NUR 324 Flashcards
Protective Precautions
Private room
Positive airflow greater than or equal to 12 air exchanges/hour
HEPA filtration for incoming air
Mask
Gloves
Gowns
Transplant patients
Contact Precautions
Private room/cohort
Standard Precautions +
Gloves
Gowns
What infections require contact precautions?
VRE and/or MRSA colonization
Clostridium Difficile
Shigella
Other enteric pathogens
Major wound infections
Herpes simplex
Scabies
Varicella Zoster (disseminated)
Respiratory Syncytial Virus
Droplet Precautions
Private room/cohort
Mask or respirator
What pathogens require droplet precautions?
Influenza
Adenovirus
Group A strep
Neisseria Meningitides
Pertussis
Rhinovirus
Mycoplasma Pneumoniae
Diptheria
Pneumonic Plague
Rubella
Mumps
Respiratory syncytial virus
What pathogens require Airborne Precautions?
Measles
Chickenpox
Disseminated Herpes Zoster
Mycobacterium TB
Rubeola
Covid 19
Airborne Precautions
Private room
Negative pressure airflow of at least 6-12 exchanges/hour via HEPA filtration
Mask or respiratory protection device
N95 respirator
The Joint Commission
Do not use abbreviations
U, u
IU
Q.D., QOD, q.o.d, qod
Trailing zero
Lack of leading zero
MSO4, MgSO4
What qualities are needed for critical thinking?
Truth seeking
Open-mindedness
Analyticity
Systematicity
Self-confidence
Inquisitiveness
Maturity
Safe Delegation
Right (competent) person
Right direction/communication
Right supervision
Right task
Right circumstance
Needle-stick procedure
1.) Stop what you are doing immediately! If you can’t leave a patient, get someone else to cover for you.
2.) Clean the affected areas with soap and water, or follow the cleaning protocols set by your facility.
3.) Follow your hospital’s or work setting protocol for needle stick injuries. This usually includes: calling your house supervisor, team member health, or nurse manager; completing the proper paperwork for an employee injury; submitting a urine drug test; informing the patient’s doctor so the proper blood work can be ordered; getting the patient’s consent for HIV testing; and having your blood drawn for preliminary results. Blood tests can include: HIV, hepatitis C, hepatitis B, ALT function (liver function).
4.) If the patient has a positive result for HIV or hepatitis, you might be started on prophylaxis drugs and will be required to get repeated blood draws to check for HIV and hepatitis because this disease will not show up for months if you have contracted them.
