Isolation

Question 1

isolation

Answer 1

the intentional separation and restriction of ill persons with a confirmed contagious, transmittable infection/disease

Question 2

what are the basic principles of patient care in isolation

Answer 2

understand disease transmission, which barriers to use, hand hygiene, disposal of PPE and supplies, keeping people protected during transport

Question 3

PPE

Answer 3

gowns, masks, gloves, eye protection

Question 4

how is PPE chosen?

Answer 4

based on method of transmission

Question 5

what patients are on tier 1: standard precautions?

Answer 5

all patients in all healthcare settings
wash hands and wear gloves when appropriate

Question 6

what patients are on tier 2: expanded precautions?

Answer 6

patients who are or are suspected of being colonized with a contagious, transmissible pathogen
when patient is on isolation, known or suspicion of highly transmissible pathogen

Question 7

what is the purpose of standard precautions?

Answer 7

to protect HCWs and patients from contact with infectious agents in recognized and unrecognized sources of infection - blood, body fluids, non-intact skin, mucous membranes

Question 8

what are the parts of tier 2: expanded precautions?

Answer 8

orders, isolation cart, single use equipment, door signage, patient and visitor restrictions, notification of receiving unit

Question 9

direct contact

Answer 9

person to person

Question 10

indirect contact

Answer 10

person to contaminated object to person

Question 11

what do you need for contact precautions?

Answer 11

hand hygiene, gown and gloves
dispose gown and gloves inside room
hand hygiene after take off gown and gloves

Question 12

contact precautions transport

Answer 12

assist patient to chair or gurney, clean linens over patient, disinfect wheelchair where you touched, remove gown and gloves, clean hands, transport patient

Question 13

what do you need for special contact precautions?

Answer 13

gown and gloves and soap and water
wash with soap and water inside room after take off gown and gloves
wash with soap and water between changing gloves

Question 14

why do special contact precautions?

Answer 14

for patients with C diff or suspicion of C diff

Question 15

special contact precautions transport

Answer 15

assist patient to wheelchair, clean linens over patient, use bleach wipes on wheelchair where you touched, remove gown and gloves, clean your hands with soap and water, transport patient

Question 16

droplet precautions are used for

Answer 16

bacteria that is larger than 5 microns - flu, pertussis, bacterial meningitis

Question 17

what do you need for droplet precautions?

Answer 17

hand hygiene, mask, gown, gloves
can change mask when leaving room if patient has productive cough

Question 18

droplet precautions transport

Answer 18

assist patient to wheelchair, clean linens over patient, mask on patient, clean wheelchair where you touched, remove, gown, gloves, mask, clean hands, transport patient

Question 19

airborne precautions are used for

Answer 19

bacteria that are smaller than 5 microns - smallpox, measles, chickenpox

Question 20

what do you need for airborne precautions?

Answer 20

hand hygiene, N95 mask, gown, gloves, negative air pressure room
take gloves off in room, step into small room, close door, take N95 mask off outside pt room

Question 21

airborne precautions transport

Answer 21

assist patient to wheelchair, clean linens over patient, surgical mask on patient, clean wheelchair where you touched, remove gown, gloves, mask, clean hands, transport patient

Question 22

no aerosolized procedures

Answer 22

contact and droplet isolation, no negative pressure room

Question 23

aerosolized procedures - breathing treatments, mechanical ventilator

Answer 23

airborne precautions

Question 24

special respiratory precaution - no aerosol procedure

Answer 24

hand hygiene, N95 mask, goggles/face shield, gown and gloves
keep door closed

Question 25

special respiratory precaution- no aerosol procedure transport

Answer 25

assist patient to wheelchair, clean linens over patient, mask on patient, clean wheelchair where you touched, remove gown, gloves, mask, clean hands, transport patient

Question 26

special respiratory precaution - aerosol procedure

Answer 26

hand hygiene, N95 mask, shield, gown, gloves
negative pressure room

Question 27

special respiratory precaution - aerosol procedure transport

Answer 27

assist patient to wheelchair, clean linens over patient, surgical mask on patient, clean wheelchair, remove gown, gloves, mask, clean hands, transport patient

Question 28

why are protective precautions used?

Answer 28

for people who are immunocompromised

Question 29

what are protective precautions?

Answer 29

screening for staff and visitors
positive pressure room
no fresh fruit, vegetables, flowers allowed on unit
physician may order PPE if they deem it necessary
patient must be masked outside of isolation room
no visitors under age 14

Question 30

protective precautions transport

Answer 30

clean wheelchair with hydrogen-peroxide wipe, assist patient to wheelchair, clean linens over patient, mask on patient, remove and trash any PPE, wash hands, transport patient

Question 31

how do you put on PPE?

Answer 31

gown, mask, goggles, gloves - bottom up

Question 32

how do you take off PPE?

Answer 32

gloves, goggles, gown, mask - alphabetical order