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...

[Melinurse]

Wash your hands before patient care and after patient care.

When in doubt, wash your hands again.

Gloves needed when passing meds to pt. with MRSA, if you'll be close to patient need gown too.( just in case you touch anything that might be contaminated )

My preceptor at work likes to say," Better to have on too much PPE than not enough."

PPE = personal protective equipment

[by_stander22, LPN]

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?

in removing PPE:

1. gloves

2. goggles/face shield

3. GOWNS

4. last will be the MASK

FROM: CDC

[Jack_ICU]

in removing PPE:

1. gloves

2. goggles/face shield

3. GOWNS

4. last will be the MASK

FROM: CDC

Yes you are right!

Attached is the CDC document (pdf)

donning_removing_PPE.pdf

[by_stander22, LPN]

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!

Varicella and chickenpox are just the same. I think shingles is varicella zoster. so just MTCD:nuke:

[Jack_ICU]

Varicella and chickenpox are just the same. I think shingles is varicella zoster. so just MTCD:nuke:

You are right. Shingles and chickenpox are caused by a same virus (varicella zoster virus). It was just a way to have mnemonic easy to remember...

[sweetmya]

Donning PPE:

-gown

-mask

-goggles

-gloves

Removing PPE:

-gloves

-goggles

-gown

-mask

[by_stander22, LPN]

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 - can be trasmitted by skin contact, inhalation through the lungs and through the GI

Chickenpox/ Shingles - direct contact with lesions and airborne

Influenza - droplet

Measles/rubeola - theyre just the same. airborne

Smallpox - through air droplets

TB

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

DROPLET

viral/Bacterial Meningitis

Mumps

Pertussus

Pneumonia

Rubella

PPE: Mask; pt must wear mask when transported

CONTACT

Chickenpox

Croup - can also be droplet like tracheobronchitis, epiglotittis etc.

Cdif

Ecoli

RSV

Scabies

VRE - what does VRE means?

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 :)

Anthrax - can be trasmitted by skin contact, inhalation through the lungs and through the GI

Chickenpox/ Shingles - direct contact with lesions and airborne

Influenza - droplet

Measles/rubeola - theyre just the same. airborne

Smallpox - through air droplets

Croup - can also be droplet like tracheobronchitis, epiglotittis etc.

VRE - what does VRE means?

[wishiwereanurse, BSN, RN]

for tb skin test, if client has 5mm induration, assess if patient is immunocompromised, if yes, positive.

if not, 10mm/greater induration = positive

for treatment of tb and major side effects:

rifampicin (red-urine, tears, sweat)

inh (the n is for neurological, h is for hepatic)

pyrazinamide (hyperurecimia)

ethambutol (optic neuritis)

for hepatitis, you get the vowels from the bowels (hepa a and e-"fecal-oral route)

i think anthrax is contact precautions..not sure though..

[Jack_ICU]

for tb skin test, if client has 5mm induration, assess if patient is immunocompromised, if yes, positive.

if not, 10mm/greater induration = positive

for treatment of tb and major side effects:

rifampicin (red-urine, tears, sweat)

inh (the n is for neurological, h is for hepatic)

pyrazinamide (hyperurecimia)

ethambutol (optic neuritis)

for hepatitis, you get the vowels from the bowels (hepa a and e-"fecal-oral route)

i think anthrax is contact precautions..not sure though..

according to cdc, patients infected with anthrax do not generally pose a transmission risk. standard (universal) precautions are required though...

[jadu1106]

Anthrax - can be trasmitted by skin contact, inhalation through the lungs and through the GI

Chickenpox/ Shingles - direct contact with lesions and airborne

Influenza - droplet

Measles/rubeola - theyre just the same. airborne

Smallpox - through air droplets

Croup - can also be droplet like tracheobronchitis, epiglotittis etc.

VRE - what does VRE means?

VRE = vancomycin resistant enterococcus

[izehbella]

thank you :)

[Jack_ICU]

Please keep this thread going. It may be very beneficial for future graduate nurses preparing for NCLEX. I recently took the test and I partially credit this thread for helping me mastering the infection control material...

Good luck to all of you who are testing soon.