Understand nurse aide role in infection control - PowerPoint Presentation

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Understand nurse aide role in infection control - PPT Presentation

Unit A Nurse Aide Workplace Fundamentals Essential Standard NA300 Understand infection control safety and emergency skills within the nurse aide scope of practice B2 Indicator ID: 676837

nursing fundamentals precautions 7243 fundamentals nursing 7243 precautions resident standard transmission body continued blood control based infection equipment fluids

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Slide1

Understand nurse aide role in infection control

Unit A

Nurse Aide Workplace FundamentalsEssential Standard NA3.00 Understand infection control, safety and emergency skills within the nurse aide scope of practice. (B2)Indicator 3.01 Understand nurse aide’s role in infection control

Nursing Fundamentals 7243

3.01Slide2

For

Your Information

There is intentional repeat of some HSII course content in Nursing Fundamentals. Academic and skill competence must be maintained at a very high level for direct resident care.

Nursing Fundamentals 7243

3.01Slide3

Research has shown that

after reaching a high level of performance during an initial training period, additional training

can lead to substantial improvements in long-term retention.This additional repetitive training is called overlearning. J Neurophysiol. 2008 November; 100(5): 2948–2955. Published online 2008 September 10.3.01Nursing Fundamentals 7243

3Slide4

Nurse aides

have a responsibility to understand and follow

the facility’s infection control policies and procedures. Nursing Fundamentals 724343.01Slide5

The Bottom

Line

BAD GERMS make people sick!Nursing Fundamentals 724353.01Slide6

SOOOOO…

GERM SPREAD!

Nursing Fundamentals 724363.01Slide7

GERMS

are called MICROORGANISMSCan only be seen by using a

microscopeNursing Fundamentals 724373.01Slide8

MICROORGANISMS

Can Be BAD

Can Be GOODORNursing Fundamentals 724383.01Slide9

MICROORGANISMS

Can Be BAD

May causeillnessinfectiondiseaseNursing Fundamentals 724393.01Slide10

MICROORGANISMS

Can Be BAD

Germs that start infection, illness, or disease in the body and make you sick are called PATHOGENSNursing Fundamentals 7243103.01Slide11

Infectioninvasion of the body by microorganisms

invading microorganisms:use the host’s resources to multiplyinterfere with normal function3

rd leading cause of death in the U. S.Nursing Fundamentals 7243113.01Slide12

INFECTION

LOCAL

SYSTEMICNursing Fundamentals 724312

3.01Slide13

Local infectiononly a specific

portion of the body is infected painrednessheat at the siteswelling

pusfoul smelling drainageNursing Fundamentals 7243133.01Slide14

Systemic infection

affects the entire bodyfever

acheschillsnauseavomiting weakness

Nursing Fundamentals 7243

3.01Slide15

Another way to classify INFECTION…

Endogenous (endo- inside; genous

- type or kind)type or kind of infection or disease that originates from within the bodyExogenous (exo- outside; genous- type or kind)type or kind of infection or disease that originates outside the body

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3.01Slide16

REPORT ANY SIGNS OR SYMPTOMS OF INFECTION THAT YOUR RESIDENT MAY HAVE!

Nursing Fundamentals 724316

3.01Slide17

Residents with systemic infection may become

confused

or exhibit behavioral changes.Nursing Fundamentals 7243173.01Slide18

MICROORGANISMS

Can Be

GOODBenefit us by maintaining a balance in our environment and in our bodyNursing Fundamentals 7243183.01Slide19

MICROORGANISMS

Require certain elements to survive:oxygen – aerobicno oxygen – anaerobic

warm temperaturesmoisturedark area to growNursing Fundamentals 7243193.01Slide20

MICROORGANISMS

Require certain elements to survive: (CONT.)food

dead tissue – saprophytesliving tissue – parasites Nursing Fundamentals 7243203.01Slide21

Human Body Defenses againstMICROORGANISMS

External natural defensesskin as mechanical barriermucous membrane

cilia – fine microscopic hairs in nosecoughing and sneezing hydrochloric acid in stomachtearsNursing Fundamentals 7243213.01Slide22

