Quick infection control question

[mustardseed]

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!

[caliotter3]

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

[mbcatac7]

For Droplet it's Mask and Private Room.

[ikaryuu]

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

[Ogechi]

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

[seijidan]

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 ?