Which step should be followed to remove the gown and gloves at the end of the procedure?

• A. Remove gown first
• B. Leave the gloves on until after the gown
• C. Grasp the gown at the waist and pull it upward
• D. Remove gloves before assisting with the gown

Answer: (A)

The correct approach to removing the gown and gloves at the end of a surgical procedure is to first remove the gown. This is essential to minimize contamination risks, as the gown is considered the outer layer of protective equipment. By removing the gown first, the surgical team avoids inadvertently contaminating their hands or exposing themselves to any pathogens that may have been collected on the gown during the procedure.

When removing the gown, it's important to grasp the gown at the waist and pull it off without touching the exterior surfaces, ensuring that any contaminants are contained. After the gown is removed, the gloves can be taken off properly, typically by grasping the outside of one glove with the opposite gloved hand, making sure to avoid direct contact with the skin or the environment, further ensuring that the area remains sterile.

This sequence is in line with standard infection control practices, which emphasize the importance of reducing the risk of pathogen transfer during the donning and doffing of personal protective equipment. Following this correct procedure helps maintain a safe environment both for the surgical team and the patient.