What is the correct order of removal for most PPE?

• A. Gown, mask, gloves, goggles
• B. Gloves, goggles, gown, mask
• C. Goggles, gloves, mask, gown
• D. Gloves, gown, goggles, mask

Answer: (B)

The main idea is to remove contaminated PPE in a sequence that minimizes self‑contamination and keeps the face and mucous membranes away from exposure as you go.

Start with the gloves because they are most likely contaminated from direct contact with the patient and surfaces. Removing them first prevents transferring contaminants to the rest of the gear.

Next, take off eye protection. Goggles are worn to shield the eyes from splashes, so removing them after the gloves reduces the chance of touching contaminated surfaces near the face and then touching the eyes. It also helps prevent droplet exposure from reaching the eyes during removal.

Then remove the gown. The gown’s outer surface is contaminated, so doffing it after eye protection helps contain any contaminants and prevents them from reaching clean clothing or skin.

Finally, remove the mask last. The mask protects the nose and mouth, so taking it off at the end minimizes the risk of touching contaminated surfaces near the airway and bringing contaminants toward your face.

After completing the sequence, perform hand hygiene to ensure any remaining contaminants are removed.