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Zorluk: OrtaStandard and Transmission-Based Precautions

A registered nurse has completed wound care for a client placed on contact and droplet precautions. The nurse is wearing a disposable gown, non-sterile gloves, a face shield, and a surgical mask. Arrange the steps for removing the personal protective equipment (PPE) in the correct chronological sequence according to standard infection control guidelines.

  1. 1Remove the contaminated gloves
  2. 2Remove the face shield by the headband or ear pieces
  3. 3Remove the disposable gown by pulling it away from the neck and shoulders
  4. 4Remove the surgical mask by grasping the ties or elastics
  5. 5Perform hand hygiene with an alcohol-based rub or soap and water

Cevap

The correct sequence for removing (doffing) PPE is: remove gloves first, then the face shield, followed by the gown, the surgical mask, and finally perform hand hygiene.
According to standard Centers for Disease Control and Prevention (CDC) guidelines for PPE removal (doffing), the most contaminated items should be removed first to minimize the risk of self-contamination. Gloves are removed first, followed by eye protection (face shield or goggles). The gown is then removed, followed by the mask or respirator. Hand hygiene is absolutely required as the final step after all PPE has been removed.

Adım Adım Çözüm

1
Remove the contaminated gloves.
Hands are freed from the most highly contaminated item.
Prevents cross-contamination to the face, eyes, or clean areas of the body during subsequent removal steps.
2
Remove the face shield by the headband or ear pieces.
Eye and face protection is safely discarded.
The outside of the shield is contaminated; handling only the back straps prevents pathogen transfer to the bare hands.
3
Remove the disposable gown by pulling it away from the neck and shoulders.
Body protection is safely discarded.
The front and sleeves are heavily contaminated. Rolling it outward traps pathogens on the inside of the bundle.
4
Remove the surgical mask by grasping the ties or elastics.
Respiratory protection is safely discarded.
The mask is removed last to maintain respiratory and mucous membrane protection until all other contaminated items have been safely disposed of.
5
Perform hand hygiene with an alcohol-based rub or soap and water.
Hands are completely sanitized.
Eradicates any transient pathogens that may have inadvertently transferred to the hands during the doffing process.

Anahtar Kavram

Standard doffing sequence to prevent self-contamination
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