Donning and Doffing PPE With Mask and Eye Protection

Key Points

  • Correct PPE order lowers contamination risk during high-exposure care.
  • Gloves are removed before gown, and hand hygiene is required between key removal steps.
  • Doffing is completed before leaving room to contain contamination.

Equipment

  • Isolation gown
  • Mask
  • Face shield or goggles
  • Gloves
  • Alcohol-based hand sanitizer or handwashing access

Procedure Steps

  1. Gather all PPE before entering care sequence.
  2. Don gown first: orient to back opening, unfold, insert arms, secure neck then waist, and ensure full clothing coverage.
  3. Don mask and then eye protection (face shield or goggles).
  4. Don gloves last and overlap glove cuffs over gown sleeves.
  5. Complete resident care while maintaining PPE integrity.
  6. Before leaving room, remove gloves first by turning them inside out and discard appropriately.
  7. Perform hand hygiene.
  8. Remove eye protection and place in correct reusable/disposal receptacle per policy.
  9. Unfasten gown at neck and waist; remove from shoulders while turning inside out and folding contaminated side inward.
  10. Discard gown appropriately.
  11. Remove mask by ear loops or ties from behind head without touching front.
  12. Perform final hand hygiene.

Common Errors

  • Removing gown before gloves increases hand/clothing contamination risk.
  • Touching front of mask or shield during removal transfers pathogens to face/hands.
  • Skipping hand hygiene between doffing steps amplifies cross-contamination.
  • Exiting room before safe doffing sequence spreads contamination beyond isolation zone.