With Droplet, I know you gotta wear the face shield, mask whatever...BUT. Some people are saying you ONLY wear that, but then others are saying on NCLEX you wear, GOWN, GLOVES, AND the mask and stuff.
And same with airborne, some way you ONLY wear the N95, but some way you get the gown and gloves too
I was thinking you wore gown and gloves with droplet and airborne as well. You don't want droplets of whatever getting on you. Or any kind of airborne stuff. But yeah I know they ask PPE questions on the Nclex. And if they were to ask...well what would you wear with Pertussis..what would you put? Or what to wear with TB..what would you put? And it's a select all that apply, or gives answers like (A-gown, gloves, B-gloves, gown mask, C-gloves, goggles, etc) See what I'm saying?
Anyone have any other input? I was checking the CDC pdf with that nice long table of diseases. I came across the seasonal flu....which is droplet. The right column in the table says to wear gown and gloves with the flu pt, yet they're basic droplet. Also....you want to wear a gown and gloves when you think you may be splashed with something. Well the droplet diseases are spread via droplets, and it says "OR", by touching surfaces and items that these droplets land on. So if you walk into a mumps room, they could have coughed all over the siderails...sheets,etc. Or they could turn over and cough their droplets all over you. That's grounds for a gown if you ask me...coming into contact with not only a body fluid, but an infectious one.
At our hospital, droplet means mask. Period. You have to inhale the bacteria/virus to be infected. Once the droplets are atttached to whatever they fell on, you won't inhale them. That makes sense to me now.
Chicken Pox is Droplet AND Contact, so you'd wear all of the above!
Yeah I'm searching online for it and seeing a lot of places say just a mask for droplet, or just the N95 for airborne. But I figured you'd wanna wear gloves too at least..So is that what everyone is being taught? Cuz in school they told us gown and gloves + the mask. Because you know it's standard precautions to wear a gown if you will come in contact with any kind of secretion...and a droplet person just secreted all over their side rail and call light that you're about to touch. I did find this on the CDC site, page 9 of 225
"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"
and page 17
"Droplet transmission is, technically, a form of contact transmission, and some infectious agents transmitted by the droplet route also may be transmitted by the direct and indirect contact route"
I know in the real world we probably only wear a mask, gloves if we want to...but Nclex world.
At our hospital, droplet means mask. Period. You have to inhale the bacteria/virus to be infected. Once the droplets are atttached to whatever they fell on, you won't inhale them. That makes sense to me now.
Chicken Pox is Droplet AND Contact, so you'd wear all of the above!
Chicken pox is airborne and contact...didnt know it was droplet as well. I recently had a question on my kaplan qbank and saunders about chicken pox and the answer was airborne and contact
Chicken pox is airborne and contact...didnt know it was droplet as well. I recently had a question on my kaplan qbank and saunders about chicken pox and the answer was airborne and contact
Sorry... my fingers got a little crazy... I meant airborne and contact. Hee, good catch!
1. Airborne-private room, negative pressure, mask, N95 mask for TB, UV (dont really understand why UV would be used but memorized it anyways)
UV rays kill TB... just a fun little fact. This is why they put TB patients in sunrooms, or sanitoriums, (or perhaps why they worked, even if they didn't start it that way on purpose). UV rays kill other bacteria and viruses as well. We had super-duper HEPA filter banks installed in our house when my son had cancer, and there is a bank of UV lights that the air passes through as well. Neat stuff!
kgh31386, BSN, MSN, RN
815 Posts
Anyone have any other input? I was checking the CDC pdf with that nice long table of diseases. I came across the seasonal flu....which is droplet. The right column in the table says to wear gown and gloves with the flu pt, yet they're basic droplet. Also....you want to wear a gown and gloves when you think you may be splashed with something. Well the droplet diseases are spread via droplets, and it says "OR", by touching surfaces and items that these droplets land on. So if you walk into a mumps room, they could have coughed all over the siderails...sheets,etc. Or they could turn over and cough their droplets all over you. That's grounds for a gown if you ask me...coming into contact with not only a body fluid, but an infectious one.