Asepsis, Safety, Skin and Documentation Flashcards
What precautions do measles, TB, and Marseilles (chicken pox) fall under?
airborne precautions (respiratory isolation)
which precaution is the transmission of aerosolized, airborne droplet nuclei ?
airborne precautions
which precaution is described as “transmission by close contact with large, particle droplets from respiratory tract”.
Droplet precautions
Which precaution is categorized as “transmission by direct patient contact or contact with items in patients room”?
contact precautions
pneumonia, influenza, Ebola, and bacterial meningitis fall under which precaution level?
Droplet precautions
MRSA and C. difficile fall under which precaution level?
Contact precautions
Bright red, fresh blood, indicates active bleeding
sanguineous
Thin & watery with light red or pink hue
Serosanguineous
Clear and watery plasma
Serous
Pussy discharge. Thick opaque, & odorous build up from infection.
Purulent
Continuously sucking out the drainage out the wound to promote healing
Negative Pressure Wound Therapy
What is this? What type of drainage system
Hemovac
Closed system
What is this? What type of drainage system
Jackson-Pratt
Closed system
What is this? What type of drainage system
T-tube (placed in a common bile duct after gallbladder surgery)
Closed system
What is this? What type of drainage system
Penrose drain
Open system
Which pressure stage is described as?
Non-blanchable (if its red and pressing doesn’t change color, still red) erythema of intact skin.
- Sores (not considered open wounds)
Stage 1
Which pressure stage is described as?
- Partial-thickness skin loss with exposed dermis
- If someone has a blister, which eventually pops and exposed the dermis
- Shallow open injury
Stage 2
Which pressure stage is described as?
- Full-thickness skin loss; not involving underlying fascia
- Went through the dermis, seeing signs of subcutaneous fat.
Stage 3
Which pressure stage is described as?
- Full-thickness skin and tissue loss
- Went through the subcutaneous tissue and might see bone, muscle, tendon.
Stage 4
Which pressure stage is described as?
- obscured full thickness skin and tissue loss
- Eschar or Black leathery covering (slough), can’t be moved (may be mistaken for subcutaneous tissue), this needs to be removed (debrided)
Unstageable
What is this called?
- persistent non-blanchable deep red, maroon, or purple discoloration.
- Accumulation of the blood from pressure
Deep tissue pressure injury (DTI)
