What is the proper doffing sequence for PPE in the surgical setting?

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Doffing in the correct order is all about preventing self-contamination by removing the most contaminated items first and protecting the face and mucous membranes as you finish. Start with the outer gloves, since their exterior is most likely contaminated from patient or environment contact. Once those are off, peel away the gown, turning away from the body to avoid brushing contaminants onto skin or clothes. Next, take off eye protection or the face shield to prevent splashes or front-surface contamination from reaching the eyes during the remaining steps. Remove the mask last, handling it by the straps or ties so the contaminated front doesn’t touch your hands or face. Finally, perform hand hygiene as indicated to remove any residual pathogens on hands. Other sequences can increase the risk of transferring contaminants to the face, eyes, or mucous membranes.