typing service - picture document to words document.

6-3-21 u world combined notes

Standard Precautions

1. Nurses must practice standard precautions with  all

clients in any setting, regardless of the diagnosis or

presumed infectiveness.

2. Standard precautions include hand washing and the

use of gloves, as well as washing hands after gloves

are removed. Additionally, standard precautions

include the use of masks, eye protection, and gowns,

when appropriate, for client contact.

3. These precautions apply to blood, all body fluids(whether or not they contain blood), secretions and

excretions, nonintact skin, and mucous membranes

B. Interventions

1. Wash hands between client contacts; after contact with

blood, body fluids, secretions or excretions, nonintact

skin, or mucous membranes; after contact with

equipment or contaminated articles; and immediately

after removing gloves.

2. Wear gloves when touching blood, body fluids,

secretions, excretions, nonintact skin, mucous

membranes, or contaminated items; remove gloves

and wash hands between client care contacts.

3. For routine decontamination of hands, use alcoholbased

hand rubs when hands are not visibly soiled.

For more information on hand hygiene from the

Centers for Disease Control and Prevention (CDC),

see www.cdc.gov/handhygiene/

4. Wear masks and eye protection, or face shields, if

client care activities may generate splashes or sprays

of blood or body fluid.

5. Wear gowns if soiling of clothing is likely from blood

or body fluid; wash hands after removing a gown.

6. Steps for donning and removing personal protective

equipment (PPE) (Table 13-2)

7. Clean and reprocess client care equipment properly

and discard single-use items.

8. Place contaminated linens in leak-proof bags and limit

handling to prevent skin and mucous membrane

exposure. Dispose according to agency policy.

9. Use needleless devices or special needle safety devices

whenever possible to reduce the risk of needle sticks

and sharps injuries to health care workers.

10. Discard all sharp instruments and needles in a

puncture-resistant container; dispose of needles

uncapped or engage the safety mechanism on the

needle if available.

11. Clean spills of blood or body fluids with a solution of

bleach and water (diluted 1:10) or agency-approved

disinfectant.

Take off PPE in this order:

alphabetical Gloves, goggles, gown, mask

Put on PPE in the reverse alphabetical

In reverse alphabetical in the G's, but mask comes second. Gown, mask, goggles, gloves

contact precautions

Anything enteric (fecal/oral)

C-diff, Hep A (stands for anus), Herpes, Staph infections, MERSA and RSV (Respiratory Syncytial Virus, babies get it) transmitted by droplet but works best still on contact precautions

Private room, but can be in the same room if in cohort

PPE- Gloves, Gown, Disposable supplies/dedicated supplies

Clostridium difficile

respiratory syncytial virus

Influenza

Wound infections

diphtheria, herpes simplex, impetigo,

pediculosis, scabies, staphylococci, and

varicella zoster

conjunctivitis

2. Barrier protection

a. Private room or cohort client

b. Use gloves and a gown whenever

entering the client’s room.

Droplet precautions (sneezing/coughing)

Meningitis, H-flu (causes epiglottis)

Private room, unless cohort

They need a lumbar puncture for cultures

PPE- Gloves, Mask, Pt wears mask when leaving room, Disposable supplies/dedicated supplies, No gown

a. Adenovirus

b. Diphtheria (pharyngeal)

c. Epiglottitis

d. Influenza (flu)

e. Meningitis

f. Mumps

g. Mycoplasmal pneumonia or

meningococcal pneumonia

h. Parvovirus B19

i. Pertussis

j. Pneumonia

k. Rubella

l. Scarlet fever

m. Sepsis

n. Streptococcal pharyngitis

Airborne precautions

Measles, Mumps, Rubella, TB, and Varicella.

Private room required unless cohort.

Mask, Gloves, Special filter mask (ONLY FOR TB), Pt wear mask when leaving room, Negative airflow room. TB is spread by droplet but airborne precaution.

suspected infection with pathogens

transmitted by respiratory droplets,

generated when coughing, sneezing, or

talking.

b. Private room or cohort client (a client

whose body cultures contain the same

organism)

c. Wear a surgical mask when within 3

feet of a client; place a mask on the

client when the client needs to leave

the room.