A practical nurse (PN) monitors an unlicensed assistive personnel (UAP) who is doffing personal protective equipment (PPE) after bathing a client on airborne and contact precautions for disseminated herpes zoster. Which action by the UAP indicates a breach in infection control that requires immediate correction?
- APinching the outside of the first glove at the wrist and peeling it downward inside out while standing in the client's room
- BPerforming hand hygiene, then reaching behind the head with bare hands to unfasten the clean neck ties of the isolation gown
- Grasping the front surface of the N95 respirator and pulling it away from the face after exiting the client's roomCevap
- DStepping into the hallway and ensuring the negative-pressure room door closes completely before initiating removal of the respirator
Cevap
The UAP commits an infection control breach by grasping the front surface of the N95 respirator. The front of the respirator is considered highly contaminated and should never be touched with bare hands. It must be removed by handling only the elastic straps at the back of the head.
Grasping the front surface of the N95 respirator is a critical infection control breach. The front of the respirator functions as a filter and is heavily contaminated with airborne pathogens (such as the varicella-zoster virus). Touching this surface with bare hands contaminates the hands, creating a high risk for self-inoculation if the worker subsequently touches their eyes, nose, or mouth. The correct removal technique is to grasp the bottom elastic strap, followed by the top elastic strap, and carefully lift the respirator away from the face without touching the front filter piece.
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Anahtar Kavram
Standard and Transmission-Based Precautions: PPE Doffing Sequence
Tahmini Süre:1m 30s