Quick Facts/nclex Infecton Control

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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...

From the CDC website:

PPE donning:

1. gown

2. mask

3. goggles

4. gloves

PPE removal:

1. gloves

2. goggles

3. gown

4. mask

Good luck all!

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Specializes in LTC, case mgmt, agency.

Thanks for the post. :yeah:Keep the quick facts coming:typing..................... Nclex loves to ask infection control questions.

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thank you for all the infection posts, that was a majority of my first test

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Specializes in Pediatric/Adolescent, Med-Surg.

Just bumping this thread up after reviewing it once more before the big exam!

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Specializes in ER/Long Term Care.

MMR Immunization:

1st vaccine dose given at age 12-15 mo.

2nd dose at age 4-6 yrs

Before administration; ask if allergic to eggs

Mumps: incubation period 14-21 days

Communicable period, immediately before and after the swelling begins

Transmitted via airborne droplets, saliva, and possibly by contact with

infected person's urine

Respiratory precaution; isolation for 9 days following the onset of parotid swelling

Most Common complication; aseptic meningitis, signs include- nuchal rigidity, lathargy, & vomiting

other complications; Orchitis (red swollen tender testicles)

Rubella (German measles): Hospitalized child-contact isolation; mask, gown,and gloves

Incubation period: 14-21 days

communicable period: 7 days before to ~ 5 days after rash appears

Source: nasophryngeal secretions, virus present in blood, stool, & urin

Transmission: Airborne or direct contact with infectious droplets,

indirect via articles freshly contaminated with nasopharyngeal secreations, feces, or urin

Assessment: low grade fever, malaise, pinkish-red maculopapular rash that begins on the face and spreads to entire body, Petecheae may occur on the soft palate

Implementation: Supportive care

Transplacental: Isolate from pregnant women

Rubeola (Measles)

Koplik's spot (sm blue/white spots with a red base on the buccal mucosa

Transmission: via airborne particles or contact with infectious droplets

Precautions: Mask and gloves

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Specializes in LTC, case mgmt, agency.
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!

Just thought I would bump this up for those studying for NCLEX.:nurse:

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Hello,

Does it required to wear gloves while taking b/p of an AIDS or HIV patient?

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Specializes in LTC, case mgmt, agency.
Hello,

Does it required to wear gloves while taking b/p of an AIDS or HIV patient?

You do not need gloves when caring for a patient with AIDS/HIV unless you anticipate contact with bodily fluids.

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Thanks for posting all this on infection control! It has really helped me! Angie:up:

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hi~

b-u-m-p-i-n-g

thank you!

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Specializes in ER/Long Term Care.
Hi there,

I'm confused about the precautions for Varicella Zoster Virus when it causes chicken pox or disseminated zoster. I've seen sources that say that both diseases require airborne and contact precautions, but that immune caregivers don't need to follow airborne precautions (ie. by wearing a respirator).

Would immune caregivers still need to follow contact precautions in this situation?

Thanks to anyone with info.

Hand washing

bumping it up

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Interesting.

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