Quick Facts/nclex Infecton Control

Nursing Students NCLEX

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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...

Specializes in Freelance Writer, 'the nurse who knows content'.

TIP: Remember to cohort. In other words, a patient with MRSA (for example) is best placed in a room with another MRSA patient.

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Specializes in ICU.

2 quicks facts...

  1. Viral meningitis usually does not requires protective measures of isolation
  2. Bacterial meningitis => droplet precautions (surgical mass,..._

Later...

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Specializes in Pediatric/Adolescent, Med-Surg.
2 quicks facts...

  1. Viral meningitis usually does not requires protective measures of isolation
  2. Bacterial meningitis => droplet precautions (surgical mass,..._

Later...

Thanks for posting, I kept getting my meningitis precautions confused, and was going to have to review!

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Specializes in ICU.
Thanks for posting, I kept getting my meningitis precautions confused, and was going to have to review!

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?

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Specializes in Pediatric/Adolescent, Med-Surg.
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.

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Specializes in Pysch, Corrections, MedSurg.

Measles, chicken pox (varicella), disseminated varicella zoster, Tuberculosis

Barrrier Protection: single room maintained under negative pressure

door kept closed except when someone is entering

exiting the room

Negative airflow pressure used in room, (min of 6 - 12 air exchanges per hour depending on the facility

Ultraviolet germicide irradiation or high-efficiency

particulate air filter used in the room

Mask or personal respiratory protection device used

Mask placed on the client when client needs to

leave the room; client only leaves only if necessary!

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Specializes in LTC.

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

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Specializes in Transplant/Surgical ICU.

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.

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Specializes in ICU.
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:

  1. gown
  2. mask
  3. goggles
  4. gloves

And to take it off

  1. gloves
  2. goggles
  3. mask
  4. gown

Anyone with a different point of view?

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Specializes in Transplant/Surgical ICU.

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!

Good luck!

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Specializes in ICU.

Good luck to you as well Love-d-Or!;)

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!

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Specializes in Transplant/Surgical ICU.

I stand corrected Jack5801,:imdbb: (could'nt help my self! hehe)

Anyway I found the link http://www.cdc.gov/ncidod/dhqp/pdf/ppe/PPEslides6-29-04.pdf

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 :confused:, but I guess what I think will not matter on tuesday!

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