Isolation Precaution

standard precautions: these are the necessary safety communicable disease contact precautions: (jeez, this looks like
like "wound" precautions are back......is

containment measures that must/ should be taken with all patients. that so?)
(formerly known as "universal")
1. wash your hands vigorously over the sink, for at least 1 minute, with before entering:
soap(*most important step in infection control, prevents most nosocomial 1.wash hands vigorously with soap, over the sink for at least 1 minute (you
infections, for which hospitals may not be compensated, with medicare can hum to yourself, a complete stanza of "twinkle,twinkle little star")
patients) 2. don gown good point of order, but if no splash of body fluids is possible,
2. don new pair of gloves (before coming in contact with anything wet, i.e. why use the gown? then gloves
broken skin, mucous membranes, blood, body fluids, freshly soiled/soaking
instruments, contaminated waste materials. upon entering:
3. wash hands again upon removal of gloves and between patients 1. use disposable equipment when possible why? if a wound culture hasn't
been done, there's no supporation...
2. when disposables are not available clean and disinfect all equipment before
removing from room that could be necessary when patients are caring for their
own colostomy, ileostomy, etc. i can't see why that would be necessary for
cutlery, or wheelchairs, etc.
transporting patient:
1. pt should perform hand hygeine (?just before leaving room?) with waterless
"soap",and wear a cleaner gown (shirt, if they have no open wound)
2. for direct contact with pt, nurse or care provider should wear a gown and
gloves. why, if no open wound?
3. notify receiving area of? - if transferring patient, need for isolation cart, if
there is a wound with mrsa
before leaving the patient's room:

1. place items to be removed from room, like soiled laundry, onto table near
inside of door, specimens in properly labelled as "contaminated"
in intact plastic bags for that purpose.
2. remove gloves then gown, pulling it off from back of neck, not front of
chest, if it needed to be used for a dressing change where splash of body fluids
was anticipated......
2. wash hands with soap over sink for 1 minute (humming or not)
contact precautions microorganisms:

1. antibiotic resistant organisms (methicillin resistant staphylococcus aureu
(mrsa), extended spectrum beta-lactamase (esbl), penicillin resistant
streptococcus pneumoniae (prsp), multi-drug resistant pseudomonas
aeruginosa (mdrp) which has not been treated for appropriate length of time
with antibiotic, and then is negative upon culture (about 4 days, total)
2. scabies
3. herpes zoster (shingles) localized
4. diarrhea, clostrididum difficile now, with bedpan use, splash ispossible,
therefore when assisting patient with removal of bedpan, a gown may be
necessary!
airborne/aka respiratory contact precautions: droplet (oral or nasal) contact precautions: same as contact/wound isolation
above, in addition to above negative pressure room procedures
before entering:
1.wash hands vigorously with soap, over sink for 1 minute before entering:
2. fit correct size n95 respirator (mask) over nose and mouth so that it is air 1. wash hands
tight 2. be sure patient has properly fitted n95 mask on and fitted well to facial
3. don gown then gloves contours, thendon mask and eye protection
3. don gown then gloves
*negative pressure isolation room keep door closed, with appropriate sign
on it, if permitted by hippa patient transport:
1. pt must perform hand hygeine if.....
look to see that room has been checked since last admission by 2. pt must wear a properly sized and fitted and cleaner gown, with clean sheet
engineering, to assure that laminar flow is present and working properly on top of him/her
3. *for direct contact with pt, nurse or care provider should wear a gown and
transporting patient: gloves.
1. patient must wear a well fitting n95 surgical or procedure mask and a 4. notify receiving area of the need for infection control equipment/negative
cleaner gown with clean sheet over body pressure room (if transfer)
2. patient must wash hands, if it's possible that he/she may touch something
outside their bed, enroute before leaving pt's room:
3. for direct contact with pt, nurse or care provider should wear a gown and 1. remove gloves then gown
gloves. (if sneezing or coughing could occur, with mask coming off) 2. wash hands
4. notify receiving area that their negative pressure room must be ready, 3. remove eye protection and mask
before leaving room with patient, if it's a transfer. (portable radiology 4. wash hands
equipment is preferable to going into x-ray department, if possible.)
droplet contact precautions microorganisms:
before leaving pt's room: 1. influenza (flu)
1. remove gloves then gown not n95 mask, bringing new ones in plastic bag 2. viral respiratory tract infections (adenovirus, parainfluenza, rhinovirus, rsv)
with you attached to bed, not on top of it, in case of splash of body fluids, 3. streptococcus group a pharyngitis, pneumonia, scarlet fever
contact with patient needed 4. neisseria meningitis invasive infections i though viral meningitis was
2. wash hands with soap vigorously for at least 1 minute acquired through droplet (respiratory) route
5. h. influenzae type b invasive infections ?
after leaving pt's room: 6. pertussis
1. shut door, or call another staff person to open and shut it for you, if your 7. rubella and rubeola
hands have items to be removed 8. mumps
2. wash hands vigorously with soap, over sink for at least 1 minute 9. diphtheria (while we are thinking of remote possibilities).
3. remove n95 mask, by the elastic cords, from behind your head and dispose 10. polio " " " " " " "
of it safely at entrance to room
4. wash hands again as always, if you handled items removed from room,
after leaving it
airborne contact precautions microorganisms:

1. measles (rubeola)
2. active tuberculosis (tb)
3. chicken pox (varicella-zoster virus)
4. herpes zoster (shingles) disseminated
5. a/h1n1 flu or other similarly contagious flu

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standard precautions: these are the necessary safety communicable disease contact precautions: (jeez, this looks like

like "wound" precautions are back......is

before leaving the patient's room:

contact precautions microorganisms:

airborne contact precautions microorganisms:

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