Wk 2 PPE Flashcards
6 links in chain of infection
- infectious agent
- reservoir -blood, wounds, urine, throat, stool, sputum
- portal of exit - incision, nose, mouth, eyes, catheter
- susceptible host (you, patient)
- portal of entry (natural body openings, human-made openings)
- transmission
4 routes of transmission
- direct contact
- indirect contact (surfaces)
- droplet - cough, sneezes
- airborne -shared airspace
What is included in standard precautions?
- gown
- mask
- gloves
- hand hygiene
- safe injection practices
- respiratory etiquette
Contact precautions include…?
- clean hands
- gown
- gloves
- dedicated equipment (or disinfect b/w use)
Droplet precautions include…?
- clean hands
- gown for direct contact w/ patient or environment
- gloves
- mask and eye protection
- N95/PAPR/CAPR for aerosolizing procedures for suspected/confirmed respiratory viral illness
Airborne precautions include…?
- isolation room w/ negative pressure or HEPA filter or TB unit
- Clean hands
- N95/PAPR/CAPR before entry
- remove N95/PAPR/CAPR after exiting
What does PAPR stand for?
powered
air
purifying
respirator
Pre Donning Sequence
- clean hands
- gown
- mask or respirator
- goggles or face shield
- gloves
- while wearing PPE avoid adjusting, don’t touch face, limit surface touching
4 rules for PPE Doffing
DO NOT:
1. touch outside of gown (contaminated)
2. touch outside of goggles or face shield (it’s contaminated)
3. touch outside of mask or respirator
4. let PPE become a vector for infection transmission
PPE Doffing Sequence
- Lean forward, grasp both sides of gown at the hips and start to bunch. Pull slowly and steadily away from body, until the waist tie rips.
- Cont to pull down and away to break neck of gown
- Peel gown off INSIDE OUT, holding away from body
- Remove gloves as gown is pulled over hands. Roll into ball.
- Discard gown and gloves
- Hand hygiene
- Remove face protection by grasping elastic (front is contaminated)
- Discard
- Hand hygiene
- Exit room
- Hand hygiene
How is COVID transmitted?
Mostly through droplets but can become airborne in presence of aerosol-generating procedure
3 steps for droplet and aerosol mitigation
- source control
- physical distancing
- environmental controls
COVID PPE Use
What are 3 common bloodborne pathogens?
- Hep B
- Hep C
- HIV
What are bloodborne pathogens?
micro-organisms present in human blood and other body fluids that can cause infections