Quick Facts/nclex Infecton Control

[Jack_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...

[CrystalClear75, BSN, RN]

Ugg I'm having problems with the volume when listening to kaplan's infection control section. I'll have to call monday and just read it in their book, because I'm still not all the way there with this section, but coming close!

[CrystalClear75, BSN, RN]

Okay to sink this in my brian...

Chicken pox(13-17 days)--prodromal, child have malaise, fever, anorexia.

Rash is pruritic, and starts out as a macule then papule then a vesicle.

Spread by direct contact, droplet and contaminated object.

ISOLATE till all vesicles are crusted; it can be spread from 2 days before the rash begins.

Avoid use of aspirin due to Reye's syndrome, use tylenol.

Airborn--door can be closed..measles (RUBEOLA), M. tuberculosis, disseminated zoster(shingles), varicella(chicken pox)--again can cohort and place in same room with the same infective organism.

Droplet--door may be open---Streptococcus pharyngitis, meningitis, pnemonia...private room or pt with same infection--involves contact with mucous membranes of nose or mouth...happens during talking, coughing, suctioning. MAINTAIN 3FEET between infected patients and visitors.

[CrystalClear75, BSN, RN]

Rubella--there's a maculopapular rash on face and all over the body. Prodromal: malaise and fever which is followed by cough.

Sread by droplets and contaminated objects. placed on contact precautions, isolate child from pregnant women.

[CrystalClear75, BSN, RN]

Tuberculosis, pt is on isolation for 2-4 weeks (until there are 3 negative sputum cultures.)

Syphilis--painless chancre that fades within 6 weeks...on palms and soles there is a copper colored rash...spread by contact with mucous membranes and also congenitally...tx with penicillin G IM

[december2905]

is N95 for TB only or for all diseases under airborne? thanks!

[RNFutureRN]

I understood that N95 was for all airborne diseases. However I'm a little confused about something, if the nurse is varicella immune or rubeola immune is an N95 mask still needed?

[kscuba]

heres how i remember that Rubella is droplet and Rubeola is airborne...Rubella sounds like umbrella and umbrellas protect you from rainDROPS... i always need stilly stuff like this to help me remember things

good luck everyone!!!

[ciber-1]

Love-d-Or or anybody,

And to take it off

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

Anyone with a different point of view?

Hi Jack!

As I recall donning is ok.

as I read somewhere removing is that way:

Removing:

1. gloves

2. Hand wash

3. Mask

4.Gown

5. Goggles/Eyewear

[Rn-08-NP10-ToBe]

Can someone please correct me if I'm wrong? I'm having the hardest time remembering these and I want to make sure that I know what disease goes under what category and what ppe to wear with each...

AIRBORNE

Anthrax

Chickenpox/ Shingles

Influenza

Measles

Rubeola

Smallpox

TB

PPE: N95/Mask; room is (-) pressure; pt must wear mask when transported

DROPLET

Bacterial Meningitis

Mumps

Pertussus

Pneumonia

Rubella

PPE: Mask; pt must wear mask when transported

CONTACT

Chickenpox

Croup

Cdif

Ecoli

RSV

Scabies

VRE

PPE: Gown, gloves

I'm really confused about the PPEs that are required.. should you always wear gloves? Any input about more diseases/ppe would be greatly appreciated :)

[Jack_ICU]

Can someone please correct me if I'm wrong? I'm having the hardest time remembering these and I want to make sure that I know what disease goes under what category and what ppe to wear with each...

AIRBORNE

Anthrax

Chickenpox/ Shingles

Influenza

Measles

Rubeola

Smallpox

TB

PPE: N95/Mask; room is (-) pressure; pt must wear mask when transported

DROPLET

Bacterial Meningitis

Mumps

Pertussus

Pneumonia

Rubella

PPE: Mask; pt must wear mask when transported

CONTACT

Chickenpox

Croup

Cdif

Ecoli

RSV

Scabies

VRE

PPE: Gown, gloves

I'm really confused about the PPEs that are required.. should you always wear gloves? Any input about more diseases/ppe would be greatly appreciated :)

Someone gave a mnemonic to remember airborne precautions: MTV Cd

Measles (Rubeola), TB, Varicella (Shingles), Chickenpox, Disseminated varicella zoster

There are many ways to learn all the precautions; my advice is to do your best and try to memorize as much as you can...

Good luck on the test!

[december2905]

Can someone please correct me if I'm wrong? I'm having the hardest time remembering these and I want to make sure that I know what disease goes under what category and what ppe to wear with each...

AIRBORNE

Anthrax

Chickenpox/ Shingles

Influenza

Measles

Rubeola

Smallpox

TB

PPE: N95/Mask; room is (-) pressure; pt must wear mask when transported

DROPLET

Bacterial Meningitis

Mumps

Pertussus

Pneumonia

Rubella

PPE: Mask; pt must wear mask when transported

CONTACT

Chickenpox

Croup

Cdif

Ecoli

RSV

Scabies

VRE

PPE: Gown, gloves

I'm really confused about the PPEs that are required.. should you always wear gloves? Any input about more diseases/ppe would be greatly appreciated :)

with CONTACT precaution, you should always wear gloves & gown..

with chicken pox & smallpox, you add CONTACT precaution, which means you will wear gloves & gown too..

influenza is droplet

[december2905]

transmission-based precautions: adc

a - airborne

d - droplet

c - contact

airborne precaution (credit goes to the one who posted this on april thread, sorry can't remember your name)

my - measles

chicken - chickenpox

hez - herpes zoster (disseminated)

tb - tb

private room

negative pressure with 6-12 air exchanges per hour

uv

mask

n95 mask for tb

droplet precaution

think of spiderman!

s - sepsis

s - scarlet fever

s - streptococcal pharyngitis

p - parvovirus b19

p - pertussis

p - pneumonia

i - influenza

d - diptheria (pharyngeal)

e - epiglottitis

r - rubella

m - mumps

m - meningitis

m - mycoplasma or meningeal pneumonia

an - adenovirus

private room

mask

contact precaution

mrs.wee

m - multidrug resistant organism

r - respiratory infection - rsv

s - skin infections

w - wound infections

e - enteric infections - clostridium defficile

e - eye infections

skin infections:

v - varicella zoster

c - cutaneous diptheria

h - herpes simplex

i - impetigo

p - pediculosis

s - scabies, staphylococcus

private room

gloves

gown