Spiderman pneumonic?

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Hi,

So I just have a question.

A lot of people are mentioing lately they have a ton of infection control on their nclex lately, and to memorize the spiderman pneumonic.

My question is I was doing practice questions and there was a question about pneumonia and I picked use a gown, gloves, and mask (for droplet precautions). There was a option to use a N-95 respirator, I did not pick it. However, the rational said you should pick it because you need to use everything you have available. Is this how it will be on the nclex?

Thanks! Also I'm taking it in 2 days so if you could respond by then! :)

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Hi Petey,

Pneumonia utilizes droplet precautions, so I'm not sure why your source said to pick an N-95 respirator. Just memorize the mnemonic and you'll do fine. And yes, there are MANY IC questions on NCLEX. All the best!

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Thank you! I appreciate it!

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Did you memorize the my chicken hez TB one as well? Its for airborne, measles, chicken pox (varicella); herpes zoster and TB

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Use your own best judgement.

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On one of the posts regarding infection control, someone stated that for airborne precautions, you should remove gloves then gown before leaving the patient's room, but remove the N95 mask after leaving the room. The poster did not give an explanation as to why and this is the first I've heard of removing the mask after leaving the room.

Does anyone know if this is accurate and/or an important distinction? For those who have tested already, are the infection control questions, in general, pretty straightforward or do they nit-pick on specifics?

Thanks so much

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On one of the posts regarding infection control, someone stated that for airborne precautions, you should remove gloves then gown before leaving the patient's room, but remove the N95 mask after leaving the room. The poster did not give an explanation as to why and this is the first I've heard of removing the mask after leaving the room.

Does anyone know if this is accurate and/or an important distinction? For those who have tested already, are the infection control questions, in general, pretty straightforward or do they nit-pick on specifics?

Thanks so much

From my understanding, removing the mask outside saves you from breathing in the infected air. Being in the room without the mask places you at an increase risk of being infected ,remember,you are still in the room with the patient and breathing even at the door.

I could be wrong but this is how I understand it to be.

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I would focus more on the order of donning and removing ppe, not about leaving the room with the mask or respirator on. That's just according to my test though ;)

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I had trouble remembering the order for removing them until I was taught to remove them alphabetically....lol

GLOVES

GOGGLES

GOWN

MASK

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Does anyone know what the order is to don PPE?

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From Kaplan Strategies, Practice, and Review:

ON

hand hygiene

gown

mask

goggles

gloves

OFF

gloves

goggles

mask

gown

hand hygiene

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From my understanding, removing the mask outside saves you from breathing in the infected air. Being in the room without the mask places you at an increase risk of being infected ,remember,you are still in the room with the patient and breathing even at the door.

I could be wrong but this is how I understand it to be.

That makes sense. My brain is fried. Thanks! :)

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