Why does the nurse avoid touching the outside of a gown when removing it as PPE?

The reason for avoiding contact with the outside of a gown when removing it as personal protective equipment (PPE) is primarily to prevent the transfer of contaminants to the nurse's hands. When removing PPE, particularly in a healthcare setting where exposure to infectious agents may occur, the exterior of the gown may be contaminated. Touching it with unprotected hands could lead to the spread of pathogens that could then be transmitted to surfaces, other patients, or oneself.

By ensuring that only the inside or clean parts of the gown are handled, the risk of contamination is minimized. This practice is a critical component of infection control and hygiene standards, reinforcing the idea that personal safety and environmental cleanliness must be maintained.