A nurse has completed wound care for a client diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) of the lower extremity and influenza. The client is appropriately placed on contact and droplet precautions. The nurse is currently wearing an isolation gown, a surgical mask, a face shield, and clean gloves. Arrange the following steps for removing (doffing) the personal protective equipment in the correct chronological sequence to prevent self-contamination.
- 1Remove the gloves by grasping the outside of one glove, peeling it off, and sliding bare fingers under the remaining glove.
- 2Remove the face shield by handling only the clean headband or earpieces at the back of the head.
- 3Unfasten the gown ties at the neck and waist, pulling the gown down and away from the body while rolling it inside-out.
- 4Remove the surgical mask by grasping the bottom ties first, then the top ties, pulling it away from the face without touching the front.
- 5Perform thorough hand hygiene using soap and water or an alcohol-based hand sanitizer.
Cevap
The correct doffing sequence is: 1) Remove gloves, 2) Remove face shield, 3) Remove gown, 4) Remove mask, 5) Perform hand hygiene.
According to standard infection control guidelines, the removal of personal protective equipment must proceed from the most contaminated items to the least contaminated to prevent self-inoculation. Gloves are removed first, followed by eyewear (handling only the clean earpieces). The gown is then removed and rolled inside-out. The mask is removed last to maintain respiratory protection during the preceding steps. Finally, hand hygiene is strictly performed to eliminate any bacteria or viruses that may have been transferred to the skin.
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Anahtar Kavram
Proper doffing sequence of personal protective equipment (PPE)