Human Body Defenses against

MICROORGANISMSInternal defenses:Phagocytes

–Inflammation – Fever – Immune response - Nursing Fundamentals 7243223.01Slide23

Human Body Defenses

can only do so much!Nursing Fundamentals 7243

233.01Slide24

SOOOOO…

GERM SPREAD!

bre ak the CHAIN OF INFECTIONNursing Fundamentals 7243243.01Slide25

Chain of Infection

Nursing Fundamentals 7243

253.01Slide26

Causative Agent

Bacteria

VirusesFungiProtozoa

Nursing Fundamentals 7243

3.01Slide27

Reservoir of the Causative AgentHuman with active cases of disease or those that carry disease without having symptoms

Animals/insectsFomitesEnvironment

Nursing Fundamentals 7243273.01Slide28

Causative Agent Portals of EXIT

Tears (slight risk)Saliva/respiratory tract secretionsUrineFecesWound drainageReproductive tract secretions

Nursing Fundamentals 7243283.01Slide29

Causative Agent Portals of ENTRY

Cuts/break in skinOpenings in the mucous membranesRespiratory systemGastrointestinal systemUrinary systemReproductive systemMother to fetus

Nursing Fundamentals 7243293.01Slide30

Mode

of Transmission

Contactdirect – person to personindirect – fomite to persondroplet – common coldCommon vehicle salmonella in foodNursing Fundamentals 7243303.01Slide31

Mode of Transmission(continued)

AirbornetuberculosisVectorbornemosquito harbors malaria parasite

Nursing Fundamentals 7243313.01Slide32

HostIndividual

who harbors the infectious organisms

Nursing Fundamentals 7243323.01Slide33

Host

Susceptibility may be caused by poor diet, fatigue, inadequate rest, stress, or poor health

Nursing Fundamentals 7243333.01Slide34

Elderly are at a higher risk for infection!

The elderly have a higher risk for infection because of:

weakened immune systemsdecreased circulationslow wound healingmalnutritiondehydrationlimited mobilityNursing Fundamentals 7243343.01Slide35

Aseptic Control

Antisepsis - Disinfection - Sterilization

Chain of Infection Buster!Nursing Fundamentals 7243353.01Slide36

Aseptic Control

Antisepsiseffective in preventing or inhibiting the growth of pathogenic organisms, but not spores or viruses

safe to be used on skinNursing Fundamentals 7243363.01Slide37

Aseptic Control

Disinfectiondestroys pathogenic organisms that are already presentnot effective against spores or viruses

chemicals are usedNOT used on skinUsed on THINGSNursing Fundamentals 7243373.01Slide38

Aseptic Control

Sterilizationkills all microorganisms, including spores and virusesmethods

steam under pressuregasradiationchemicals not used on skinNursing Fundamentals 7243383.01Slide39

STOPPING THE SPREAD OF INFECTION IS CALLED

MEDICAL ASEPSISThe practice used to remove or destroy pathogens and to prevent their spread from one person or place to another person or place; clean technique

Nursing Fundamentals 7243393.01Slide40

ALWAYS CLEAN FROM THE LEAST SOILED TO THE MOST SOILED AREA WHEN CARING FOR RESIDENTS

Nursing Fundamentals 7243

403.01Slide41

MEDICAL ASEPSIS

Is accomplished by using ASEPTIC TECHNIQUENursing Fundamentals 7243

413.01Slide42

ASEPTIC TECHNIQUE Includes:

Proper handwashing (hand hygiene)

Employee being clean and neatProper handling of all equipmentUsing sterile procedure when necessaryUsing proper cleaning solutionsFollowing Standard PrecautionsNursing Fundamentals 7243423.01Slide43

Aseptic Technique #1

Hand Hygiene

Nursing Fundamentals 7243433.01Slide44

Hand

hygiene

the sigle-most effective wayprevent the spread of infectionNursing Fundamentals 724344

3.01Slide45

Nurse Aide NailsShort; ¼ inch

CleanSmoothNo artificial nails, No extenders, No overlays. These harbor bacteria

Nursing Fundamentals 7243453.01Slide46

Nursing Fundamentals 7243

3.01Slide47

When to Wash Hands

Anytime when the hands are visibly soiled!

