What is the correct sequence for applying PPE before entering a resident's room with contact precautions?

• A. Put on gown, put on gloves over the cuff of the gown, proceed with care; remove gloves first, then gown, then perform hand hygiene.
• B. Put on gloves first, then gown, then wash hands.
• C. Wear only a gown and mask.
• D. Put on mask, gloves, gown.

Answer: (A)

Putting PPE on in the right order creates a barrier between you and the resident, and for contact precautions the key is protecting your skin and clothing first, then your hands. Start with the gown so your clothing and skin are shielded; then put on gloves over the cuffs of the gown so the sleeve edge is covered and your hands stay protected during care. This sequence helps prevent contamination from getting onto your clothes and then onto other surfaces or people.

When it’s time to remove PPE, take off the gloves first while avoiding touching your skin, then the gown, and finally perform hand hygiene. This doffing order minimizes the chance that contaminants on the gloves or gown touch your skin or other surfaces. The other options don’t provide the proper protective barrier—either the gown isn’t worn first, gloves are used before the gown, or essential pieces like gloves or a mask are omitted—so they don’t meet the safety standard for contact precautions.