Quick Facts/nclex Infecton Control

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Specializes in ICU.

just an idea...

i'd like to start an new thread on infection control. the idea is to post "2 quick facts" regarding infection control (precautions, diseases,...) that would be helpful to prepare for the nclex exam.

thanks for your cooperation.

here are my 2 quick facts:

  1. varicella (chickenpox) requires use of airborne precautions and contact precautions as well.
  2. if a patient is on contact precautions, have family members and other visitors wear a gown and gloves as outlined by your facility (hospital).

your turn...

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Specializes in ICU.

just an idea...

i'd like to start an new thread on infection control. the idea is to post "2 quick facts" regarding infection control (precautions, diseases,...) that would be helpful to prepare for the nclex exam.

thanks for your cooperation.

here are my 2 quick facts:

  1. varicella (chickenpox) requires use of airborne precautions and contact precautions as well.
  2. if a patient is on contact precautions, have family members and other visitors wear a gown and gloves as outlined by your facility (hospital).

your turn...

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This is a really good idea, but i can't think of any at this very moment. I know a few but im not 100% sure im right and i dont want to false inaccurate info. But i'll be back to post. Thanks

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Great thread!!

1) Droplet room assignment: Preferably private, if not available roomate with same illness and same pathogen. And if thats not an option 3 feet away from roomate with the curtain pulled.

2) When transporting a patient with airborne precautions (for essential purposes only) they must wear a surgical mask.

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for contact precautions

diseases/conditions include: c. diff, e. coli, scabies

room needs to be private unless room has another patient infected with the same organism

for droplet precautions

diseases/conditions include: meningitis, pneumonia, pertussis (whooping cough), rubella, mumps

room needs to be private unless room has another patient infected with the same organism. maintain spacial distance of 3 feet when near patient.

also remember standard precautions apply to all patients regardless of diagnosis when in contact with any bodily fluid, blood, secretions/excretions, nonintact skin, and mucous membranes

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Specializes in LTC.

Thank you for starting this thread, this is actually what I'm really going over today!:loveya:

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Specializes in Pediatric/Adolescent, Med-Surg.

Great thread idea!

#1. When wearing gown and/or gloves, make sure to take them off and properly dispose of them, before leaving the patien'ts room.

#2. Pt's with herpes zooster (shingles) that is active should have the same precautions as a patient with chicken pox---airborne and contact

#3. Pt's on droplet precaution can have their room door left open.

#4. Instruct visitors for pt's with droplet precautions to try to keep a distance of three feet between them and the pt.

#5. Pt's with croup should be on contact precautions

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Specializes in LTC.

Bacterial meningitis is transmitted via droplets, and when suctioning pt, wear goggles, eyewear, mask, and gloves. Pt should wear a face mask when being transported.

I got a question that is similar to the info presented above but am confused as to why the nurse isn't required to wear a gown in addition just in case the secretions are splattered on his/her clothing during the procedure???:confused:

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I would have guessed that the nurse should wear gloves too...because that is part of the standard precautions..."if splashes or sprays of blood body fluids, secretions, or excretions are expected a gown must be worn."

Here is another fact I found kinda interesting...

If the nurse is varicella/rubeola immune protective masks do not need to be worn.

Does that sound right??

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Specializes in ICU.
I would have guessed that the nurse should wear gloves too...because that is part of the standard precautions..."if splashes or sprays of blood body fluids, secretions, or excretions are expected a gown must be worn."

Here is another fact I found kinda interesting...

If the nurse is varicella/rubeola immune protective masks do not need to be worn.

Does that sound right??

My guess is that if a nurse is immune against varicella/rubeola (enough titers...) she/he does not "necessary" have to wear a protective mask (personal choice...). However CDC recommends airborne precautions against varicella/rubeola. It's one of those situations where the answer can go either way. I would look carefully into the question, weigh all the presented options and decide accordingly!;)

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Specializes in LTC.

I just read that nurses over 50 (who received the small pox vaccination as a child) who work in the emergency department are required to get a small pox vaccination since there's more of a risk in the ER...however, nurses born AFTER 1971 never received one as a child, so therefore don't need one over 50 as do others...could someone please explain?:banghead:

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Specializes in ICU.
I just read that nurses over 50 (who received the small pox vaccination as a child) who work in the emergency department are required to get a small pox vaccination since there's more of a risk in the ER...however, nurses born AFTER 1971 never received one as a child, so therefore don't need one over 50 as do others...could someone please explain?:banghead:

Have you tried CDC web site? I am reading it right now and there are tons of info on small pox vaccine. I'll let you know if I get a definitive answer.

http://www.bt.cdc.gov/agent/smallpox/vaccination/facts.asp

Jean

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