Isolation: Guidelines and Precautions Flashcards
isolation
Intentional separations and restrictions of an ill person for a patient with a confirmed disease
What is PPE chosen based off of?
method of transmission
What are the forms of PPE?
gowns, masks, eye protection, gloves
tier one of isolation is called
standard precautions
tier two of isolation is called
expanded precautions
when is tier one of isolation used?
on all patients in all healthcare settings
when is tier two of isolation used?
on all patients who are or are suspected of being colonized with a contagious and transmissible pathogen
What is the purpose of standard precautions?
protect healthcare workers and patients from contact with infectious agents
indirect contact
person to contaminated object to person
direct contact
person to person
special precautions
gown, gloves, soap and water
when are droplet precautions initiated
> 5 microns
when is airborne precautions initiated
<5 microns
What mask do you use in airborne precautions?
N95 respirators
contact precautions
gown, gloves, soap and water or hand sanitizer, cover affected are when transporting patient
special contact precautions
gown, gloves, soap and water, absorbent pads to transport
droplet precautions
mask, eyeshield if needed, soap and water or hand sanitizer, regular mask to transport
Airborne precautions
N95 respirator, soap and water or hand sanitizer, regular mask to transport, negative pressure room
COVID without aerosolized procedures
contact + droplet precautions, gown, gloves, N95, face shield, soap and water or hand sanitizer, clean linens on the patient, the patient wears a surgical mask
COVID with aerosolized procedures
special respiratory precautions, gown, gloves, N95, face shield, soap and water or hand sanitizer, clean linens on the patient, the patient wears a surgical mask, negative pressure room
when do you use contact precautions
when pathogen can be obtained through direct or indirect
when is special precautions used
C-diff
what order do you DON your PPE
gown-goggles-mask-gloves
what order do you DOFF your PPE
gloves-goggles-gown-mask
DON
put on
DOFF
take off
what should you do when telling patients about their isolation?
explain the situation, explain the basics and educate, ease concerns, comfort and reassure
what parts of the gown are clean?
inside, back, and ties
what part of the gloves are clean?
inside
What part of the mask is clean?
the ties
What parts of the gown are dirty?
outside, front, sleeves
What part of the gloves are dirty?
the outside
What part of the mask is dirty?
the outside
When is someone placed in protective isolation?
When the patient is immunocompromised
