Isolation Precautions

Question 1

What is isolation?

Answer 1

Iso is the intentional separation & restriction of ill people with confirmed contagious, transmittable infection/disease

Question 2

What are the basic principles of pt care in iso

Answer 2

Understand how disease is transmitted & what protection to use
Proper hand hygiene before & after help pt
Disposal of contaminated PPE & supplies
Protection of all that are at risk during transport of pt out of iso room

Question 3

What makes up PPE?

Answer 3

Gowns
Masks
Eye protection
Gloves

Question 4

What are the three modes of transmission?

Answer 4

Airborne
Droplet
Contact (most common)

Question 5

How is PPE chosen?

Answer 5

Based on the method of transmission

Question 6

How many Tiers are in the Determination Criteria?

Answer 6

2 tiers

Question 7

What are does Tier 1 stand for?

Answer 7

Standard iso precautions

Question 8

What do standard iso precautions protect?

Answer 8

ALL pt’s in ALL healthcare settings

Question 9

What are the purpose of standard precautions?

Answer 9

To protect healthcare workers & pt’s from contact w/ infectious agents in recognized & unrecognized source of infection

Question 10

What does Tier 2 stand for?

Answer 10

Expanded precautions

Question 11

What do expanded precautions protect?

Answer 11

Pt’s who are or are suspected of being colonized w/ a contagious, transmissible pathogen

Question 12

How do we prepare for Expanded Precautions on the unit?

Answer 12

Look for orders
Place iso cart
Single use equipment in room
Door sign
Pt & visitor restrictions
Notification of receiving unit if pt being transferred

Question 13

Reasons for Contact Precaustions?

Answer 13

MDRO (Acinetobacter Pseudomonas, ESBLs, CREs, etc.), VRE, RSV, Shingles (limited area), Rotavirus, Lice, Scabies, Wounds w/no dressing or containment of drainage

Question 14

Reasons for Special Contact Precautions?

Answer 14

C-diff or Diarrhea on admin

Question 15

Reasons for Droplet Precautions?

Answer 15

Influenza (FLU), Pertussis, Bacterial Meningitis

Question 16

Airborne (Neg. Air) Precautions for what diseases?

Answer 16

TB, Varicella (chicken pox), Measles (rubeola), Disseminated Shingles (widespread or immunocompromised pt)

Question 17

Contact Precautions: What is Direct contact?

Answer 17

Person to person

Question 18

Contact Precautions: What is Indirect contact?

Answer 18

Person to contaminated object to person

Question 19

How do we properly perform contact precautions?

Answer 19

Hand hygiene before entering room
Gown
Gloves
Hand hygiene after leaving the room

Question 20

How do we properly perform Special Precautions?

Answer 20

Hand hygiene (sanitizer) before entering room
Gown
Gloves
Wash hands with soap & water after leaving room

Question 21

How do we properly perform Droplet Precautions?

Answer 21

Hand hygiene before entering
Mask w/ or w/out eye shield
Hand hygiene after leaving

Question 22

How do we properly perform Airborne Precautions?

Answer 22

Hand hygiene before
N-95 mask
If pt is transported give them surgical mask
Put pt in negative air pressure room w/ door closed
Hand hygiene (wash or sanitizer) upon exit

Question 23

COVID Precautions/Specialized Respiratory Precautions: No Aerosolized Procedures

Answer 23

Contact & Droplet Iso
Hand hygiene before
Gown
N-95 + face shield
Gloves
Keep door closed
Hand hygiene after

Question 24

How do we transport special respiratory precaution pt’s that have no aerosol generating procedures?

Answer 24

Assist to chair/bed
Place clean linens on pt
Place surgical mask on pt
Use disinfecting wipes to clean chair/gurney
Remove PPE
Clean hands
transport pt

Question 25

COVID Precautions: Aerosolized Procedures

Answer 25

breathing treatments, mechanical vent, & airborne precautions Hand hygiene before Gown N-95 + face shield Gloves Neg air pressure w/ closed door hand hygiene upon exit

Question 26

How do we transport COVID Precautions: Aerosolized Procedures-Airborne?

Answer 26

Assist pt to chair/bed Place clean linens Place mask on pt Use wipes on chair/bed bars that were touched Remove PPE Clean hands Transport pt

Question 27

What are protective precautions used for?

Answer 27

To protect a pt that is immunocompromised from becoming infected

Question 28

Protective Precautions Procedures

Answer 28

Clean hands upon enter & exit of the room Use standard precautions + dr orders None enters room when they have an infection Staff & visitors must be screeded

Question 29

What type of room do we put pt's in when they are on protective precautions?

Answer 29

Positive pressure room

Question 30

Are fresh fruit & veggies allowed in a pt's room who is on protective precautions & why?

Answer 30

No, because fruits & veggies serve as an environment for bacteria and other things to live on and grow

Question 31

How do we transport pt's with protective precautions?

Answer 31

Clean chair/bed w/ bleach or hydrogen peroxide wipes Follow any specific instructions from dr Assist pt to clean chair/bed Place mask on pt Remove PPE prior to leaving the room Clean/wash hands Transport pt

Question 32

How do we treat the isolated pt & family?

Answer 32

Explain the Situation Explain the Basics - Educate Ease Concerns Comfort & Reassure

Question 33

Don PPE

Answer 33

Gown, Mask, Googles (if needed), gloves

Question 34

Doff PPE

Answer 34

Gloves, Goggles, Gown, Mask OR Gown, goggles, gloves, mask.

Question 35

What is the clean areas on the PPE?

Answer 35

Inside & back of gown including, ties inside gloves ties of the mask

Question 36

What is dirty on the gown?

Answer 36

Outside front & sleeves Outside of mask Outside of gloves