Infection Control

I am week in this area too youcan. What I am going to do is really study the mnuenomics on the AN studyguide and pull out my med-surg book and read the Care of patients with infections chapter that goes into the different precautions in detail. There was also a link on here I am going to try to find that was really helpful to me. I will post it here when I find it. TTYL!!

When i took my test, i had a bunch of questions in Safety and Infection control!I knew it was my weakness,that's why i'm having an extra time on these topics!=)God Bless us!

The biggest things the NCLEX will ask in regard to infection control is:

1. What level of precautions are appropriate for which conditions?

2. Maintaining sterile technique

3. Proper application/removal of PPE

4. Ways to properly clean contaminated equipment, patients and yourself.

5. Patient teaching regarding preventing infection after discharge

6. Neutropenic precautions

7. Common modes of infection transmission specific to the disease in question and ways to prevent that transmission.

AIRBORNE PRECAUTION:

Private room with closed door

negative pressure room/ 6-12 exchange/hr

PPE: N95, Hepa Filter

DSE: (Remember MTV Hz)

Measle

TB/ TB suspect

Varicella

Herpes Zoster

SARS

DROPLET PRECAUTION:

>5 microns

Private room

YES to cohort, 3ft separation

PPE: Surgical Mask

DSE: (Remember "Dropletism")

Diptheria

Rubella

Oral Pharyngitis

Pertussis/ Pneumonia

Legionnaire's Disease

Erythema infectiosum (5th disease) -contagious when no rash

Tonsilitis

Influenza

Scarlet Fever

Mumps/ Meningitis

CONTACT PRECAUTION:

Private room

YES to cohort, 3ft separation

Secretions: skin wounds, eyes, nose, ears

Patient has own BP/Stet equipment

PPE: Gloves and Gown

DSE: RSV, MRSA, VRSA, VRE, CDAD, STD, Conjunctivitis, Impetigo

ENTERIC PRECAUTION:

Private room with bathroom facility

YES to cohort

PPE: Gloves and Gown

DSE: Hep A, Shigella, Salmonella, Norwalk virus (improper/ contaminated food)

Crytosporidiosis, Gardiasis (common in day care/ children)

NEUTROPENIC PRECAUTION:

Private room

PPE: Mask

DSE: Chemo/ Cancer patients, AIDS/HIV, Major burns/ surgery,

SLE, Transplant patient taking 4C's (Cellcept, Corticoidsteroids, Cytoxan, Cyclosporin)

Thanks seems everyone on the same page, need to brush up on this important topic.

Definitely!!

Remember GLOVES when practicing universal precautions:

G: gloves

L: lather up

O: orifices

V: very special handling

E: everyone may be infected

S: sharps

also seen this in many different sources order in which the nurse should remove personal protective equipment(ppe)

gloves,

goggles

gown

mask

i believe that nclex makes it easier to narrow it down to 2 possible answers. from there you make/ choose the best answr. remember:

- Assess before u implement

-Don’t ask why

-RN cannot delegate teaching or assessmt

- Take care of pt before takng care of equipment

- Use Maslow to determine priority: physical or Psychosocial

- ABC’s

- Meds are a last resort to control pt’s agitation

and think: If I can only do 1 thing and go home, what would it be? Think Safety!

this was all taught by Kaplan and what I used to pass my nclex the 1st time.

good luck

You can also add this up on your infection control mnemonics. :) https://allnurses.com/nclex-discussion-forum/infection-control-mnemonics-299890.html Good luck and God bless us all!

i guess we can share questions on this too, keep it rolling

a client's wound has eviscerated. which of the following will you implement first?

1. stay with the client and notify the physicain

2. apply a clean, dry dressing to the wound.

3.cleanse the would with betadine and apply bacteriostatic oitment

4. place sterile towels socked in sterile saline over the wound.

i guess we can share questions on this too, keep it rolling

a client's wound has eviscerated. which of the following will you implement first?

1. stay with the client and notify the physicain

2. apply a clean, dry dressing to the wound.

3.cleanse the would with betadine and apply bacteriostatic oitment

4. place sterile towels socked in sterile saline over the wound.

saunders will say 4 then 1

kaplan says 1