How should a CNA don and doff PPE for contact precautions?

• A. Put on gloves, then gown; remove gloves first, then gown; hand hygiene after removing PPE; Dispose properly.
• B. Put on gown, then gloves; remove gloves last; hand hygiene after removing PPE.
• C. Put on gloves, then gown; remove gown first, then gloves; hand hygiene after removing PPE.
• D. Put on gown and gloves before entering; remove gloves first, then gown; perform hand hygiene after removing PPE.

Answer: (D)

The main idea is protecting yourself and preventing the spread of organisms by using PPE in the correct order and cleaning hands at the right times. For contact precautions, you should don gown and gloves before entering the patient’s space so your clothes and hands are covered from the start. When doffing, remove the most contaminated items first—gloves—then the gown, which helps minimize touching contaminated surfaces with clean skin. After removing all PPE, perform hand hygiene to remove any residual pathogens from your hands. This sequence helps keep contamination from spreading to yourself, others, and the environment.