"when we have people on contact precautions, the supplies are frequently stored in the patient room and there is no way to do that"
three choices: leave your gloves off and unwrap the stuff before you touch the patient or bedding, then scrub, then glove. the patient is the thing that's the contact precautions, not the objects in the room. if necessary, clarify that with your infection control nurse.
you can also keep some disposable suture removal scissors in the room for this purpose.
last, consider keeping the more-difficult-to-open things outside the room on the precautions cart or something else. this serves two purposes-- you can open them out there, and they won't get inadvertently contaminated in the room so they don't go to waste when the patient is gone.
The patient is the thing that's the contact precautions, not the objects in the room. If necessary, clarify that with your infection control nurse.
I honestly didn't know that. It will be interesting to bring this up. Lol. I'm a student and have had clinicals on two different wards. One had a lot of patients on contact precautions for MRSA, VRE, and varicella. I was told not to enter the room without gown/gloves already on. The other unit I was on was a burn unit and we gloved/gowned to protect the patients from infection. I thought it was kinda rediculous that I could take food/drink out of the galley with my bare hands but had to gown/glove before stepping in the room to put it on the patient's tray. Seems a little inconsistent. As far as leaving things in the hall, I think they leave them in the room to prevent having to ungown/glove get the item we're out of in the room and then regown/glove to return. Often it was moisture barrier cream which you didnt realize you were low on until you were in the middle of cleaning the patient. I suppose there is an element of preparation to that and I'm going to try to develop an awareness of that. Thanks!
the patient is the thing that's the contact precautions, not the objects in the room.
i'm going to respectfully disagree with this. surfaces and objects in the patient room can most certainly become contaminated with the pathogen, which is why contact precautions require you to glove up upon entering the room.
leaving a dedicated pair of scissors in the room for this purpose would be the most appropriate action. the scissors can be disposed of appropriately after the patient is discharged.
You can also leave a partially-opened (metal) paperclip in the room -- you can poke through the plastic with the tip of the paperclip. Once you get the tip through, you can then "unzip" the plastic by dragging the paperclip across the item.
I've used pens to open things, too -- pressing hard to make a "line" on the plastic will often score it enough to make it tear on the scored line.
"ppe for expanded precautions
• expanded precautions include:
– contact precautions
– droplet precautions
– airborne infection isolation
in some instances, healthcare personnel are required to wear ppe in addition to that recommended for standard precautions. the three expanded precaution categories (formerly called transmission-based precautions) where this applies are contact and droplet precautions and airborne infection isolation.
use of ppe for expanded precautions
• contact precautions – gown and gloves for contact with patient or environment of care (e.g., medical equipment, environmental surfaces)
• in some instances these are required for entering patient’s environment
• droplet precautions – surgical masks within 3 feet of patient
• airborne infection isolation – particulate respirator*
*negative pressure isolation room also required
contact precautions requires gloves and gown for contact with the patient and/or the environment of care; in some instances, use of this ppe is recommended for even entering the patient’s environment. droplet precautions requires the use of a surgical mask, and airborne infection isolation requires that only a respirator be worn.
source: cdc. guidance for the selection and use of personal protective equipment (ppe) in healthcare settings"