by niculove

Hi Everyone,

I test on Wednesday and I think I am getting myself confused. I have memorized the Chicken TB, Spiderman, MrsWee and VCHIIP, but have questions regarding what to or not to wear...

For Airborne can the nurse just wear the mask (N95 for TB) or does the nurse need to don the whole outfit? I know that the door needs to be closed and - pressure room with 6-12 changes/hr.

For Droplet, is it all...mask, gown, gloves, eye protection? I know door can be open and visitors must have 3ft b/w pt and themselves.

For Contact, is it gown and gloves? Door can be open, but what else?

I feel like I knew this yesterday and now I am getting confused. HELP!

Oh, one more question...I know that each state is different regarding if an LPN/LVN can give IV meds, on NCLEX is it always no? I just don't want to assign an LPN/LVN a pt needing IV meds if it is a no no on NCLEX.

I feel so stupid today ...hope my brain is back by Wednesday!

Thanks for your help.

Re: Contact Precautions...

CONTACT PRECAUTION

Private room: if possible or cohort if private room is not available.

Gloves: when entering the pt room and remove before exit the pt room. change gloves after having contact with infective material that may contain high concentration of microorganism or fecal material or wound drainage.

Hand washing: wash hands after removing gloves and before leaving the room.

Gown: when entering the pt room, if anticipating that clothing will have contact with the pt such as incontinence, diarrhea, ileostomy, colostomy and wound drainage

Pt transport: ensure precautions are maintained to reduce risk of transmission

Equipment: single, but if common equipment is used, clean and disinfect between pt.

DROPLET PRECAUTION

Pt placement: private room, cohort or maintain spatial separation of 3 feet from other pt or visitor. Cohort if private room is not available.

Mask: wear mask when working w/i 3 ft of a pt or upon entering the room

Pt transport- limit transport of pt to essential purpose only. Use surgical mask on the pt during transport.

AIRBORNE PRECAUTION

Pt placement: private room with negative air pressure with 6-12 air change/ hr. Discharge of air outdoors or hepa filtration. If air is recirculated, keep room door closed and pt in the room.

Respiratory protection: wear N95 respirator when entering the room of a pt with known or suspected person with infection such as pulmonary TB. Also suspected pt should not enter the room of a pt with known or suspected of having measles (rubeola), varicella (chickenpox). If suspected pt must enter, the pt must wear N95 respirator.
Respirator or surgical mask is not required if immune to measles and varicella.

Pt transport: limit transport of pt from to essential purpose only. Use surgical mask on pt during transport .

Re: Contact Precautions...

Relax! your doing good. yeah, your right IV meds is a BIG NO, NO, in NCLEX!!!!

Re: Contact Precautions...

Thank you soooo much for your help!!!!! I can't tell you how much I appreciate it :-) 70 hours till test time!!!!!

I am printing this out and memorizing right now!!! Thank you again.

Re: Contact Precautions...

Good luck!! I test tomorrow!

Re: Contact Precautions...

Good Luck NewAggieGrad09!!! You will do great!