Infectious Disease & PPE PDF

INFECTIOUS DISEASE & TRANSMISSION BASED PRECAUTIONS 4 types... STANDARD/UNIVERSAL: CONTACT: For anything enteric (fecal/oral, caught from intestines), C. diff,cholera, shigellosis, rotavirus, distentary Herpes Hepatitis A Any staph infections (MRSA) RSV (however it is tran...

INFECTIOUS DISEASE & TRANSMISSION BASED PRECAUTIONS 4 types... STANDARD/UNIVERSAL: CONTACT: For anything enteric (fecal/oral, caught from intestines), C. diff,cholera, shigellosis, rotavirus, distentary Herpes Hepatitis A Any staph infections (MRSA) RSV (however it is transmitted via droplet), PRIVATE ROOM IS PREFERRED (same disease can be put in the same room; if suspected do not put them in the same room > have to be cultured first).. GLOVES, GOWN, HAND WASHING, DISPOSABLE SUPPLIES, DEDICATED EQUIPMENT DROPLET: All viruses (bugs that travel 3 feet on large particles) Meningitis All Influenzas (DTaP, Pertussis, Hib, Mumps) PRIVATE ROOM IS PREFERRED, MASK, GLOVES, HAND WASHING, PATIENT WEARING MASK - WHEN LEAVING ROOM, DISPOSABLE SUPPLIES AIRBORNE: Measles TB (transmitted via droplet) Chicken pox (Varicella) SARS (Severe acute respiratory system) PRIVATE ROOM REQUIRED, MASK, GLOVES, HAND WASHING, SPECIAL FILTER MASK (only for TB; N95), PATIENT WEARING MASK - IF LEAVING ROOM, NEGATIVE AIR FLOW **NCLEX TIP: PPE: Unless otherwise specified, assume that PPE includes gown, goggles, mask and gloves The proper place for putting on (donning) PPE is outside the room The proper order for donning PPE is: ○ Put on gown ○ Put on mask ○ Put on goggles ○ Put on gloves The proper place for removing (doffing) PPE is inside the room The proper order for removing PPE is: ○ Gloves  ○ Goggles ○ Gown ○ Mask → need to take mask off outside so you don’t breath in contaminated air In airborne precautions only, the mask is removed outside of the room Hand Washing and Gloving Handwashing Scrubbing Position Hands below elbows Elbows below hands Length Seconds Minutes Handles Yes, sink with handles No, sink with handles When Upon entry and leaving room, before and after When patient is immunosuppressed for any gloving, when hands are visibly soiled reason Use Soap and water Something with chloro in it Use an Alcohol-Based Solution: On entering or leaving a room Before putting on gloves, after taking off gloves Cannot → after soiled hands What about after using the restroom? → must use soap and water Dry from cleanest (hand) to dirtiest (elbow) Turn water off with a new paper towel Sterile Gloving Glove dominant hand first Grasp outside of cuff Touch only the inside of glove surface Do not roll cuff Fingers inside of second glove cuff Keep thumb abducted back Only touch outside surface of glove Skin touches inside of glove Outside of glove only touches out side of glove Remove glove to glove, skin to skin