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...

[cjog]

Question about SARS:

Saunders has it listed under contact precautions.

A question I was asked from the Lippincott test bank said that airborne precautions are necessary.

And so the confusion sets in as I wonder "what does NCLEX say?"

5 days away and panicking...

[It's Alisa]

Question about SARS:

Saunders has it listed under contact precautions.

A question I was asked from the Lippincott test bank said that airborne precautions are necessary.

And so the confusion sets in as I wonder "what does NCLEX say?"

5 days away and panicking...

It's droplet precaution...so mask.

From CDC: http://www.cdc.gov/ncidod/sars/guidance/I/pdf/healthcare.pdf

Mine is one day away and panicking!! Good luck to us all:heartbeat:heartbeat

[wcuisme]

Just wanted to say thank you for posting this!!! My main problem with the NCLEX is the infection control portion. So from now, I will definitely take notes in what you all will be providing. This is a big help, since I get confused on how to start studying for infection control. I'm just weak at it!

Thanks again!:typing

[vadee]

Masking and separation of persons with symptoms of respiratory infection

-offer masks to persons who are coughing (procedure masks (i.e., with ear loops) or surgical masks (i.e., with ties)) m

-respirators are not necessary.

-Encourage coughing persons to sit at least 3 feet away from others in common waiting areas.

SARS is just droplet precautions but according to the CDC website

"If the health department and clinicians strongly suspect SARS- CoV disease, then the patient should be placed on Contact and Airborne Infection Isolation Precautions, in addition to Standard Precautions"

I would suggest to all of you to look up each disease/symptom/diagnosis on the CDC and just do a read through prior to your exam.

In the meantime, I will type up a list and hope to attach here soon.

[vadee]

just a note from the cdc website again...

in regards to goggles and those with glasses..

"Goggles provide barrier protection for the eyes; personal prescription lenses do not

provide optimal eye protection and should not be used as a substitute for goggles.

Goggles should fit snuggly over and around the eyes or personal prescription lenses.

Goggles with antifogfeatures will help maintain clarity of vision.....

When skin protection, in addition to mouth, nose, and eye protection, is needed or

desired, for example, when irrigating a wound or suctioning copious secretions, a

face shield can be used as a substitute to wearing a mask or goggles. The face shield

should cover the forehead, extend below the chin, and wrap around the side of the

face."

[vadee]

-remember to tuck the gown cuffs INSIDE each GLOVE..and not OVER the gloves

-HIV/AIDS clients, you should always practice standard precautions (on all patients)...HIV/AIDS patients are not required to state that they have HIV/AIDS and the healthcare providers will not know which patient has what unless specify in their charts.

to those wondering about the N95 respirator with infectious TB patient..

-use N95 but during bronchoscopy on the same patient (with infectious TB), use a stronger respirator such as a powered air-purifying respirator or PAPR.

-to do a respirator fit check: during inhalation, the respirator should collapse, and during exhalation, check for leakage around the face

-removing the respirator, you will want to lift the bottom elastic over your head prior to the top elastic. remember to do it slowly because you don't want it to snap off your face.

-remember you would want to remove the respirator outside the patient's room after the door has been closed. all other PPEs should be removed inside the patient's room at the doorway or in an anteroom. but if the procedure only requires that you use gloves, then you can remove your gloves in the patient room followed by hand hygiene

-there are three types of respirator, N95, N99, N100 but the N95 is used for infectious TB.

[bjd08]

Hepatitis B is something that if we are not careful, We can make a mistake very easy, This is a standard precaution unless we are suctioning the pt, then it becomes droplet.

[vadee]

hey guys i found this on the cdc website. it is a file in pdf format with multiple pages of infection control stuff...but there is a chart on there that list much of the infectious diseases and isolation precautions.

and here is a list of infectious diseases in the hospital setting.

hope this helps!

[piscesmama]

please answer my question after these facts (below)

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

This post has helped many and so I am posting it because I caught something while studying and need some understanding!!!

So, chicken pox is "airbornes precautions" but under "contact precautions" with the pnuemonics "Mrs Wee we see "skin infections" and the person posted "vchips" and V being varicella zoster which is chicken pox??!!?? That could also turn into shingles. Please explain????

I had a question I was studying and the employee didn't have to go home after she told the nurse she had the description of what was shingles. The answer said she had to cover up the rash and use contact precautions and could not be assigned to a pregnant mom or immunocomprimised patient. I am totally confused, help moi!!!

[lovendove]

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.

I think and could be wrong, that I read it to be take gloves off, then gown, then wash hand and remove mask then goggles.

[vadee]

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

Syphilis...according to the CDC Appendix A page 110, it is a standard precaution...

where did you find that syphilis is spread by contact? thanks!

[urnurse072b]

Great posts!

I've been reviewing and noticed that whenever the question asks for which patient should go with what room assignment... if there is a private room in the choices and even if there is a patient with similar disease, the answer is always that "private room"... Is this part of ivory-tower nursing in nclex?

Anybody have the same experience???