Standard precautions
Hand hygiene- all day every day
gloves- whenever touching the patient
Gowns- when there will be contact with body fluids or secretions
Mask/eye protection- during procedures that may have splashing of body fluids
Contact precautions
MRSA
In addition to standard precautions
private room preferred
gloves when entering room and change when contact with contaminated items
gown if contact with pt. or contaminated items
pt. wear a gown during transport
Droplet precautions
Mumps, rubella, influenza
Standard precautions
private room preferred
wear a mask when within 3 feet
pt. wears a mask during transport
cough etiquette: cover mouth and nose and practice hand hygiene
Airborne precautions
TB, SARS
Standard precautions
Pt. in a monitored negative pressure room
googles or face shield
N95 respirator or greater when entering the room
minimal transport of pt and they must wear a mask
cough etiquette and hand hygiene
MDRO
definition and implications
- Multidrug-resistant organisms
- Bacteria or organisms that have developed resistance to antimicrobial agents
- MRSA, VRE
- There are few agents that can kill the organism making it hard to treat and can cause the patient to be in the hospital for extended periods of time
- Patients/ health care workers can be colonized but not show symptoms
- they can change
Contact precaution plus
contact precautions plus requires handwashing between removing the gown and using hand sanitizer
clostridium difficle diarrhea
strict contact precaution
gown required upon entering the room not just for patient contact
VRSA
