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Zorluk: OrtaStandard and Transmission-Based Precautions

A practical nurse has completed perineal care for a client with a confirmed *Clostridioides difficile* infection. The nurse is wearing a disposable gown and gloves. Upon completing the care, which sequence is the correct method for removing the personal protective equipment (PPE) before exiting the room?

  1. Remove the gloves first, unfasten the gown, peel it off by touching only the inside surfaces, and wash hands with soap and water.Cevap
  2. B
    Unfasten the gown at the neck and waist using the contaminated gloves, remove the gown, remove the gloves, and wash hands with soap and water.
  3. C
    Remove the gloves, unfasten the gown, remove it by grasping the outside front panels, and wash hands with soap and water.
  4. D
    Remove the gloves, unfasten the gown, peel it off by touching only the inside surfaces, and thoroughly cleanse hands using an alcohol-based hand sanitizer.

Cevap

The correct sequence is to remove the gloves first, carefully remove the gown by handling only the inside, and then wash hands with soap and water.
Gloves are the most heavily contaminated PPE and should be removed first. The gown must then be removed by touching only the inside surfaces to avoid contaminating the nurse's bare hands and clothing. Finally, because *C. difficile* spores are resistant to alcohol, hands must be washed with antimicrobial soap and water.

Adım Adım Çözüm

1
Identify the specific pathogen and its required precautions.
*Clostridioides difficile* requires Contact Precautions (enteric), which specifically mandates handwashing with soap and water.
Alcohol-based hand sanitizers are ineffective against the protective spores formed by *C. difficile*.
2
Determine the safest sequence for removing heavily soiled PPE.
Gloves are removed first because they are the most contaminated item. The gown is then removed by touching only the inside.
Touching the back of the neck with soiled gloves or touching the outside of the gown with bare hands will cross-contaminate the nurse.

Anahtar Kavram

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