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Zorluk: OrtaStandard and Transmission-Based Precautions

A practical nurse is observing an unlicensed assistive personnel (UAP) remove personal protective equipment (PPE) after caring for a client placed on contact and droplet precautions. The UAP is currently wearing a disposable fluid-resistant gown, a surgical mask, a protective face shield, and clean gloves. Which action by the UAP indicates a breach in infection control protocol and requires immediate intervention by the nurse?

  1. Using heavily soiled gloves to reach behind the neck and untie the upper strings of the gown.Cevap
  2. B
    Taking off the first glove by pinching its exterior surface near the wrist area and peeling it inside out.
  3. C
    Lifting the face shield away from the face by handling only the elastic strap positioned at the back of the head.
  4. D
    Removing the surgical mask by carefully grasping only the ear loops and pulling it away from the face.

Cevap

The action that requires immediate intervention is using soiled gloves to reach behind the neck to untie the upper strings of the gown.
The exterior surfaces of the gloves are highly contaminated after providing client care. Reaching behind the neck with soiled gloves will transfer infectious agents directly to the worker's skin, hair, and scrub top. According to standard infection control protocols, gloves must be removed first (or peeled off simultaneously with the gown) so that bare, clean hands can safely untie the clean strings at the back of the neck.

Adım Adım Çözüm

1
Identify the goal of the question
Determine which PPE removal action performed by the UAP is incorrect and poses a contamination risk.
The nurse must intervene to stop unsafe practices that could spread infection.
2
Evaluate the 'clean' versus 'contaminated' areas of the PPE
The outside front of the gloves, gown, mask, and face shield are contaminated. The back of the gown, ties, ear loops, and headbands are considered clean.
Understanding which areas have been exposed to pathogens dictates safe handling.
3
Analyze the action of reaching behind the neck with soiled gloves
This action brings highly contaminated gloves into direct contact with the clean neck area, hair, and uniform.
Gloves should be removed first (or simultaneously pulled off with the gown) to ensure clean hands are used to untie the neck strings.
4
Review the remaining actions for correctness
Pinching the outside of the glove, handling the face shield by the back strap, and removing the mask by the ear loops are all standard, safe doffing techniques.
Actions that follow proper CDC guidelines do not require intervention.

Anahtar Kavram

Personal Protective Equipment (PPE) Doffing Sequence and Cross-Contamination Prevention
Tahmini Süre:1m 0s
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Konular

Standard and Transmission-Based Precautions

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