A 10-year-old client contracted severe acute respiratory syndrome (SARS) when traveling abroad with her parents. The nurse knows she must put on personal protective equipment to protect herself while providing care. Based on the mode of SARS transmission, which personal protective equipment should the nurse wear?
A. Gloves
B. Gown and gloves
C. Gown, gloves, and mask
D. Gown, gloves, mask, and eye goggles or eye shield
Correct Answer: D. Gown, gloves, mask, and eye goggles or eye shield
The transmission of SARS isn’t fully understood. Therefore, all modes of transmission must be considered possible, including airborne, droplet, and direct contact with the virus. For protection from contracting SARS, any health care worker providing care for a client with SARS should wear a gown, gloves, mask, and eye goggles or an eye shield.
Option A: For level 1 or standard infection control precaution wherein there is no suspected or known infectious agent, disposable gloves and disposable apron may be used. If there is a danger or risk of spraying or splashing, eye and face protection should be considered.
Option B: Level 2 or direct/indirect contact precautions require the use of a disposable gown (which is fluid-resistant) and disposable gloves. This is used when there is a suspected or confirmed infectious agent spread by direct or indirect contact.
Option C: Level 2 droplet precautions occur when there is a suspected or confirmed infectious agent spread by droplet route/ Personal protective equipment should include a disposable gown which is fluid-resistant, disposable gloves, and fluid-resistant surgical face mask and goggles.