Infection control question

[DYX93]

So I'm reviewing infection control section for NCLEX, and I had one thing that can't be found on internet.

Does anyone know which specific precaution needs nurses to use the stethoscope which dedicated for that patient only and stays in that room until discharge?

Thanks for the help!

[JustBeachyNurse, LPN]

Contact. Airborne. Droplet. Generally it's disposable and discarded upon discharge or transfer.

The CDC has great resources for best practice in isolation.

[gavi91]

Depends on the ?

But I would look for the clean answers

Like clean the buds and wipe all and the diaphragm even if it is the same pt

[JustBeachyNurse, LPN]

Depends on the ?

But I would look for the clean answers

Like clean the buds and wipe all and the diaphragm even if it is the same pt

Airborne precautions mandate use of dedicated disposable equipment.

You don't clean dedicated equipment. The dedicated equipment stays with the patient as long as they are in the facility. Generally the thermometer, stethoscope, etc are considered "disposable" and discarded with the contaminated waste due to the isolation precautions. When it comes to isolation and dedicated equipment cleaning the ear pieces & diaphragm would be wrong as it defeats the purpose of dedicated equipment

for a patient under isolation.

[DYX93]

I don't know why but I saw this

• Ensure blood pressure cuff and stethoscope are cleaned and disinfected between patients
  
  

But you said "Airborne precautions mandate use of dedicated disposable equipment."

Do you mean other two specific precautions are not mandate use of dedicated equipment?

[JustBeachyNurse, LPN]

I don't know why but I saw this

• Ensure blood pressure cuff and stethoscope are cleaned and disinfected between patients
  
  

But you said "Airborne precautions mandate use of dedicated disposable equipment."

Do you mean other two specific precautions are not mandate use of dedicated equipment?

Airborne must be dedicated & disposable but for droplet or contact precautions equipment that can be disinfected may be used. (Not all equipment can be disinfected such as cloth BP cuffs and certain thermometers) check the CDC. website. The equipment would be dedicated during patient stay then disinfected after discharge or contact/droplet precautions discontinued.

In reality most facilities use dedicated & disposable for all three main isolation precautions.

[Cannary22, BSN]

Yes, every client should be treated under standard precaution and should use dedicated equipment or clean to avoid organism transmission, but the most patient who needs dedicated equipment is the client under contact precaution. What I understand about this precaution is that you will get contaminated even by touching what patient used for the hospital stay such as linens, bed, medical equipment, etc.. You also have to hand wash before and after caring for the patient, gloves are removed before going out the room, including gown if you used one or any other PPE that had direct contact to the patient or bodily fluid contamination. I don't think we need mask but gloves is a must. Airborne precaution is via air transmittion with small nuclei.

Droplet precaution is via air with in

Hope it helps, please correct me if I'm wrong with my info. Thanks.

[JustBeachyNurse, LPN]

Yes, every client should be treated under standard precaution and should use dedicated equipment or clean to avoid organism transmission, but the most patient who needs dedicated equipment is the client under contact precaution. What I understand about this precaution is that you will get contaminated even by touching what patient used for the hospital stay such as linens, bed, medical equipment, etc.. You also have to hand wash before and after caring for the patient, gloves are removed before going out the room, including gown if you used one or any other PPE that had direct contact to the patient or bodily fluid contamination. I don't think we need mask but gloves is a must. Airborne precaution is via air transmittion with small nuclei.

Droplet precaution is via air with

Close but airborne is negative pressure not droplet. Contact is surface.

CDC mandates dedicated disposable for airborne only. Airborne is negative pressure room not droplet. Airborne is varicella, tuberculosis etc.

Transmission-Based Precautions | Infection Control and Prevention Plan for Outpatient Oncology Settings | HAI | CDC

CDC - 2007 Isolation Precautions:Part 4 - HICPAC

[Cannary22, BSN]

That's what I mentioned from my previous post (airborne mingles in the air that's why we use negative pressure room) Thanks for the link though, I'll check it out.