Precautions/PPE

Question 1

How to don PPE:

Answer 1

In alphabetical order!

Gloves, goggles, gown, mask

Question 2

How to put on PPE:

Answer 2

Gown, mask, goggles, gloves

Question 3

Airborne Precautions & Diseases

Answer 3

• patient in private room with NEGATIVE pressure air flow
• patient wears a surgical mask whenever out of room (can only leave if medically necessary)
• nurse wears a fit tested N95 respirator mask whenever entering room
• door of room must be closed
• all on top of standard precautions!

AIRING MTV*

*Measles (Rubeola), TB, Varicella-zoster (Chickenpox), Herpes-zoster (Shingles), Small Pox, SARS

Question 4

Standard Precautions

Answer 4

*For all clients in the hospital/facility

Question 5

Contact Precautions & Diseases

Answer 5

gown & gloves whenever entering the room (mask and goggles follow standard precaution), client care equipment must remain in the room or be disinfected before leaving the room

*Small Pox, Herpes-zoster (Shingles), Varicella-zoster (Chicken Pox), MRSA, VRE, C.diff, Rotavirus, Impetigo, Scabies, Pediculosis (lice), Diphtheria (cutaneous), Hep. A (only if client is incontinent or diapered), RSV

Question 6

Droplet Precautions & Diseases

Answer 6

Mask required when working within 3 feet of the client (everything else follows standard precautions), door can be open

• Viral: influenza, mumps, rhinovirus, Rubella
• Bacterial: Haemophilus influenzae, Neisseria meningitidis, Pertussis (whooping cough), Mycoplasma pneumoniae, Group A Streptococcus, Diphtheria (pharyngeal)

Question 7

What 3 diseases would you follow both airborne and contact precautions?

Answer 7

Small Pox, Herpes-zoster (Shingles), Varicella-zoster (Chicken Pox)

Question 8

Neutropenic Precautions

Answer 8

for clients at increased risk of infection/with low neutrophil count!

*clients with: aplastic anemia, on chemo, cancer, hypersplenism, SLE, HIV

NC: strict hand washing, low-microbial diet, disinfect room daily, no plants, frequent assessments of symptoms of infection, can’t drink standing water, only one nurse

Question 9

Does alcohol in hand sanitizer kill C.diff?

Answer 9

NO!

Only hand washing with soap and water is effective.

Question 10

How long until droplet precautions are no longer needed?

Answer 10

After 24 hours of antibiotics