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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.
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.
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. http://www.cdc.gov/ncidod/dhqp/gl_isolation_airborne.html
begalli said: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.
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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!
jaimealmostRN
491 Posts
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......