Prior to providing direct care for a newly admitted client with confirmed pulmonary tuberculosis and a secondary scabies infection, a practical nurse must apply multiple forms of personal protective equipment. The client requires airborne and contact precautions, along with eye protection due to a planned wound irrigation. In what order should the nurse don the necessary protective items?
- 1Perform hand hygiene with an alcohol-based sanitizer or soap and water.
- 2Apply a long-sleeved isolation gown and secure the closures at the neck and back.
- 3Place the N95 respirator over the nose and mouth and perform a user seal check.
- 4Position protective goggles or a face shield over the eyes and adjust for a secure fit.
- 5Pull on clean, non-sterile gloves and extend them to cover the cuffs of the gown.
Cevap
The correct sequence for donning personal protective equipment is: Hand hygiene, followed by the isolation gown, the N95 respirator, eye protection, and finally, gloves.
According to the Centers for Disease Control and Prevention (CDC) guidelines, donning personal protective equipment must follow a specific sequence to optimize safety and barrier integrity. Hand hygiene is always the critical first step. The gown is applied next to cover the torso and arms. The N95 respirator follows, allowing it to seal directly against the face. Eye protection is then added without disrupting the respirator seal. Finally, gloves are donned and pulled completely over the gown cuffs to seal the wrists.
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Anahtar Kavram
The standardized Centers for Disease Control and Prevention (CDC) sequence for donning personal protective equipment ensures maximum infection control by preventing self-contamination and creating continuous physical barriers.