Nursing Fundamentals 7243

3.01Slide48

When to Wash Hands

Before and after contact with a resident and/or resident’s belongingsBefore and after eating

After using the bathroomAfter handling any contaminated fluid or objectAfter touching body fluids, even if wearing glovesBefore and after wearing glovesBetween tasks and procedures on the same resident to prevent cross-contamination of different body sitesNursing Fundamentals 7243483.01Slide49

Wash the

resident’s

hands before mealsNursing Fundamentals 724349

3.01Slide50

3.01

Nursing Fundamentals 7243

SKILL

3.01A

Wash Hands

Training Lab Assignment

Engage in the Skill Acquisition Process for:Slide51

HandRUB

The following slides outline the steps

(learning targets) for hand hygiene using handrub products. Nursing Fundamentals 7243513.01Slide52

Apply a palmful of the product in a cupped hand

Rub hands palm to palm

RUB HANDS FOR HAND HYGIENE! Nursing Fundamentals 7243523.01Slide53

Right palm over left dorsum (back of hand) with interlaced fingers and vice versa

Palm to palm with fingers interlaced

RUB HANDS FOR HAND HYGIENE! Nursing Fundamentals 7243533.01Slide54

Backs of fingers to opposing palms with fingers interlocked

Rotational rubbing of left thumb clasped in right palm and vice versa

RUB HANDS FOR HAND HYGIENE! Nursing Fundamentals 7243543.01Slide55

Rotational rubbing, backwards and forwards with clasped finger of right hand if left palm and vice versa

Once dry, your hands are safe

RUB HANDS FOR HAND HYGIENE! Nursing Fundamentals 7243553.01Slide56

3.01

Nursing Fundamentals 7243

SKILL

3.01B

Handrub

http://www.who.int/gpsc/5may/How_To_HandRub_Poster.pdf

Training Lab Assignment

Engage in the Skill Acquisition Process for:Slide57

Aseptic Technique #2

Come to work clean, neat, and well.

Bathe, wash hair and brush your teeth on a regular basisWear clean uniformStay well!

Nursing Fundamentals 7243

3.01Slide58

Adhere to facility policy regarding staying home when sick. If you are contagious, stay home.

Nursing Fundamentals 7243

583.01Slide59

Aseptic Technique #3

Proper handling of all equipment and supplies

Nursing Fundamentals 7243593.01Slide60

MULTIPLE-USE RESIDENT CARE EQUIPMENT

Commonly used equipment or supplies (stethoscope, etc.) must be cleaned and disinfected after use or when soiled Single-use equipment is preferred and must be discarded properly

Nursing Fundamentals 7243

3.01Slide61

Care of supplies and equipment

Cleaning non-disposable

equipmentRinse in cold water to remove organic materialWash with soap and hot waterScrub with a brush if necessaryRinse and dry equipmentSterilize or disinfect equipment

Nursing Fundamentals 7243

3.01Slide62

Direct cleaning away from your body and uniform

Care of supplies and equipment

Nursing Fundamentals 7243623.01Slide63

Wash cooking and eating utensils with soap and water after each

use.

Care of supplies and equipmentNursing Fundamentals 7243633.01Slide64

not transport equipment from one resident’s room to another without cleaning.

Care of supplies and equipment

Nursing Fundamentals 7243

3.01Slide65

Avoid shaking linen

Damp dust furniture

Care of supplies and equipmentNursing Fundamentals 7243653.01Slide66

Proper handling of all equipment

DO NOT REUSE DISPOSIBLE ITEMS!

