What is the proper doffing sequence for PPE to minimize contamination?

• A. Gloves, goggles/face shield, gown, mask/respirator
• B. Gloves, gown, goggles/face shield, mask/respirator
• C. Gloves, goggles/face shield, gown, mask/respirator
• D. Gown, mask/respirator, goggles/face shield, gloves

Answer: (C)

Contamination is minimized by removing the items in an order that keeps your skin and mucous membranes away from the most soiled surfaces. Start with gloves because they’re the most likely to be contaminated and can transfer pathogens to your hands and other PPE. Once the gloves are off, take off eye protection next to prevent touching your eyes with contaminated hands and to dispose of the most exposed barrier early. Then remove the gown, which contains contaminants from splashes or contact with your clothes, before touching your face or inner clothing. Finally, remove the mask or respirator last, since it sits closest to your mouth and nose; doing it last reduces the chance that contaminated front surfaces contact your mucous membranes during removal. Remember to perform hand hygiene after each step to further reduce the risk of self-contamination.