Implementing Precautions

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The flashcards below were created by user wasdo on FreezingBlue Flashcards.


  1. airborne precautions
    • Used with pathogens smaller than 5 microns that are transmitted by airborne route; droplets or dust particles that remain suspended in the air
    • Private room with monitored negative air pressure with 6–12 air changes per hour (airborne infection isolation room)
    • Keep door closed and client in room; susceptible persons should not enter room or wear N-95 HEPA filter
    • Can cohort or place client with another client with the same organism, but no other organism
    • Private room is the best situation
    • Place mask on client if being transported
    • Tuberculosis—wear fit-test respirator mask
    • Example of disease in category: measles (rubeola), M. tuberculosis, varicella (chicken pox), disseminated zoster (shingles)
  2. droplet precautions
    • Used with pathogens transmitted by infectious droplets; droplets larger than 5 microns
    • Involves contact of conjunctiva or mucous membranes of nose or mouth; happens during coughing, sneezing, talking, or during
    • procedures such as suctioning or bronchoscopy
    • Private room or with client with same infection but no other infection; wear mask if in close contact
    • Maintain spatial separation of three feet between infected client and visitors or other clients; visitors wear mask if less than three feet
    • Door may remain open
    • Place mask on client if being transported
    • Examples of disease in category: diphtheria, Group A streptococcus pneumonia, pneumonia or meningitis caused by N. meningitidis or H. influenzae Type B, Rubella, mumps, pertussis
  3. contact precautions
    • Needed with client care activities that require physical skin-to skin contact (e.g., turn clients, bathe clients), or occurs between
    • two clients (e.g., hand contact), or occurs by contact with contaminated inanimate objects in client’s environment
    • Private room or with client with same infection but no other infection
    • Clean, non-sterile gloves for client contact or contact with potentially contaminated areas
    • Change gloves after client contact with fecal material or wound drainage
    • Remove gloves before leaving client’s environment and wash hands with antimicrobial agent
    • Wear gown when entering room if clothing will have contact with client, environment surfaces, or if client is incontinent, has
    • diarrhea, an ileostomy, colostomy, or wound drainage
    • Remove PPE (gown) before leaving room
    • Use dedicated equipment or clean and disinfect between clients
    • Example of diseases in category: infection caused by multidrugresistant organisms (e.g., MRSA and vancomycin-resistant organisms), herpes simplex, herpes zoster, clostridium difficile, respiratory syncytial virus, pediculosis, scabies, rotavirus, hepatitis type A
  4. neutropenia precautions
    • no fresh fruits or salads
    • no fresh flowers
    • no uncooked veggies
  5. standard precautions
    • hand-washing
    • gloving up; changing gloves between tasks
    • using PPE if task involves splashes or sprays of blood, mucous, etc.

Card Set Information

Author:
wasdo
ID:
332124
Filename:
Implementing Precautions
Updated:
2017-06-09 21:13:50
Tags:
safety infection control NC
Folders:
NCLEX
Description:
different types of precautions and indications
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