Question of PracticeClinical Challenges in Isolation CareBeam, Elizabeth PhD, RN; Gibbs, Shawn G. PhD, MBA; Hewlett, Angela L. MD; Iwen, Peter C. PhD; Nuss, Suzanne L. PhD, RN; Smith, Philip W. MD Author Information Elizabeth Beam is project coordinator of the Programs of Excellence Biopreparedness Grant, University of Nebraska Medical Center (UNMC) College of Nursing, Omaha. Shawn G. Gibbs is a professor at the UNMC College of Public Health. Angela L. Hewlett is an assistant professor, Peter C. Iwen is a professor, and Philip W. Smith is a professor at the UNMC College of Medicine. Suzanne L. Nuss is director of care transitions and nursing outcomes, the Nebraska Medical Center, Omaha. Contact author: Shawn G. Gibbs, [email protected]. The authors have disclosed no potential conflicts of interest, financial or otherwise. AJN, American Journal of Nursing: April 2015 - Volume 115 - Issue 4 - p 44-49 doi: 10.1097/01.NAJ.0000463027.27141.32 Buy Metrics AbstractIn Brief Overview In 2014, the authors published the results of a study investigating nurses’ use of personal protective equipment (PPE) in the care of a live simulated patient requiring contact and airborne precautions. The 24 participants were video-recorded as they donned and doffed PPE. Variations in practices that had the potential to cause contamination were noted. In this article, the authors comment on those variations, analyzing each element of proper PPE protocols and examining why the behaviors are a safety concern for the nurse and a potential risk for disease transmission in the hospital or other clinical area. The authors note that making use of reflective practice for complicated care situations such as infection control may help nurses improve decision making in isolation care. The authors discuss the results of their earlier study investigating nurses’ use of personal protective equipment in the care of patients requiring contact and airborne precautions. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.