infection control help!!!

[jlynn167]

If a pt is on airborne precautions , and we have to transport that pt....what precautions are we taking??????

[hm1987]

Standard Precautions: These are the safety measures that should be taken with all patients.

1. wash your hands (*Most important step in infection control, prevents nosocomial infections)

2. DON gloves (before coming in contact with anything wet, i.e. broken skin, mucous membranes, blood, body fluids, soiled instruments, contaminated waste materials.

3. wash hands again upon removal of gloves and between patients

Contact Precautions:

Before entering:

1.wash hands

2. DON gown then gloves

Upon entering:

1. use disposable equipment when possible

2. when not available clean and disinfect all equipment before removing from room

Transporting patient:

1. PT should perform hand hygeine and wear a clean gown

2. For direct contact with pt, nurse or care provider should wear a gown and gloves.

3. Notify receiving area

Before leaving the patient's room:

1. Remove gloves then gown

2. Wash hands

Contact Precautions Microorganisms:

1. Antibiotic Resistant Organisms (Methicillin resistant Staphylococcus aureu (MRSA), Extended spectrum beta-lactamase (ESBL), Penicillin resistant Streptococcus pneumoniae (PRSP), Multi-drug resistant Pseudomonas aeruginosa (MDRP))

2. Scabies

3. Herpes Zoster (Shingles) localized

4. Diarrhea, Clostrididum difficile

Airborne Contact Precautions:

Before entering:

1.Wash hands

2. Don N95 Respirator (Mask)

3. Don gown then gloves

*Negative Pressure Isolation Room KEEP DOOR CLOSED

Transporting patient:

1. Patient must wear a surgical or procedure mask and a clean gown

2. Patient must wash hands

3. For direct contact with pt, nurse or care provider should wear a gown and gloves.

4. Notify receiving area

Before leaving pt's room:

1. Remove gloves then gown NOT N95 mask

2. Wash hands

After leaving pt's room:

1. Shut door

2. Wash hands

3. Remove N95 mask

4. Wash hands

Airborne Contact Precautions Microorganisms:

1. Measles (Rubeola)

2. Tuberculosis (TB)

3. Chicken Pox (Varicella-Zoster virus)

4. Herpes Zoster (Shingles) disseminated

Droplet Contact Precautions:

Before Entering:

1. Wash Hands

2. DON Mask and Eye Protection

3. DON Gown then Gloves

Patient Transport:

1. Pt must perform hand hygeine

2. Pt must wear a surgical or procedure mask and clean gown

3. For direct contact with pt, nurse or care provider should wear a gown and gloves.

4. Notify receiving area

Before Leaving Pt's Room:

1. Remove gloves then gown

2. Wash Hands

3. Remove eye protection and mask

4. Wash Hands

Droplet Contact Precautions Microorganisms:

1. Influenza (Flu)

2. Viral Respiratory tract infections (adenovirus, parainfluenza, rhinovirus, RSV)

3. Streptococcus group A pharyngitis, pneumonia, scarlet fever

4. Neisseria meningitidis invasive infections

5. H. Influenzae type b invasive infections

6. Pertussis

7. Rubella

8. Mumps

Good luck :)

[ICUNurseStat]

Our policy just requires that the patient wear a standard surgical mask during transport. Whomever is transporting the patient does not wear a mask, just practices good hand hygiene. The patient, of course, should only be transported if absolutely necessary.

[jlynn167]

They dont have to wear a gown do they??

[jlynn167]

it said above they have to wear a gown...can anyone clarify this???

[JustBeachyNurse, LPN]

Gown is for staff entering room. Staff in room is staff gown, mask (respirator) gloves

Patient whatever on

Before transport; patient new clean hospital gown, patient wash hands, patient wears clean dry surgical mask

Staff remove gown mask gloves. Wash hands and new gloves for transport. If going to touch/contact patient may need clean isolation gown for transport

[RN403, BSN, RN]

"Transporting patient:

1. Patient must wear a surgical or procedure mask and a clean gown

2. Patient must wash hands

3. For direct contact with pt, nurse or care provider should wear a gown and gloves.

4. Notify receiving area''

By a clean gown I believe they are referring to the patient's gown, meaning, that you should get the patient a new & clean gown from the linen cart for them to wear prior to transport rather than the gown they have been wearing in the room all day.

Like a PP stated, they must be transported with a surgical mask and only when absolutely necessary.

[yedwards42, BSN, MSN]

Tysm for extra details on isolation precautions. Could someone confirm whether the "door is open" vs. "closed". I know for airborne, it's "closed" though I believe I saw for droplet it's "open" and then for contact*I thought * it was "open". Then I saw somewhere (I think CDC or some website) that for contact the door is to be "closed". Especially, for MRSA. Also, on NCLEX when they speak of possibly "cohorting two patients in the same room" would this be for contact and possibly droplet (if a private room wasn't available) if the patients had the same/similar infection in that class (i.e. in contact category for example one patient scabies and the other with impetigo or RSV and croup patients)?

Tysm for confirming additional details - want to ensure I have this down pat! :)

[JustBeachyNurse, LPN]

What is tysm?

Cohorting is usually by diagnosis not isolation type. RSV + RSV not RSV + chicken pox or measles.

Definitely not impetigo (bacterial infection) and scabies/lice/bedbugs or any other mite infestation.

Door closed is an absolute necessity for negative pressure rooms. If not closed the negative pressure is lost. Others it's relative

[LadyFree28, BSN, LPN, RN]

What is tysm?

Thank you so much?

[JustBeachyNurse, LPN]

Thank you so much?

Ok. I was thinking Tyson as in chicken as my kiddo is bugging me for lunch.

[yedwards42, BSN, MSN]

I appreciate your extra information! Yes, tysm is thank you so much. :)