A newly admitted client presents with a fever and a widespread vesicular rash highly suspicious for varicella. The client is placed in a negative-pressure airborne infection isolation room (AIIR). The nurse is preparing to enter the room to perform an initial assessment. Place the following steps for donning the required personal protective equipment (PPE) in the correct sequence. (Arrange the first action at the top and the final action at the bottom.)
- 1Perform hand hygiene with an alcohol-based hand rub or soap and water.
- 2Put on a fluid-resistant isolation gown and fasten all ties securely.
- 3Apply a fit-tested N95 respirator and perform a user seal check.
- 4Place a face shield or goggles over the eyes and adjust for fit.
- 5Put on clean gloves, extending the cuffs over the wrists of the isolation gown.
Cevap
The correct sequence for donning PPE is: 1) Perform hand hygiene, 2) Put on the isolation gown, 3) Apply the N95 respirator, 4) Place eye protection, and 5) Put on clean gloves.
The Centers for Disease Control and Prevention (CDC) dictates a specific sequence for donning PPE to ensure all gear is secured properly and the healthcare worker is fully protected before entering an isolation environment. For a client with varicella, both Airborne and Contact Precautions are required. Hand hygiene is the essential first step. The gown is applied next to provide a large barrier. The respirator is placed and seal-checked while the hands are free of gloves and the face is free of goggles. Eye protection goes over the respirator straps. Finally, gloves are applied last so they can securely cover the cuffs of the gown.
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Anahtar Kavram
Standard donning sequence for complex personal protective equipment (PPE)