PPE Protocol - Ccma

1. Which PPE is required for airborne precautions when entering the room?

   Fit-tested N95 respirator or higher-level respirator. Airborne precautions necessitate respiratory protection against small particles that remain suspended in air, requiring a properly fitted device.

2. What is the correct method to remove gloves to avoid touching the contaminated exterior?

   Glove-in-glove: peel first, then slide fingers under cuff. This technique ensures the contaminated outer surface is contained inside the glove bundle, minimizing exposure to skin.

3. How should a gown be handled during removal to contain contamination?

   Pull away from body and roll inside-out into a bundle. Rolling inside-out contains contaminants within the bundle, preventing their spread during removal and disposal.

4. Which action is correct if your hands become contaminated while doffing PPE?

   Perform hand hygiene immediately before continuing. Immediate hand hygiene removes contaminants, preventing their spread before resuming doffing or other tasks.

5. Which PPE is required when a procedure may generate splashes or sprays of blood or body fluids?

   Mask and eye protection (or face shield) plus gown and gloves. These items provide barriers against exposure to infectious materials during procedures that could produce aerosols or splatters.

6. Identify the correct disposal step for single-use PPE immediately after removal.

   Discard in the appropriate waste container per facility policy. Proper disposal in designated containers prevents environmental contamination and follows infection control protocols.

7. Identify the correct placement of gloves relative to gown cuffs when fully donned.

   Glove cuffs cover the gown cuffs. Overlapping glove cuffs over gown cuffs creates a continuous barrier, preventing exposure of skin or gaps at the wrist.

8. What is the final PPE item removed after leaving the patient care area in most situations?

   Mask or respirator. The mask or respirator is removed last to maintain respiratory protection until after exiting the contaminated area and performing hand hygiene.

9. Find the error: A student dons gloves before a gown; what is the correction?

   Don the gown before gloves. Standard donning sequence requires the gown first to ensure proper coverage and avoid contaminating gloves during adjustment.

10. What should you do immediately if a glove tears during patient care?

    Stop, remove gloves, perform hand hygiene, and don new gloves. A tear compromises the barrier, requiring immediate replacement after hygiene to prevent pathogen transmission to or from the patient.

11. What must be performed after removing all PPE to reduce self-contamination risk?

    Hand hygiene. Hand hygiene eliminates any residual pathogens that may have transferred during PPE removal, ensuring safety.

12. Which PPE item is removed first during doffing because it is usually the most contaminated?

    Gloves. Gloves contact contaminated surfaces most directly, so removing them first reduces the risk of transferring pathogens to other PPE or skin.

13. Which PPE item is donned first in the standard sequence for isolation precautions?

    Gown. The gown provides a barrier for the body and is donned first to allow subsequent items to be secured over it without contamination.

14. Which part of an N95 respirator should you avoid touching during removal?

    The front of the respirator. The front is contaminated from exposure to airborne particles, so avoiding it prevents self-contamination during removal.

15. Which part of a surgical mask should you handle during removal to avoid contamination?

    Only the ties or ear loops. Ties or ear loops are considered clean, enabling removal without contacting the contaminated front of the mask.

16. What is the correct doffing order for gloves, eye protection, gown, and mask/respirator?

    Gloves → eye protection → gown → mask/respirator. Doffing starts with the most contaminated items to minimize self-contamination, ending with the mask outside the room.

17. Which surfaces of PPE are considered contaminated during use and should not be touched?

    The outside/front surfaces. These surfaces are exposed to pathogens during use, so avoiding contact prevents transferring contamination to clean hands or areas.

18. When removing a gown, which part should you touch to untie or break it safely?

    Only the ties or fasteners. Ties or fasteners are clean areas, allowing safe removal without touching the contaminated front or outside of the gown.

19. What is the first action to perform immediately before donning any PPE?

    Perform hand hygiene. Hand hygiene removes transient microorganisms from hands, preventing contamination of clean PPE during donning.

20. Which option best describes safe removal of goggles or a face shield during doffing?

    Remove by the headband or earpieces without touching the front. Handling by headband or earpieces avoids contact with the contaminated front, reducing self-contamination risk during doffing.

21. What is the correct way to remove an N95 respirator using the straps?

    Lift bottom strap, then top strap, and remove without touching front. Lifting straps in this order allows controlled removal while keeping hands away from the contaminated front surface.

22. Which PPE is required for droplet precautions when within close range of the patient?

    Surgical mask (plus eye protection if splash risk). Droplet precautions protect against large respiratory particles, with eye protection added for procedures risking splashes.

23. What is the correct standard donning order for gown, mask/respirator, eye protection, and gloves?

    Gown → mask/respirator → eye protection → gloves. This sequence ensures each item is donned without contaminating clean areas, starting from the largest barrier to the hands last.

24. Which PPE is required for contact precautions when touching the patient or the environment?

    Gown and gloves. Contact precautions require barriers to prevent transmission of pathogens via direct or indirect contact with the patient or environment.

25. Identify the correction: A student removes a mask inside the patient room after doffing gown and gloves.

    Remove the mask after leaving the patient care area (when indicated). Removing the mask outside maintains respiratory protection in the contaminated room and reduces risk of aerosol exposure during removal.

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