs of the gown.

Cevap

The correct sequence for donning PPE is: perform hand hygiene, put on the isolation gown, apply the N95 respirator, position the face shield, and finally don the gloves.
The Centers for Disease Control and Prevention (CDC) strictly defines the PPE donning sequence to minimize cross-contamination and ensure proper fit of barrier equipment. Hand hygiene is always the required first step. The gown is applied next to cover the torso. Facial protection follows, beginning with the N95 respirator so it can be securely fitted and seal-checked against the skin, followed by the face shield which rests securely over the respirator. Finally, gloves are applied last and extended over the gown cuffs to create a sealed barrier right before patient care begins.

Adım Adım Çözüm

1
Initiate the donning process with hand hygiene.
Hands are decontaminated.
Prevents contamination of clean PPE items during the application process.
2
Apply the isolation gown.
Torso and uniform are completely covered.
Provides a primary barrier against contact transmission. Tying it securely prepares the upper body before facial gear limits visibility or mobility.
3
Apply the N95 respirator.
Respiratory tract is protected from airborne particles.
Securing the respirator to the face and checking the seal is crucial for airborne precautions and must be done before eye protection is added to ensure an uninterrupted seal against the skin.
4
Apply the face shield.
Eyes and mucous membranes are protected.
Eye protection goes over the upper edge of the respirator to shield from splashes or respiratory sprays.
5
Apply clean gloves.
Hands and wrists are covered.
Gloves are applied last and pulled over the gown cuffs to maintain a continuous barrier and ensure the gloves remain entirely clean immediately prior to client contact.

Anahtar Kavram

Standardized sequence for donning personal protective equipment (PPE)
Tahmini Süre:1m 30s
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