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Sustainable PPE: is it possible to protect the patient and the planet?

Holly Slyne1

  • 1Associate Director for Infection Prevention and Control, University Hospitals Northamptonshire.

British Journal of Nursing (Mark Allen Publishing)
|September 16, 2026
PubMed

Keywords:
GlovesPPEPersonal protective equipmentSustainability

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The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
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Airborne precautions:
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Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
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