Airborne vs. Droplet Precautions Airborne vs. Droplet Precautions | allnurses

LEGAL NOTICE TO THE FOLLOWING ALLNURSES SUBSCRIBERS: Pixie.RN, JustBeachyNurse, monkeyhq, duskyjewel, and LadyFree28. An Order has been issued by the United States District Court for the District of Minnesota that affects you in the case EAST COAST TEST PREP LLC v. ALLNURSES.COM, INC. Click here for more information

Airborne vs. Droplet Precautions

  1. 1 HELP!!!!!!!!I'm having some trouble with these two types of precautions.

    -Do you wear mask, gown and gloves for both?

    -Is TB Droplet or Airborne?

    -Do you only have to wear goggles if there is a splash risk?

    -Does anyone know which type of precautions Rubella and Rubeola are? (airborne I think).

    -Whats the order in which you take off your PPE? (Gloves, gown, then mask?)

    Thank you so much! I don't have my text books with me right now, so I can't look anything up......
  2. 18 Comments

  3. Visit  begalli profile page
    #1 0
    TB is transmitted through airborne droplets. A special mask is worn usually an N95. These patients are in respiratory isolation and should be in a negative airflow room with the door shut.

    Rubella needs gown (rash) and mask as it can be transmitted both through contact and airborne droplets. Contact and respiratory isolation (I think).

    I always wear goggles if there is a splash risk for anything. But I don't think you necessarily need to wear goggles if you are just in the room giving rountine care.
    Last edit by begalli on Feb 16, '05
  4. Visit  50 Cent profile page
    #2 2
    rubella is droplet. tb is airborne.
    Last edit by 50 Cent on Feb 16, '05
  5. Visit  jaimealmostRN profile page
    #3 0
    Thank you. I'm studying for NCLEX and I only have those texts with me and am sooo confused. This helps a lot. Thanks again.
  6. Visit  begalli profile page
    #4 0
    Sorry if I managed to confuse things. I'm under the impression that airborne "droplets" is what makes something aquirable via the air.

    I'll be quiet now. :imbar
  7. Visit  KRVRN profile page
    #5 0
    When removing PPE, you are supposed to remove gloves first and then wash your hands. After that, you put on clean gloves to remove the rest. I don't know the official sequence after that, but I would think that the mask/eye coverings would be next, with the gown last. Then wash your hands again.

    Another thing to remember (for testing purposes) is that you don't necessarily need gloves or gown for airborne (not sure about droplet...) precautions unless it would be otherwise warranted per universal precautions.
  8. Visit  missrn2u profile page
    #6 1
    when removing PPE you remove the gown with the gloves next, wrapped inside the gown and the gown inside out. Finally you remove the eyewear, with a new set of gloves if they are contaminated.

    TB is airborne, although when I was in nursing school we were taught it was large droplet. I would refer to the CDC website if you want the most up to date information on infectious disease.
    Last edit by missrn2u on Apr 2, '06
  9. Visit  SuesquatchRN profile page
    #7 3
    Quote from begalli
    Sorry if I managed to confuse things. I'm under the impression that airborne "droplets" is what makes something aquirable via the air.

    I'll be quiet now. :imbar
    Droplets are too big to just waft through the air. They'll shoot from the nose and mouth, yeah, but then they land on the patient.

    I would certainly wear all of the PPE when dealing with a TB patient. So I'm leaning over and he coughs in my face. Doesn't matter then that it's droplet and not airnorne.

  10. Visit  RedSox33RN profile page
    #8 1
    Quote from Suesquatch
    Droplets are too big to just waft through the air. They'll shoot from the nose and mouth, yeah, but then they land on the patient.
    That is what we are taught - that droplets land within 3 feet of the pt nose and mouth. Airborne will carry much further.
  11. Visit  sweetjellies1 profile page
    #9 0
    what precaution is german measels? why is it so hard to remember these? wht bout pediculosis? i would think it is contact precaution? i dont know. pl help.
    Last edit by sweetjellies1 on May 10, '10
  12. Visit  LouisVRN profile page
    #10 0
    Lice is contact only.

    I don't know about the order to correctly remove PPE, I always double glove in any kind of contact room, remove gloves, remove gown with second set of gloves, then faceshield, mask.
  13. Visit  brownbook profile page
    #11 0
    I am a bear of little brain! I don't even attempt to memorize or guess any precautions. Any medical/nursing facility should have an infection control manual. Plus there should be a lot of copies, even laminated ones, of the precautions and which disease they are for, these can then be posted on the patients door. As for answering questions on NCLEX, yikes, good luck!
  14. Visit  gibson0726 profile page
    #12 6
    this is all you ever need to know for the nclex. i found it somewhere here on allnurses, but don't know who originally posted it.

    airborne precaution

    my - measles
    chicken - chickenpox
    hez - herpes zoster (disseminated)
    tb - tb

    private room
    negative pressure with 6-12 air exchanges per hour
    n95 mask for tb

    droplet precaution
    think of spiderman!
    s - sepsis
    s - scarlet fever
    s - streptococcal pharyngitis
    p - parvovirus b19
    p - pertussis
    p - pneumonia
    i - influenza
    d - diptheria (pharyngeal)
    e - epiglottitis
    r - rubella
    m - mumps
    m - meningitis
    m - mycoplasma or meningeal pneumonia
    an - adenovirus

    private room

    contact precaution
    m - multidrug resistant organism
    r - respiratory infection - rsv
    s - skin infections
    w - wound infections
    e - enteric infections - clostridium defficile
    e - eye infections

    skin infections:
    v - varicella zoster
    c - cutaneous diptheria
    h - herpes simplex
    i - impetigo
    p - pediculosis
    s - scabies, staphylococcus

    private room