Standard Precautions

FocusRN · Mar 10, 2011

Standard AKA Universal, is simply gloves and wash/alcohol (always wash with soup and water if hands are visibility soiled). Contact, glove, gown, remove gown BEFORE leaving room, and wash/alcohol. I think with infection control you really need to think about ir, and common snese should be ale to assis you. If MRSA is o the toe of a pt, and any part of you body has thew potential to come in contact well, glove and gown should be obvious. Now would that be done on the floor? Not, any where I have worked, because supplies are too scarce, but that is best practice. Search for the infection control mnumonic on here. that may help. Good luck!

turnforthenurse, MSN, NP · Mar 10, 2011

So I know this seems pretty silly to ask but for some reason this throws me off sooo bad ! Nursing may not be the field for me, I'm a pretty black or white person, I dont do well w gray area's. I took my exam after I graduated in 06, I had many precaution questions, but they all seems tricky to me.....mrsa in a toe, you need to clean, what do you wear....questions like that....the real world and nclex world are different...I NEVER saw anyone with a gown on...I see all these acronyms which I understand, they help with which diseases get what precautions...but can somewhat break down the precautions.........
If the disease is contact precautions what would one wear?? is that what you would wear no matter what?Standard....what exactly are you wearing??
Thanks for breaking this down for me

as I was taught, the NCLEX isn't "real life" lol...it is the IDEAL situation, 1 nurse to 1 patient with all the time in the world. I took a review course and there were a lot of times where my instructor would say "I know what happens in the real world, but for the purpose of this test..." etc. I work in a hospital so I know what goes on in the real world...a patient is on contact precautions and the nurse goes in without donning a gown & gloves to go change an IV antibiotic or something, but in reality and for purposes of the NCLEX, you should ALWAYS don a gown & gloves EVERY TIME you enter that patient's room, regardless of what you're doing.

standard precautions is for blood & body fluids, non-intact skin and for mucous membranes, so you would wear gloves. you may also take standard precautions and don a mask/goggles/even gown if say you are suctioning a patient when it is likely you might get sputum or something on your clothes.

contact precautions is gloves & gown. door may remain open. Illnesses/organisms include:

* VRE

* MRSA

* C.diff

* RSV (however the child gets mask, gown & gloves when leaving the room because they're always touching their nose/face)

* Enteroviral infections

* HAV, rotavirus

* varicella (chicken pox), herpes (in addition to contact, this one also requires AIRBORNE precautions)

* Ebola (+ airborne/droplet)

droplet precautions is a mask, usually when you're within 3ft of the patient. door may remain open.

* meningitis

* pneumonia

* epiglottitis

* mycoplasma pneumonia

* influenza

* adenovirus (+ contact precautions)

* parvovirus B19 (Fifth's Disease, sometimes referred to as "slap face")

* rubella (German Measles)

airborne is a mask/hepta mask/respirator, for diseases such as TB (or +AFB [acid fast bacillus] on the NCLEX). the patient needs to be in a private room ALWAYS with negative air pressure that has at least 6 exchanges/hr to filter out the air. you put the mask on when you enter the room, shut the door, and take it off once you are OUTSIDE of the room. the patient's door remains closed at all times.

* TB (+AFB)

* varicella (+ contact precautions)

* shingles

* rubeola (measles)

whatever you wear into the room, the patient wears out of the room if they have to go down for a test or something. so for patients on contact precautions, they need gown & gloves, etc.

caliotter3 · Mar 13, 2011

You can find a list on links on the CDC website.

sheila0313 · Mar 13, 2011

Ok so everyone on allnurses study this little mnemonic right before the Nclex. It goes like this: my chicken Hez, spiderman, Mrs.WEE. If you just study, and memorize the mnemonic you will be able to answer all those types of questions. The mnemonic helped me a lot. So here it is below, it's all the same stuff listed in the recent post by another member but it's just set up so you can memorize it better. God bless!

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

Private room

Gloves

Gown