More facts about infection control

[beachbutterfly]

Infectious diseases and period of communicability...

1.Conjuctivitis-until discharge ceases.

2.Diarrhea (with other acute symptoms)-until symptoms resolve and Salmonella infection is ruled out.

3.Hepatis A-until 7 days after the onset of jaundice.

4.Hepatits B (acute)-partial client restriction with gloves worn for procedures involving tissue trauma and mucous membrane or non-intact skin.

5.Hepatitis B (chronic) -unit antigenemia resolves.

6.Group A streptoccocal Infection-until 24 hours after the start of the treatment.

7.Herpes simplex (hands)-until lesion resolve.

8.Herpes Zoster (acute)-Exclusion from care of clients at high risk for infection with use of appropiate barriers.

9.Herpes Zoster (postexposure)-From days 10 to 21 after exposure or until all lesion dry and crust.

10.measles (active)-until 7 days after rash appear.

11.Measles (post-exposure)-from day 5 to 21 after exposure

12.Mumps(active)-Until 9 day after after onset of parotitis

13.Mumps(post exposure)-from days 12 to 26 after exposure.

14.Scabies-until treated

15.S.Aureus skin lesions-until lesion resolve.

16.Upper respiratory infections-Until acute symptoms resolve with exclusion from care of clients at high risk for infection.

17.Varicella (acute)-until all lesions dry and crust.

18.Varicella (post-exposure)-from day 10 to 21 after exposure.

Transmision based precautions

Precautions-Indications.

Airborne-private,negative airflow room with adequate filtration;mask;mask required by client during transport out of the room,transmission via airborne route;measles,TB,varicella.

Droplet-private room or cohabitation with client infected with the same organism;mask required when working within 3 feet of of client;mask worn by client during transport,transmission of large droplets through sneezing,coughing,talking,haemophilus influenza,multidrug resistant strains,neisseria meningitidis,diphtheria,rubella,mycoplasma pneumonia,mumps,scarlet fever,strep throat,epiglottis

Steps of the procedure of preparing and maintaining sterile field

Equipment:

*Flat work surface

*sterile drape.

*sterile supplies as needed (sterile gauze,sterile basin,solutions,scissors,foreceps),packed sterile gloves.

1.Wash your hands

2.Check for the integrity of the sterile package,expiration date etc.

3.During the entire procedure,NEVER turn your back on the sterile field or lower your hands below the level of the field.

4.Open the sterile drape

*start from the outer wrapper and place the inner drape in the center of the of the work surface with the outer flap facing away from you

*touching the outside of the flap only,reach around rather than over the sterile field to open the flap away from you first

*open the side flaps,in the same manner,using the right hand for the right flap and the left hand for the left flap.

5.Lastly ,open the inner most flap that faces you,being careful that it does not touch your clothing or any object.

Adding sterile supplies to the the field.

general rule

*generally before opening the sterile package you want to assess the order in which supplies will be used during the procedure so that supplies used first can be added to the field last

1.Prepackaged sterile supplies are open by peeling back the partially sealed edges with both hands or lifting up the unsealed edge,taking care not to touch the supplies with your hands.

2.Hold supplies 10 to 12 inches above the field and allow them to fall to the middle of the sterile field.Wrapped sterile supplies are added by grasping the sterile object with one hand and unwrapping the flaps with the other hand.

3.Grasp the corners of the wrapper with the free hand and hold them against the wrists of the other hand while you carefully drop the subject onto the sterile field.

Adding sterile solutions to a sterile field

1.Read the solution label and expiration date

2.Remove cap and place it within facing up on the flat surface.Do not touch the inside of the cap or rim of the bottle.

3.Hold bottle 6 inches above the container on the sterile field and pour slowly to avoid spills.

4.Recap the solution bottle and label it with date and time of opening if the solution is to be reused.

5.Add any additonal supplies and don sterile gloves before starting the procedure.

[KAYBDT6, BSN, RN]

WONDERFUL POST:typing:thnkg::omy::rcgtku:

[LaneRN]

Do you mind if I copy this to the fact throwing thread or if not would you consider posted it there I think those who view that thread would find this info very helpful. Just a thought:wink2:

[joycee8]

Thanks beachbutterfly for the informative posting! i will copy&paste then will read later. GOD LUCK! GOD Bless us!!!

[beachbutterfly]

You welcome guys,go ahead and merge it or post in the throw in random facts.I'm just trying to motivate myself and other to study for the exam of our future!!!!I found it here here many helpful posts and in a way I'm trying to pay everyone back and I know infection is biggie on the NCLEX

[beachbutterfly]

Ok so more facts.

Order of donning the PPE.

*gown

*mask

*googles

*gloves.

Order of removing the PPE

*gloves off first

*wash hands*

*googles.

*gown

*mask last

[LaneRN]

Thanks and I will be sure to give credit to you. Thanks again great posts:yeah:

[NurseLil-lea]

Thanks beachbutterfly, this is great!!!