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).
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
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.
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?
cjog
39 Posts
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!