Infection Control

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Can w.e start a detail study of infection control. This is about a great part of the test we can incorporate availiable information here and add to . Please help

I would say A and B.

C and D are incorrect because CJD is not transmissible from between people by normal contact or thru environmental contamination.

Im kind of hesitant on A because is that the nurse's responsibility? I like B for sure and Im selecting A along with B because its SATA...

correct A and B

rationale later its 3am an iam worn out:bugeyes:

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I had a similar question in my Kaplan Q bank and i cholse #4. Always think what is the 1 think you as a nurse can do for the patient before you go home

Also, is there something you can do before you call the doctor? yes

This is one of those questions what can I do as a nurse before I call the doctor as well as infection control question.

Always if you have the option, choose the sterile covering then hop on the call light and call for the doctor or assistance.

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i would say a and b.

c and d are incorrect because cjd is not transmissible from between people by normal contact or thru environmental contamination.

i'm kind of hesitant on a because is that the nurse's responsibility? i like b for sure and i'm selecting a along with b because its sata...

its part of a nurse responsibility to notify the or, safety. the or needs to know the client may have cjd so that either disposable instruments are used or the instruments are quarantined until diagnosis is made. regular sterilization techniques are not effective against cjd organism. standard precautions are used because cjd is notspread person to person, but rather thru direct contact with the brain or spinal cord

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here is another home agents that are suitable for cleaning and disinfecting the home include? sata

a.bleach

b.glutaraldenhyde

c.hydrogen peroxide

d.boiling water

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Donning PPE from Hurst (and other resources but stated in my own words)

Gown

Mask/Respirator

Googles/Face Shield

Gloves

Removing PPE

Gloves first

Googles/Face Shield

Gown

Mask/Respirator

Contact precautions

Wear gloves before entering room

Remove gloves before exiting room

For C-Diff do not use an alcohol based sanitizer as it is not effective against C-Diff- use soap and water

AIRBORNE

. Client Placement

™ client in an airborne infection isolation room (AIIR), ie. private room

that has: monitored negative air pressure in relation to the surrounding areas,

6 to 12 air changes per hour, and

appropriate discharge of air outdoors or monitored highefficiency filtration of room air before the air is circulated to other areas in the hospital.

™ Keep the room door closed and the client in the room.

™ Client should have a private room.

If not available, place the client in a room with a client who has

active infection with the same microorganism but with no other infection

Respiratory Protection

™ Wear respiratory protection (N95 respirator) when entering the room of a client with

known or suspected infectious pulmonary tuberculosis.

™

From what I've read, these patients should be placed in a private room. If not available they can share a room but the other person must have tan active infection with the same micro organism and no other infection

Droplet

Wear a mask when working within 3ft of patient or some hospitals may require before entering the room. Check with your own hospital rules.

Airborne

Measles = Rubeola

Varicella = Chicken Pox

Varicella Zoster - Chicken Pox, Herpes Zoster (shingles) disseminated disease, is both Airborne and Contact precautions

Rotavirus, C -Diff, RSV is Contact

Lice is Contact up to 24hrs as is Impetigo

Droplet Precautions-

Rubella (german measles), seasonal flu, Pertussis (whooping cough), Meningococcal Meningitis (for 24hrs), Mumps ( for 9 days)

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hmm

definitely a.bleach and c.

hydrogen peroxide

i wouldn't chose b because that is very toxic and is used to clean hospital and dental equipment so i wouldn't want it in the home

boiling water doesn't really disinfect

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hmm

definitely a.bleach and c.hydrogen peroxide

i wouldn't chose b because that is very toxic and is used to clean hospital and dental equipment so i wouldn't want it in the home

boiling water doesn't really disinfect

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here is another home agents that are suitable for cleaning and disinfecting the home include? sata

a.bleach

b.glutaraldenhyde

c.hydrogen peroxide

d.boiling water

hmm

definitely a.bleach and c.hydrogen peroxide

i wouldn't chose b because that is very toxic and is used to clean hospital and dental equipment so i wouldn't want it in the home

boiling water doesn't really disinfect

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I'm guessing thay your information came from some sort of study giude but what you posted has many inaccuracies.

It's worth it to print and carry the tables in the CDC Guidelines, your facility may have policies that are more strict but absent that the CDC sets the standards.

http://www.cdc.gov/hicpac/2007ip/2007ip_appenda.html

Herpes Zoster: Can be as little as Contact depending on the circumstances.

Varicella: It depends...

Legionnaire's: Standard (it is NOT spread person to person).

Pneumonia: depends on the organism can be Standard, Contact or Droplet.

Multi-drug resistant organisms: Depends on the location.

Gastroenteritis (Hep A, Shigella, Salmonella, Norwalk, Crypto, Gardias): Standard or Contact.

This is another good read (be sure to click through the tables):

http://www.cdc.gov/hicpac/2007IP/2007ip_tables.html

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hmm

definitely a.bleach and c.hydrogen peroxide

i wouldn't chose b because that is very toxic and is used to clean hospital and dental equipment so i wouldn't want it in the home

boiling water doesn't really disinfect

:) you are right with the rationale,with b, however d is an answer too. boiling water can be used to clean and disinfect our homes.

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question

the home health nurse performsa culture of a client's urine. the result indicate vancomycin-resistant enterocccous (vre). the nurse prepares a fact sheet regarding vre for the client and family. it is most immportant that the fact sheet include which instruction? sata

a. wash hands with hot water andsoap when hands are soiled

b. frequently clean areas of the home that is containated with vre,such as the bathroom.

c.gloves are not needed in the home since contamination with vre haslaready occured.

d. wash hands after using the bathroom and befor epreparing food

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A, B, D.

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