Precautions

by taramisurn

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Precautions; important for obvious reasons. There are four different types of precautions.

-Standard, Contact, Droplet, and Airborn

I’ve been told that the nclex expects for you to use the precautions necessary without “over-doing it.”  Because of this it is important to be familiar with the precautions needed for which infection you are trying to control. Here are the specifics:

 

Standard Precaution:

Standard precautions are the minimum infection prevention practices that apply to ALL patient care, regardless of suspected or confirmed infection status of the patient, in any setting where healthcare is delivered. Standard precautions include:

-Hand hygiene

-use of personal protective equipment (gloves, gown, mask)

-safe injection practices

-safe handling of potentially contaminated equipment or surfaces

– respiratory/cough etiquette

  • Kawasaki Disease
  • Lyme Disease
  • Mononucleosis 
  • Cutaneous anthrax
  • Bacterial gastroenteritis (unless incontinent)
  • Hepatitis A (unless incontinent)
  • Toxic Shock
  • PCP-  Pneumocystis carinii pneumonia
  • Haemophilius influenza pneumonia 
  • Localized herpes zoster
  • Gullian-Barre syndrome
  • URI
  • Cytomegalovirus 
  • Cystic Fibrosis
  • Tonsillitis 
  • Bronchitis 

 

Contact Precautions:

PPE use:

Wear gloves when touching the patient and the patient’s immediate environment or belongings;

-Wear a gown if substantial contact with the patient or their environment is anticipated

  • RSV
  • Scabies
  • S. Aureus
  • Croup
  • Group A strep
  • Stool Salmonella in Infant
  • Cellulitis/Group A strep or staph
  • Chicken Pox

 

Droplet Precaution:

PPE use:

-Wear a facemask, such as a procedure or surgical mask, for close contact with the patient;

-the facemask should be donned upon entering the exam room

-If substantial spraying of respiratory fluids is anticipated, gloves and gown as well as goggles (or face shield in place of goggles) should be worn

  • Influenza
  • Meningitis meningococcal 
  • Haemophilius influenza meningitis 
  • German Measles (RUBELLA)
  • Pertussis 
  • Diphtheria 
  • Scarlet fever (2-4 days)
  • Mumps
  • Neisseria Meningitis 

 

Airborne Precaution:

PPE use:

-Wear a fit-tested N-95 or higher level disposable respirator

-the respirator should be donned prior to room entry and removed after exiting room

-If substantial spraying of respiratory fluids is anticipated, gloves and gown as well as goggles or face shield should be worn

  • Disseminated Herpes
  • Tuberculosis 
  • Rubeola
  • Chicken Pox

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