Isolation
Define first tier
Most important precautions
Applies to blood, body fluids, secretions, and excretions
Promote handwashing and PPE
Respiratory Hygiene etiquette
Most likely spot for staph on a stethoscope
Diaphragm and ear tips
Outside of container must be ? and lid ?
clean lid outside room
What is a protective patient and how do we handle them?
immunosuppressive state (stem cell transplants)
Privateroom with positive air flow, HEPA filtration, mask, gown, gloves
Describe 2nd tier
3 transmission categories for ptients with highly transmittable important pathogens
Label bag and specimen
Outside the unit
What should youdowith equipment in isolation rooms?
Keep to a minimum
Anything taken out must be disinfected, sterilize, burned, or bagged.
Airborne precautions: Size, 4 examples, barrier protection
Less than 5 micrometers
Mealses, chickenpox, varicella zoster, tuberculosis
Private room,negative pressure airflow mask or respiratory device, N95 for TB
How do you handle lab specimens
as if all patients are infectious and placein biohazard bags
What are some OSHA guidelines when it comes to TB isolation
protective devices with 95% efficiency and <10% face seal leakage patients must where masks outsideofroom
Droplet precautions: Size, 4 examples, barrier protection
Larger than 5 micrometers
influenza, adenovirus, group A strep, pertussis, rhinovirus, pertussis, diphtheria, pneumonic plague, rebella, mumps, respiratory syncytial virus
private room or cohort mask or respirator
What must be done with articles that can not be autoclaved or soaked in disinfectants
it should be washed or wiped off with disinfectant and aired for 12 hours
Contact precautions: Description, 4 examples, barrier protection
direct patient or environmental contact, colonization or infection with multiple drug resistant organisms
(VRE, MRSA, C. Diff) respiratory syncytial virus, shigella and other enteric pathogens, major wound infections, herpes simplex, scabies, varicella zoster
private room or cohert mask, gowns, and gloves- wear PPE applicable torisk
What should you do with your watch when taking vitals in a room with an infectious patient
protect by placing it on a clean paper towel or in a plastic bag...best to use wall clock