Gowns and eye protection are less frequently needed than gloves and masks — but critical when they are required. A splash of blood or body fluid into an unprotected eye can transmit hepatitis B, hepatitis C, and HIV.
Section 01
When Gowns Are Required
- Contact precautions: MRSA, C. diff, VRE — gown protects clothing/skin from contaminated surfaces and limits spread to other clients.
- High splash risk: Wound irrigation, bathing clients with large draining wounds, suctioning.
- Extensive body fluid exposure anticipated: Large amounts of blood or stool where clothing contamination is likely.
- Care plan specifies gown: If the plan says gown, there is a clinical reason — follow it.
Section 02
Gown Types
Isolation gown (non-sterile)
- Standard for contact precautions
- Protects clothing and arms
- Single use — remove and discard in client's room
- Inside is clean — outside contaminated after use
Fluid-resistant gown
- For high splash risk tasks
- Repels liquids rather than absorbing
- Required when significant splash anticipated
- Higher protection level than standard gown
Section 03
Eye Protection — When and Why
⚠ Eyes are a direct infection route
The conjunctiva is a direct entry point for bloodborne pathogens. Eye protection is required when there is risk of splash or spray to the face from blood, respiratory secretions during suctioning, or other body fluids during high-splash procedures.
Section 04
Types of Eye Protection
Safety goggles
Seal around the eyes — prevent splash entry from all directions. Required for high splash-risk procedures.
Face shield
Covers entire face — eyes, nose, and mouth. More comfortable for extended wear. Can be used in combination with a surgical mask.
Prescription glasses
Do NOT constitute adequate eye protection — open sides do not seal against splash. Must still wear goggles or face shield over prescription glasses.
Section 05
Home Care Practical Considerations
✓ Confirm supplies before contact-precaution visits
If a contact-precaution client's home does not have gowns: contact your supervisor before the visit. Gowns used in contact-precaution rooms must be disposed of within the room — not carried through the home. After removing a gown: hand hygiene immediately.
Knowledge Check
Lesson 3 Quiz
Question 1
A gown is required when caring for a client with confirmed MRSA wound infection because:
Question 2
Prescription eyeglasses do NOT constitute adequate eye protection because:
Question 3
Eye protection is required during wound irrigation because:
Question 4
A gown used for contact-precaution care must be removed:
Question 5
A face shield provides what advantage over safety goggles for home care procedures?