Unit 2 Test (isolation) Flashcards
the separation and restriction of ill persons who have a confirmed contagious infection or disease
isolation
the importance of isolation of these types of transmittal diseases are very dangerous to those who are most
susceptible
tier one=
standard precautions
what is tier one criteria
used in the care of all patients in all healthcare settings, regardless of the suspected or confirmed presence of an infectious agent
tier two=
expanded precaustions
what is tier two criteria
implemented when a patient has or suspected of being colonized with a contagious transmissible disease
in tier two expanded precautions (based on transmission) what is required
doctors order isolation cart single use equipment door signage patient restriction
what is the distance for airborne precautions
no respect for distance (in the air) pathogens are less than 5 microns in size
what is the room description for airborne precautions
negative air pressure (sucks you in)
what should a nurse wear in an airborne precaution
mask, gown and gloves
what are examples of airborne precautions
measles, TB, small pox, bad case of variable and shingles
what is patient care for airborne precaution
patient rarely leaves the room and has to wear a surgical mask when leaving rm
what is the distance for droplet precautions
pathogen larger than 5 microns and expelled into air 3-6 ft
what is the description for droplet precautions
spread through respiratory droplets and tangibly see such as saliva or sneezing
what should a nurse wear for droplet precaution
gown, glove, mask with eye shield
what are examples of droplet precaution
influenza, pneumonia, RSV, bacterial menegitis
what is patient care for droplet precaution
the patient is limited on transportation and wears surgical mask
what is the distance for contact precautions
does not have a distance it is direct contact
what is the description of contact precaution
direct is person to person, indirect is touching surface
what should a nurse wear for contact precaution
gown and gloves (no mask because not respiratory)
what are examples of contact precautions
VRE, MRSA, Varicella
what is patient care for contact precaution
wears gown and gloves when leaving room
what is the description of special contact precaution (contact specific)
suspected of having C-Diff or anthrax
C-Diff is what type of bacteria and what does it respond to
spore forming bacteria and only responds to soap and water
what should a nurse wear for special contact precaution
gown, gloves and hand hygiene is soap and water only
what is patient care for special contact precaution
gloves and a gown and soap and water teaching
when dealing with the immunocompromised, cheap therapy patients what is the goal
reduce any type of a respiratory infection to them because they are more susceptible
what room do you put an immunocompromised patient
positive pressure room (wants to push you out)
in a protective environment why should a person not have potted plants, flowers or fruit
they are at risk for fungal infections and plants can harbor fungi
in a protective environment what should the nurse wear
gown mask and gloves
what is patient care for protective environment
pt rarely goes any where but if they do they have to wear a n95 mask especially if going through area of construction
what is the nurses role for the isolated patient and family
explain the situation, the basics, ease their concern, comfort and reassure
when should you use hand hygienew
before and after leaving the room
use _______ equipment and dispose of ________ supplies and equipment
dedicated, contaminated
remove glove to
chart
where is paper charting done
outside of room
what is the sequence for donning (putting on) PPE
hand hygiene
gown
mask or respirator
gloves (over cuffs)
what is the sequence for removing PPE
gloves
gown
mask or respirator
where do you remove PPE
remove PPE at doorway or in the anti room
where do you place PPE after removal
ALL items in isolation bag
what is the final step when removing PPE
wash your hands
when should you change PPE
when PPE becomes torn or soiled and if moving from contaminated area to cleaner area
what should you leave outside of a contaminated room
personal stethoscope
how many times can you change your gloves
as many times as you want
what is considered DIRTY in PPE
the outside front and sleeves of gown, outside of mask, outside of gloves
what is considered CLEAN in PPE
inside and back of gown including ties, inside gloves and ties of the mask
