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Zorluk: OrtaStandard and Transmission-Based Precautions

A practical nurse is preparing to provide nasotracheal suctioning for an infant infected with respiratory syncytial virus (RSV). Based on the precautions required for this pathogen and procedure, arrange the personal protective equipment (PPE) donning steps in the correct chronological order from first to last.

  1. 1Execute hand hygiene with an alcohol-based rub or antimicrobial soap.
  2. 2Don a protective isolation gown and tie it securely at the neck and waist.
  3. 3Fit a surgical mask snugly across the bridge of the nose and under the chin.
  4. 4Position protective eyewear or a face shield over the eyes and face.
  5. 5Pull on clean, non-sterile gloves and extend the cuffs over the gown sleeves.

Cevap

The correct sequence for donning the required PPE is: Hand hygiene, Gown, Mask, Eyewear, and finally Gloves.
According to standard infection control guidelines, the proper chronological sequence for donning personal protective equipment begins with hand hygiene to prevent contamination. Next, the isolation gown is applied as it covers the torso and clothing. Then, the respiratory protection (such as a surgical mask) is secured, followed by eye protection (goggles or a face shield) which rests over the mask. Finally, gloves are put on last so their cuffs can securely stretch over and cover the sleeves of the isolation gown.

Adım Adım Çözüm

1
Identify the required transmission-based precautions for the scenario.
RSV requires Contact and Droplet precautions; the procedure (nasotracheal suctioning) adds a high risk of body fluid splashing.
Determines the full set of protective equipment needed (gown, mask, eyewear, and gloves).
2
Apply the standardized sequence for donning PPE.
The established sequence is: Hand hygiene -> Gown -> Mask -> Eyewear -> Gloves.
Following the correct chronological order prevents self-contamination and ensures proper barrier overlapping, such as gloves securing the gown cuffs.

Anahtar Kavram

Standard and Transmission-Based Precautions: Proper PPE Donning Sequence
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