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:
varicella (chickenpox) requires use of airborne precautions and contact precautions as well.
if a patient is on contact precautions, have family members and other visitors wear a gown and gloves as outlined by your facility (hospital).
Hey Christine! Which school you went to in Pittsburgh? Pitt,Duquesne or CCAC? Used to live in Pittsburgh...
Good luck on the test. When r u testing?
Hey Jack, none of the above, I'm Shadyside grad! I'm aiming for testing in September (graduated end of June), but if I feel ready and have all my paperwork, I wouldn't mind testing in Aug.
I was going to watch the video on infection control from kaplan today(I know I'm squeaky in this area when doing quesions) although I took a klonopin(I have BAD test anxiety, so bad that I feel like I'm going to have a heart attact!) to test how I'd react to it because I wan't to take an anti anxiety drug daily only for a week before the test...don't you know I was out like a light for the past 5 HOURS! Well now I know to perhaps take a half a dose each day the second week before the test, then again the week before so I don't feel as woozie as I did today, but boy was that one of the most relaxing sleeps I had in ages.:chuckle
RSV is contact precautions. So wear gloves and a gown. It is a respiratory infection that is transmited through contact with the secretions.
When you put your protective gear on start from top to bottom : mask-> gown-> and gloves. When you take them off start from bottom to top: gloves->gown->mask. (I tried to research this part just to make sure it is what I remember it to be, but found nothing so Im not 100% certain)
Wash hands between patients and whenever visibly soiled.
RSV is contact precautions. So wear gloves and a gown. It is a respiratory infection that is transmited through contact with the secretions.
When you put your protective gear on start from top to bottom : mask-> gown-> and gloves. When you take them off start from bottom to top: gloves->gown->mask. (I tried to research this part just to make sure it is what I remember it to be, but found nothing so Im not 100% certain)
Wash hands between patients and whenever visibly soiled.
Love-d-Or or anybody,
Correct me If I am wrong, I think the order to put on protective gear is:
Is it? I stated in my thread that I was not 100% sure so I think I will not be of much help in answering your question. Although I recall it being "start from top end with bottom." Anywho, your order sounds good too. As long as you do not contaminate yourslef when you remove the items, you should be fine!
This is what I found on CDC web site (Guideline for Isolation
Precautions:Preventing Transmission of Infectious Agents in Healthcare Settings 2007 pdf doc) pp 129-130. There are even pictures showing the procedures
DONNING PPE (Personal Protective Equipment)
GOWN
Fully cover torso from neck to knees, arms to end of wrist, and wrap around the back
Fasten in back at neck and waist
MASK OR RESPIRATOR
Secure ties or elastic band at middle of head and neck
Fit flexible band to nose bridge
Fit snug to face and below chin
Fit-check respirator
GOGGLES/FACE SHIELD
Put on face and adjust to fit
GLOVES
Use non-sterile for isolation
Select according to hand size
Extend to cover wrist of isolation gown
SAFE WORK PRACTICES
Keep hands away from face
Work from clean to dirty
Limit surfaces touched
Change when torn or heavily contaminated
Perform hand hygiene
REMOVING PPE
Remove PPE at doorway before leaving patient room or in anteroom
GLOVES
Outside of gloves are contaminated!
Grasp outside of glove with opposite gloved hand; peel off
Hold removed glove in gloved hand
Slide fingers of ungloved hand under remaining glove at wrist
GOGGLES/FACE SHIELD
Outside of goggles or face shield are contaminated!
To remove, handle by “clean” head band or ear pieces
Place in designated receptacle for reprocessing or in waste container
GOWN
Gown front and sleeves are contaminated!
Unfasten neck, then waist ties
Remove gown using a peeling motion; pull gown from each shoulder toward the same hand
Gown will turn inside out
Hold removed gown away from body, roll into a bundle and discard into waste or linen receptacle
MASK OR RESPIRATOR
Front of mask/respirator is contaminated – DO NOT TOUCH!
Grasp ONLY bottom then top ties/elastics and remove
Discard in waste container
HAND HYGIENE
Perform hand hygiene immediately after removing all PPE!
I'm glad I posted here, cause if I had'nt I probably would have gone with the incorrect order! But I gotta say I still don't see why one would have to remove their mask before the gown? If the gown is soiled would you not have a greated chance of soiling your self face as you remove your mask , but I guess what I think will not matter on tuesday!
, but I guess what I think will not matter on tuesday!
Elizabeth Hanes, BSN, RN
14 Articles; 297 Posts
TIP: Remember to cohort. In other words, a patient with MRSA (for example) is best placed in a room with another MRSA patient.