Which piece of PPE should be removed first when doffing?

When doffing personal protective equipment (PPE), the primary goal is to reduce the risk of contamination. The correct sequence for removing PPE is specifically designed to minimize the risk of pathogens being transferred from the equipment to the person removing it.

Removing shoe covers first, as indicated in the provided answer, is appropriate because they are likely to be contaminated from contact with surfaces in the procedure area. By taking off the shoe covers first, you limit the chance of transferring contaminants to other articles of clothing or the skin.

In contrast, gloves should be removed next to prevent contamination of the hands after touching potentially contaminated surfaces or items. Face masks and gowns are usually removed last to ensure the respiratory area and clothing are protected until the very end. This sequence is crucial for maintaining safety protocols in environments where contamination is a concern, especially in healthcare settings. This careful approach to doffing helps protect both the individual and the surrounding environment.