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Discussion

question on infection control

One review book I am using is giving conflicting information, or I just don't understand, and any help would be appreciated.

MRSA is droplet precautions, and according to Saunders, only gloves and gowns, but another book says you will also wear a mask also to avoid droplets on your nose..what will NCLEX want you to wear?

Also, a question had someone coming into ER with sores on arm, positive for MRSA, and it was a SATA, and "place them in isolation" was not one of the correct answers? Don't MRSA's always go into isolation? Can they cohort?

Finally, our hospital lists pertussis as airborne precautions, when it is droplet precautions? Does pertussis need to be in a negative pressure room?

It just seems like our school did not really focus to much on this content, and it seems to be one that is tested heavily on.

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According to Kaplan (blue course book, page 84) it says that MRSA should be on contact precautions.They require a private room or should room w/someone with the same infection but no other infection. It says that you should "wear a gown when entering room if clothing will have contact with patient, environment surfaces, or if patient is continent, has diarrhea, an ileostomy, colostomy, or wound drainage." I tried to find info about MRSA in Saunders (3rd edition) but didn't have much luck.

I've also found conflicting information about certain precautions which makes me angry. If I'm going to sit here and study this stuff I want to make sure it's right!! I have heard that NCLEX loves this topic also. If it makes you feel any better my school didnt focus on this stuff either. Good luck and please keep me posted!

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