****I am taking CNA classes right now and real world or not the reason why you take your gloves off before your gown is because your gloves go OVER the cuff of the gown so the cuff is not soiled and you cannot take your gown off first without getting the gloves off the cuff. Otherwise you will contaminate your hands and wrists and arms or anything else in the process. Once you remove the gloves you remove the gown by sliding your fingers in the cuff and pull your hand through the sleeve like you would your glove. Using the hand inside the sleeve you pull the cuff on the other hand out to slide your hand out of the other sleeve. You then begin to roll the gown into itself by only touching the part of the gown that was against your body. The gown is supposed to be fluid resistant which is why by only touching the clean cuffs and the inside of the gown you will not be soiled/contaminated. Also the back is always considered clean so before you remove the gown you untie the back and pull it forward(slide your fingers inside the neckline from the back down to the front. Always use proper handwashing procedures in between all tasks. I would follow the CDC or your state regulations. But handwashing is the most important. I'm pretty certain when in full LPW yiu wash your hands between the removal of every piece. I'll double check. Hope this helps!