Certified Medical Assistant (CMA AAMA)Safety and Infection ControlHard
A medical assistant is cleaning an examination room after a patient with suspected norovirus. Which of the following types of personal protective equipment (PPE) is most appropriate to wear during the cleaning process?
- AUtility gloves, gown, and a face shield
- BN95 respirator and a surgical cap
- CExamination gloves and safety glasses
- DSterile gloves and a surgical mask
Show answer & explanationAnswer & explanation
Correct answer: A. Utility gloves, gown, and a face shield
Norovirus is highly contagious and spread via the fecal-oral route, often through vomit and diarrhea. Cleaning requires protection against splashes and contact, making utility gloves (for durability), a gown (for body protection), and a face shield (for eye/face splash protection) essential. Sterile gloves are not necessary for environmental cleaning.
Why the other options are wrong
- B. An N95 respirator is for airborne pathogens (like TB, measles), not typically required for norovirus, which is primarily spread by contact and droplets/fomites. A surgical cap offers minimal protection for this scenario.
- C. Examination gloves may not be durable enough for rigorous cleaning, and safety glasses alone might not offer adequate splash protection for the entire face from highly emetic materials.
- D. Sterile gloves are for sterile procedures, not environmental cleaning. A surgical mask might not provide sufficient splash protection for the eyes.
PPE for Norovirus Cleaning
When cleaning after a patient with norovirus, wear utility gloves for durability, a gown to protect clothing from splashes, and a face shield for full facial protection against vomit/feces.
- Norovirus is highly contagious.
- Spread via fecal-oral route, vomit/diarrhea.
- Requires robust splash and contact protection.
Memory trick: Utility, Gown, Face: Noro's Gross, Protect Your Space.