Fundamentals Question #16

Question

In which order should personal protective equipment (PPE) be removed?

Answers

  1. Gloves, mask, goggles, gown
    • Rationale:

      This answer is not correct because the mask should be the last PPE item removed since it will provide protection as other items are removed. Proper donning and doffing of effective PPE is essential to isolation precautions. The order for removal or doffing is gloves, gown, goggles (eye protection), mask. PPE should be removed before leaving the client’s room and hand hygiene performed immediately.

  2. Goggles, mask, gown, gloves
    • Rationale:

      This answer is not correct because gloves are the dirtiest item and should be removed first and the mask lastly. Proper donning and doffing of effective PPE is essential to isolation precautions. The order for removal or doffing is gloves, gown, goggles (eye protection), mask. PPE should be removed before leaving the client’s room and hand hygiene performed immediately.

  3. Gloves, goggles, gown, mask
    • Rationale:

      This answer is correct because the order for removal or doffing is gloves, gown, goggles (eye protection), mask. PPE should be removed before leaving the client’s room and hand hygiene performed immediately.

  4. Gloves, mask, googles, gown
    • Rationale:

      This answer is not correct because the mask should be the last PPE item removed since it will provide protection as other items are removed. Proper donning and doffing of effective PPE is essential to isolation precautions. The order for removal or doffing is gloves, gown, goggles (eye protection), mask. PPE should be removed before leaving the client’s room and hand hygiene performed immediately.

Overview

The order for removal or doffing is gloves, gown, goggles (eye protection), mask. PPE should be removed before leaving the client’s room and hand hygiene performed immediately.

Explanation

Learning Outcomes

Most isolation precautions are implemented to protect the caregiver from transmission of infections. Reverse isolation is an isolation precaution that protects the client from infection while other isolation precautions are implemented with the intent of protecting the caregiver from being infected by the client. Proper donning and doffing of effective PPE is essential to isolation precautions. The order for removal or doffing is gloves, gown, goggles (eye protection), mask. PPE should be removed before leaving the client’s room and hand hygiene performed immediately. The order to apply or don the PPE is gown, mask, goggles (eye protection), gloves.

Test Taking Tip

The two most important things to remember when removing or doffing PPE is to remove the dirtiest first, the gloves. Next most important thing to remember is to remove the mask last because this will provide maximum protection from particles in the air as the all other PPE is removed.

Video Rationale