Infection Control: Precautions and PPE

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Questions and Answers

What are contact precautions?

  • Precautions to prevent infections spread by contact with skin or body fluids. (correct)
  • Precautions taken during surgery.
  • Precautions for handling food.
  • Precautions involving only hand hygiene.

List infections that require contact precautions.

Salmonella, scabies, shigella, pressure ulcers.

What additional actions should nurses take for patients on contact precautions?

  • No additional actions are necessary.
  • Wear a gown and gloves upon room entry. (correct)
  • Wear a surgical mask.
  • Only use disposable equipment.

When are special contact precautions needed?

<p>When organisms likely to have spores, like Clostridium difficile, are present.</p> Signup and view all the answers

What are droplet precautions used for?

<p>To prevent infections spread through close respiratory contact. (B)</p> Signup and view all the answers

Name some infections that require droplet precautions.

<p>Influenza, N. Meningitidis, pertussis, rhinovirus.</p> Signup and view all the answers

What must be done when entering the room of a patient on droplet precautions?

<p>Wear a mask. (A)</p> Signup and view all the answers

What are airborne precautions used for?

<p>Infections that can be spread over long distances through the air. (D)</p> Signup and view all the answers

List infections that require airborne precautions.

<p>Chickenpox, measles, tuberculosis.</p> Signup and view all the answers

What should be worn prior to entering the room of a patient on airborne precautions?

<p>A mask or respirator. (C)</p> Signup and view all the answers

What is the proper order for donning Personal Protective Equipment (PPE)?

<p>Gown, mask, goggles, gloves.</p> Signup and view all the answers

What is the correct order for removing Personal Protective Equipment (PPE)?

<p>Gloves, goggles, gown, mask.</p> Signup and view all the answers

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Study Notes

Contact Precautions

  • Implemented for infections spread by direct contact with skin, mucous membranes, or bodily fluids.
  • Requires isolation of patients with infections like salmonella, scabies, shigella, and pressure ulcers.
  • Measures include wearing gowns and gloves upon patient entry and using dedicated noncritical care equipment.

Special Contact Precautions

  • Necessary for organisms with spores (e.g., Clostridium difficile) and ongoing transmission diseases (e.g., Norovirus).
  • Emphasize thorough hand hygiene with soap and water and environmental cleaning using bleach solutions.

Droplet Precautions

  • Used for infections transmitted through respiratory or mucous membrane contact with respiratory secretions.
  • Conditions include influenza, Neisseria meningitidis (a meningitis causative agent), pertussis (whooping cough), and rhinovirus (common cold).
  • Masks should be worn prior to entering the patient's room, preferably in single patient rooms to avoid cross-contamination.

Airborne Precautions

  • Required for diseases that can travel long distances when airborne, necessitating special respiratory protection and ventilation.
  • Infections include chickenpox, measles, and tuberculosis.
  • Patients should be placed in airborne infection isolation rooms (AII), designed with specific ventilation to prevent cross-contamination.

Airborne Infection Isolation Room (AII)

  • Features negative pressure ventilation; shares no air with general hospital systems.
  • Must vent air outside at least three to six feet above the highest roofline to dilute pathogens.
  • Air exchange rate should be 6-12 times per hour for effective ventilation.

Personal Protective Equipment (PPE) Donning and Doffing

  • Don PPE before entering the patient’s room: gown, mask, goggles, and gloves.
  • Doffing should occur inside the room, except for the mask, to prevent inhaling pathogens.
  • Sequence for removing PPE: gloves, goggles, gown, mask.

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