Fundamentals of Nursing Q 234



When removing a contaminated gown, the nurse should be careful that the first thing she touches is the:
  
     A. Waist tie and necktie at the back of the gown
     B. Waist tie in front of the gown
     C. Cuffs of the gown
     D. Inside of the gown
    
    

Correct Answer: A. Waist tie and necktie at the back of the gown

The back of the gown is considered clean, the front is contaminated. So, after removing gloves and washing hands, the nurse should untie the back of the gown; slowly move backward away from the gown, holding the inside of the gown and keeping the edges off the floor; turn and fold the gown inside out; discard it in a contaminated linen container; then wash her hands again.

Option B: First, release the tie, then grasp the gown at the hip area, and pull the gown down and away from the sides of the body. Once the gown is off the shoulders, pull one arm at a time from the sleeves of the gown so that the gown arms are bunched at the wrists. Then, roll the exposed side of the gown inward until it’s a tight ball. Dispose of it.
Option C: Following the doffing protocol will minimize the risk for disease transmission, so it’s very important that you understand all the steps. A Trained Observer will help you with the process. Gown front and sleeves are contaminated!
Option D: Grasp the gown in the front and pull away from your body so that the ties break, touching the outside of the gown only with gloved hands. While removing the gown, fold or roll the gown inside-out into a bundle