another precaution question

sayanora84 · Jul 10, 2009

Rsv ...becz its under contact isolation.

BabyLady, BSN, RN · Jul 13, 2009

jolie is correct...i think the answer in the book is wrong.

if you go to the cdc website, it clearly states that rsv is transmitted via droplet.

http://www.cdc.gov/rsv/about/transmission.html

if tb requires a respirator and influenza and rsv is droplet.

that is why i am back to the whooping cough as an answer because it appears in this situation, the person you are "protecting" is yourself.

so nothing more than gown and gloves would be necessary, if you were immune.

RNindmaking · Jul 13, 2009

RSV is contact & droplet. just like measles,it's droplet and airborn.

kgh31386, BSN, MSN, RN · Jul 13, 2009

TB is airborne..not really droplet. They get the whole negative pressure room and you have to have a personal mask that fits you(the N95). BUT...RSV may spread through droplets, yet it only really affects the little kids under age 3. I think most nurses would be over age 3, and the CDC also said IF it affected an adult, it would only be minor symptoms. The others would bring down an adult more severely I think. RSV is a bigger problem in children, the others can infect all ages, plus the RSV is listed under contact too...do we have a right answer from the source yet?

JustEnuff2BDangerous, BSN, RN · Jul 14, 2009

TB is definitely airborne - you need a negative pressure room, door shut at all times, and a respirator mask.

Influenza and pertussis are both droplet.

Process of elimination, I'd go with RSV - whenever I took my Kaplan practice tests I would select RSV as droplet precaution and would always get it wrong.

From the CDC: http://www.cdc.gov/ncidod/dhqp/pdf/guidelines/Isolation2007.pdf

Gloves are used to prevent contamination of healthcare personnel hands when 1) anticipating direct contact with blood or body fluids, mucous membranes, nonintact skin and other potentially infectious material; 2) having direct contact with patients who are colonized or infected with pathogens transmitted by the contact route e.g., VRE, MRSA, RSV 559, 727, 728; or 3) handling or touching visibly or potentially contaminated patient care equipment and environmental surfaces 72, 73, 559. (pg. 50) This implies contact precautions.

The role of goggles, in addition to a mask, in preventing exposure to infectious agents transmitted via respiratory droplets has been studied only for RSV. Reports published in the mid-1980s demonstrated that eye protection reduced occupational transmission of RSV 760, 761. Whether this was due to preventing hand-eye contact or respiratory droplet-eye contact has not been determined. However, subsequent studies demonstrated that RSV transmission is effectively prevented by adherence to Standard plus Contact Precations and that for this virus routine use of goggles is not necessary 24, 116, 117, 684, 762. (pg. 53)

In multi-patient rooms, >3 feet spatial separation between beds is advised to reduce the opportunities for inadvertent sharing of items between the infected/colonized patient and other patients. Healthcare personnel caring for patients on Contact Precautions wear a gown and gloves for all interactions that may involve contact with the patient or potentially contaminated areas in the patient’s environment. Donning PPE upon room entry and discarding before exiting the patient room is done to contain pathogens, especially those that have been implicated in transmission through environmental contamination (e.g., VRE, C.difficile, noroviruses and other intestinal tract pathogens; RSV) (pg. 70)

HOWEVER... It may be possible that on pediatric units, RSV is treated as droplet and contact because the patient population is more susceptible to RSV than an adult patient population would be.

KaiTT21 · Jul 14, 2009

I read that RSV in CONTACT PRECAUTIONS.