F- GLOVING, GOWNING AND MASKING Flashcards
All health care providers must apply _____ according to the
risk of exposure to potentially infective materials.
PPE- personal protective equipment
three reasons why gloves are worn:
- protect hands when nurse handles any body substance
- reduce likelihood of nurse transmitting their own endogenous microorganisms to individuals receiving care
- reduce the change that the nurse’s hands will transmit microorganisms from one client or an object to another client.
why are hands cleanses each time gloves are removed?
- gloves may have imperfections or be damaged during wearing allowing for microorganisms to enter
- the hands may become contaminated during glove removal
what component makes gloves more likely to cause an allergic reaction with frequent use
LATEX
-people at greatest risk for developing latex allergies are those who have other allergies or have frequent or long-term exposure to latex
LEVEL OF LATEX REACTION
A nonallergic response characterized by skin redness and itching.
Irritant dermatitis:
Cell-mediated allergic reaction to chemicals used in latex processing. Reaction, including redness, itching, and hives, can be delayed up to 48 hours. Localized swelling, red and itchy or runny eyes and nose, and coughing may develop.
Type IV hypersensitivity:
true latex allergy that can be life-threatening. Reactions vary based on type of latex protein and degree of individual sensitivity, including local and systemic.
Type I allergic reaction
What are some alternatives to latex gloves and what is the most preferred among the options?
VINYL AND NITRILE,
NITRILE is preferable during clinical procedures that are more than brief as VINYL has a high failure rate.
this type of gloving is most frequently used outside the operating room
OPEN METHOD
this method of gloving requires that the nurse wears a sterile gown
CLOSED METHOD
worn during many procedures to enable the nurse to handle sterile items freely and to prevent clients at risk (e.g., those with open wounds) from becoming infected by microorganisms
STERILE GLOVES
what position should the hands be in when waiting to handle sterile items
interlock fingers, hold hands together in front of the body above waist level.
note: if sterile glove touches a clean contaminated, or questionably contaminated object it becomes UNSTERILE and a new sterile glove must be applied
TRUE OR FALSE: the inner wrapper of the folded cuff is considered sterile field
TRUE
when discarding gloves is it okay to do so by throwing it directly onto the disposal?
discard gloves in a waste receptacle
when are clean or disposable impervious gowns/plastic aprons usually worn?
- during procedures when the nurse’s uniform is likely to be soiled
what can sterile gowns indicate?
- the nurse may change dressings of a client with extensive wounds.
what is the usual practice of a hospital for gowning?
SINGLE-USE GOWN TECHNIQUE
worn to reduce the risk for transmission of organisms by the droplet contact and airborne routes and by splatters of body substances.
MASKS/ FACE MASKS
who is recommended to wear masks according to the CDC?
-By those close to the client if the infection (e.g., measles, mumps, or acute respiratory diseases in children) is transmitted by large-particle aerosols (droplets).
Large-particle aerosols are transmitted by close contact and generally travel short distances, what is the distance?
(about 1m or 3ft)
________ remain suspended in the air and thus travel greater distances by air.
Small-particle aerosols
Disposable particulate respirators of different types may be effective for droplet transmission, splatters, and airborne microorganisms. Currently, the category “N” respirator at 95% efficiency (referred to as an _________) meets tuberculosis, SARS, and influenza control criteria.
N95
who tests and certifies different respirators
National Institute for Occupational Safety and Health
and masks are indicated in situations where body substances may
splatter the face.
Protective eyewear (goggles, glasses, or face shields)
T OR F: if nurse wears prescription eyeglasses it must be taken off and goggles placed on
FALSE: if nurse wears prescription eyeglasses, goggles must still be worn OVER the glasses because the protection must extend around the sides of the glasses
what is the order in which you wear the PPE?
- gown
- gloves
- mask
- protective eyewear
- apply clean gown
- face mask
- protective eyewear
- clean gloves
what is the order in which you wear remove the PPE?
- gown
- gloves
- mask
- protective eyewear
- gloves first since they are the most soiled, but it wearing a gown that is tied at the waist in front undo the ties first then remove gloves
2, remove protective eyewear, dispose
- remove gown when preparing to leave the room
- remove the mask at the doorway of the clients room. UNLESS it is a respirator mask , remove it after leaving the room and closing the door.
CDC ISOLATION GUIDELINES HAVE HOW MAN APPROACH? AND WHAT ARE THEY
TWO-TIERED APPROACH,
- STANDARD PRECAUTIONS (SP) EARLIER TERM IS UNIVERSAL PRECAUTIONS OR UP
- TRANSMISSION-BASED PRECAUTIONS
are used in the care of all hospitalized Individuals regardless of their diagnosis or possible infection status.
• They are used in any situations involving blood, all body fluids, excretions, and secretions except sweat (whether or not blood is present or visible), nonintact skin, and mucous membranes.
STANDARD PRECAUTIONS
are used in addition to standard precautions for clients with known or suspected infections that are spread
• in one of three ways: by airborne or droplet transmission, or by
contact.
Transmission-based precautions
T OR F: In preventing infections a transmission-based precaution can be used alone without the standard precaution
FALSE, transmission-based precautions may be used alone or in combination but always in ADDITION to standard precaution
transmission-based precautions are split into three what are they?
- airborne
- droplet
- contact
in this type or transmission-based precaution client is placed in AIIR, you must wear an N95 mask when entering the room.
susceptible people should not enter the room of a client , if they must they have to wear a respirator mask
limit movement of client outside the room to essential purposes. place surgical mask on client during transport
AIRBORNE PRECAUTIONS- AIIR STANDS FOFR AIRBORNE INFECTION ISOLATION ROOM.
AIIR is a private room that has a negative air pressure 6-12 air changes per hour, either discharge of air to the outside or a filtration system
IN THIS TYPE OF TRANSMISSON-BASED PRECAUTIONS YOU MUST:
• Place client in private room.
• If a private room is not available, place client with another client who
is infected with the same microorganism.
• Limit movement of client outside the room to essential purposes. Place a surgical mask on the client while outside the room.
• Wear a mask if working within 1 m (3 ft) of the client.
DROPLET PRECAUTION
IN THIS TYPE OF TRANSMISSON-BASED PRECAUTIONS YOU MUST:
• Place client in private room.
• If a private room is not available, place client with another client who is
infected with the same microorganism.
• Wear gloves
• Remove gloves before leaving client’s room.
• Cleanse hands immediately after removing gloves. Use an antimicrobial agent.
CONTACT PRECAUTIONS
If the client is infected with C. difficile, do not use an ________ because it is not effective on these spores. Use _______
alcohol-based hand rub, USE soap and water
T OR F: dedicate the use of noncritical client care equipment to a single client or to clients with the same infecting microorganisms
