Isolation Flashcards
Basic Principles of pt care in isolation
- Understand disease transmission and protective barriers needed
- Hand Hygiene before entering and leaving pt room
- Proper disposal of PPE
- Protect EVERYONE when transporting ill pt outside of isolation room
4 main PPE
- Gown
- Mask
- Eye Protection
- Gloves
Most common –> Least Common transmission methods
- Contact
- Droplet
- Airborne
Who does Tier 1 precautions apply to? Tier 2?
- ALL PT IN ALL HEALTHCARE SETTINGS
- Pt who are suspected of being colonized w/ a contagious, transmissible pathogen
What’re the ranks of expanded precautions?
- Contact
- Special Contact
- Droplet
- Airborne
What are the reasons for contact precaution?
- MDRO
- VRE
- RSV
- Shingle
- Rotavirus
- Lice
- Scables
- Wounds
Whatre the reasons for special contact precautions?
- C-diff
- Diarrhea
Whatre the reasons for Droplet precautions?
- Flu
- Pertussis
- Meningitis
Whatre the reasons for Airborne precautions?
- TB
- Vericellis (Chicken Pox)
- Measles
- Shingles
What are the contact precautions?
- Hand Hygiene before (Wash or sanitize)
- Gowns and gloves
- Hand Hygiene upon exiting (Wash or sanitize)
- Cover wounds/affected areas when transporting pt
Whatre the special contact precautions?
- Hand Hygiene before room
- Gown and gloves
- Hand Hygiene upon exiting (MUST BE WASHING)
- BLEACH WIPES instead of Hydro.-perox.
- Use absorbent pads when transporting pt
What is the difference between droplet and airborne microns?
Droplet has more than 5 microns but airborne has less than 5
Whatre the droplet precautions?
- Hand Hygiene before entering
- Masks
- Hand Hygiene upon exiting (wash or sanitize)
- Mask on pt when transporting
Whatre the airborne precautions
- Hand hygiene before entering room
- N95 mask and negative air pressure room
- Hand hygiene upon exiting (wash or sanitize)
- mask on pt when leaving room
2 types of precautions for COVID
- Aerosolized Procedures (Creating treatments and mechanical ventilation)
- No Aerosolized procedures
Whatre the special respiratory precautions for no aerosol?
- Hand Hygiene before
- Gown, gloves, N95 mask, face shield
- Hand Hygiene upon exiting (wash or sanitize)
- Mask on pt when leaving
Whatre the special respiratory precautions for aerosol?
- Hand Hygiene befoer
- Glove, gown, N95 mask, face shield
- Negative air pressure room
- Hand Hygiene upon exiting
- Mask on pt when leaving
Who are protective precautions for?
Immunocompromised pt’s who are at high risk (Ex: Chemotherapy pt’s)
Whatre are the protective precautions?
- Staff and visitors must be checked
- Positive pressure room
- NO fresh fruit, veggies, or flowers
- PPE may be needed
- Mask on pt when leaving room
3 main ways to be our best CAREgivers?
- Educate pt as much as possible and explain the situation
- Ease their concerns as much as possible
- Comfort and reassure them
On the 3 main PPE (Mask, Gown, Mask) what is clean and dirty?
CLEAN
- Mask: Ties
- Gloves: Inside
- Gown: Inside and back, including ties
DIRTY
- Mask: Outside
- Gloves: Outside
- Gown: Outside front and sleeves
