Which sequence correctly describes the donning of PPE?

• A. Gown, mask/respirator, eye protection, gloves
• B. Hand hygiene, gown, mask/respirator, eye protection, gloves
• C. Gloves first.
• D. Mask, gloves, gown, eye protection.

Answer: (B)

The main principle tested is putting on PPE in an order that prevents contamination and protects both you and the patient. Start with hand hygiene to remove any transient microbes from your hands before they touch any protective equipment. Then don the gown to shield your clothing and skin. Put on the mask or respirator to protect your airway, followed by eye protection to guard the mucous membranes of the eyes from splashes. Finally, put on gloves, making sure they go over the cuffs of the gown so there’s no exposed skin. This sequence minimizes the chance of transferring microbes to your face or to the patient and ensures each piece protects the areas it’s meant to shield. Other sequences either skip hand hygiene, place gloves before other barriers, or expose skin and mucous membranes during the donning process, which reduces safety.