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Zorluk: OrtaStandard and Transmission-Based Precautions

A practical nurse has finished providing care for a client on Contact and Droplet precautions. The nurse is currently wearing gloves, an isolation gown, a face shield, and a surgical mask. In what order should the nurse safely remove the personal protective equipment (PPE)? Arrange the steps in the correct sequence from first to last.

  1. 1Remove and discard the gloves.
  2. 2Remove the face shield by handling only the back of the strap.
  3. 3Unfasten the gown and pull it away from the neck and shoulders.
  4. 4Remove the surgical mask by grasping the ear loops or ties.
  5. 5Perform hand hygiene using an alcohol-based hand rub or soap and water.

Cevap

The correct doffing sequence is: 1) Remove gloves, 2) Remove face shield, 3) Remove gown, 4) Remove surgical mask, 5) Perform hand hygiene.
The standard sequence for removing PPE is designed to minimize the risk of self-contamination. Gloves are the most contaminated and are removed first. The face shield is removed next, handling only the clean back strap. The gown is then unfastened and rolled inside out. The mask is removed last to protect the airway while other items are doffed. Finally, hand hygiene is mandatory to remove any residual pathogens.

Adım Adım Çözüm

1
Identify the most contaminated item to remove first.
Gloves are the most contaminated and are removed and discarded first.
To prevent transferring pathogens to other surfaces, clean areas of PPE, or the face.
2
Determine the next item to remove that protects the eyes.
The face shield is removed next by grasping the clean back strap.
The front is contaminated; handling only the back strap protects the hands.
3
Determine the sequence for the gown.
The gown is removed third.
Unfastening and peeling it off inside out prevents contact with the contaminated front and sleeves.
4
Determine the sequence for the mask.
The surgical mask is removed fourth.
It continues to protect the respiratory tract during the removal of the gown and face shield.
5
Identify the final required action.
Perform thorough hand hygiene.
To remove any residual pathogens that may have inadvertently contaminated the hands during the doffing process.

Anahtar Kavram

Personal Protective Equipment (PPE) Doffing Sequence
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