A nurse has completed a dressing change for a client who is isolated in a negative-pressure room for active pulmonary tuberculosis. The client also has a heavily draining leg wound infected with vancomycin-resistant enterococcus (VRE). Which sequence of actions by the nurse demonstrates the correct protocol for doffing personal protective equipment (PPE) and exiting the room?
- Removing the gown and gloves inside the client's room, performing hand hygiene, exiting to the hallway, and then removing the N95 respirator.Cevap
- BRemoving the gloves, gown, and N95 respirator inside the client's room, and performing hand hygiene immediately upon entering the hallway.
- CKeeping all PPE intact while exiting the client's room to minimize environmental shedding, and removing the gown, gloves, and N95 respirator in the hallway.
- DRemoving the gloves inside the room, performing hand hygiene, exiting to the hallway, and then removing the gown and N95 respirator.
Cevap
The nurse should remove the gown and gloves inside the room, perform hand hygiene, exit the room, and then remove the N95 respirator.
Safe removal of PPE requires adhering to the doffing rules for all active isolation tiers. For Contact precautions, the nurse must remove the contaminated gown and gloves inside the patient room to contain the VRE. For Airborne precautions, the nurse must keep the N95 respirator firmly in place until they have physically exited the negative-pressure room and closed the door to protect against aerosolized tuberculosis.
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Anahtar Kavram
PPE Doffing Sequence for Combined Airborne and Contact Precautions