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Discussion

Quick infection control question

This question has probably been asked already but I'm hoping someone would be kind enough to answer =). What does the nclex want you to wear for droplet and airborne precautions? I'm kind of confused because nclex review books and the CDC say you don't have to wear a gown for either, but from what I remember, i could swear that i encountered doing Kaplan qbank questions that had answers that included wearing a gown for droplet precautions. Could someone please clarify this? I'd appreciate it so much!

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    Go with the answer the CDC gives. Read this the other day and seem to recall the CDC recommends gowns for droplet precautions.

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    For Droplet it's Mask and Private Room.

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    Here the info straight from the CDC's report in their website:

    "The categories of Transmission-Based Precautions are unchanged from those in the 1996 guideline: Contact, Droplet, and Airborne. One important change is the recommendation to don the indicated personal protective equipment (gowns, gloves, mask) upon entry into the patient’s room for patients who are on Contact and/or Droplet Precautions since the nature of the interaction with the patient cannot be predicted with certainty and contaminated environmental surfaces are important sources for transmission of pathogens."

    Here's the link for the journal/report: http://www.cdc.gov/hicpac/pdf/isolation/Isolation2007.pdf

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    Airborne (My Chicken Hez TB)

    Measles

    Chicken pox

    Herpes Zoster

    Tuberculosis

    Management:

    -private room

    -negative airflow pressure, minimum of 6-12 air exchanges per hour

    -UV germicide irradiation/ high efficiency air

    filter is used, mask, N95 mask for TB

    Droplet (SPIDERMAn)

    Scarlet fever

    Sepsis

    Streptococcal pharyngitis

    Pertussis

    Parvovirus B19

    Pneumonia

    Influenza

    Diphtheria

    Epiglottitis

    Rubella

    Mumps

    Mycoplasmal/Meningeal Pneumonia

    AdeNovirus

    Management:

    -private room

    -mask

    Contact (MRS.WEE)

    Multi-resistant organism

    Respiratory Syncitial Virus

    S.kin Infections (e.g:VCHIPSS- Varicella zoster, Cutaneous Diphtheria, Herpes Simplex,Impetigo, Pediculosis, Staph infection and Scabies)

    Wound Infection

    Enteric Infection (Clostridium Difficile)

    Eye Infection (Conjunctivitis)

    Management:

    -MRSA: gloves, gown, goggles, face shield

    -patients should be in a private room

    Skin Infections:

    V - Varicella zoster

    C - Cutaneous diptheria

    H - Herpes simplex

    I - Impetigo

    P - Pediculosis

    S - Scabies, Staphylococcus

    Private room

    Gloves

    Gown

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    So let me get this straight. I have memorized the infection control mneumonics but according to CDC

    Droplet: gown, gloves, mask, private room

    Contact: gown, gloves, mask, private room

    Airborne: mask and private room ?

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