Nursing Fundamentals 7243

3.01Slide67

Aseptic Technique #4

Use proper cleaning solutions

When cleaning resident’s unit or cleaning reusable equipment after use

Nursing Fundamentals 7243

3.01Slide68

Aseptic Technique #5

Sterile Procedure

The Nurse Aide I does not perform sterile procedures but should be able to avoid contamination of a sterile field or procedure. Nursing Fundamentals 7243683.01Slide69

Aseptic Technique #6

Standard and Transmission based Precautions2007 CDC GuidelinesNursing Fundamentals 7243693.01Slide70

Standard Precautions

PLUSCDC

procedures to control and prevent infections. Contains two tiers of precautions:Nursing Fundamentals 7243703.01Slide71

Standard Precautions

Nursing Fundamentals 7243713.01Slide72

Standard Precautions

Includes

:Hand washingPersonal Protective Equipment (PPE)GlovesGownsMasks and eye protectionNeedle stick safetySharpsSpills and splashes

Resuscitation devices

Waste and linen disposal

InjuriesUsed on

ALL

patientsNursing Fundamentals 7243

3.01Slide73

Standard Precaution a newer component

Nursing Fundamentals 7243

733.01Slide74

Standard Precaution a newer component

OSHA Standard to reduce occupationally transmitted/acquired TB

Requires FIT tested and training in the use of specific respiratory PPEPPD aka TST skin test annuallyTuberculosis StandardNursing Fundamentals 7243743.01Slide75

Two-step Tuberculin Skin Testing (TST) is useful for the initial skin testing of adults who are going to be retested periodically, such as health care workers or nursing home residents. This two-step method can reduce the likelihood that a boosted reaction to a subsequent TST will be misinterpreted as a recent infection. CDC / TB / Fact Sheets

TST

Nursing Fundamentals 7243753.01Slide76

Standard Precautions

Nursing Fundamentals 7243

763.01Slide77

Standard Precautions

Personal P

rotective Equipment (PPE)GlovesGownMasks and eye protectionNursing Fundamentals 7243

3.01Slide78

Standard PrecautionsGLOVES

Wear gloves (clean, nonsterile gloves)

when:touching blood, body fluids, secretions, excretions, and contaminated items before touching mucous membranes and non-intact skin

Nursing Fundamentals 7243

3.01Slide79

Sterile gloves are more expensive and NOT needed for routine resident care.

Nursing Fundamentals 7243

793.01Slide80

Standard PrecautionsGOWNWear a gown:

during procedures and resident care activities that are likely to generate splashes of blood, body fluids, secretions or excretions remove soiled gown as soon as possible and wash hands

Nursing Fundamentals 7243

3.01Slide81

Standard PrecautionsMASK, EYE PROTECTION, FACE SHIELD

Wear a mask and eye protection or a face shield:to protect mucous membranes of the eyes, nose, and mouth

Nursing Fundamentals 7243

3.01Slide82

Standard PrecautionsMASK, EYE PROTECTION, FACE SHIELD(continued)

Wear a mask and eye protection or a face shield (continued):during procedures and resident care activities that are likely to generate splashes or sprays of blood, body fluids, secretions, and excretions.

Nursing Fundamentals 7243

3.01Slide83

Standard Precautions

~PPE Summary~Personal

Protection Equipment (PPE)GlovesGownMasks and eye protection

Nursing Fundamentals 7243

3.01Slide84

Standard Precautions

Needlestick safety

SharpsNursing Fundamentals 7243843.01Slide85

Be very vigilant in watching for

needles

and other sharps in residents’ beds. Discard these items a puncture-resistant biohazard container.

Nursing Fundamentals 7243

3.01Slide86

Report to your supervisor if sharps are found in the resident's bed.

Nursing Fundamentals 7243

863.01Slide87

Standard Precautions

Spills and splashes

Nursing Fundamentals 7243873.01Slide88

When pouring contaminated liquids into sinks or toilets; do not splash.

Nursing Fundamentals 7243

883.01Slide89

Cleaning Spills

Many facilities use special clean-up kits for spills. Follow manufacture directions when using these kits.

Nursing Fundamentals 7243893.01Slide90

Guidelines: Cleaning Spills involving

Blood, Body Fluids, or

Glass Apply gloves before starting. In some cases, industrial-strength gloves are best. Nursing Fundamentals 7243903.01Slide91

Guidelines: Cleaning Spills involving Blood, Body Fluids, or Glass

First,

absorb the spill with whatever product is used by the facility. It may be an absorbing powder.Scoop up the absorbed spill, and dispose of in a designated container. Nursing Fundamentals 7243913.01Slide92

Guidelines: Cleaning Spills involving Blood, Body Fluids, or Glass

Apply the proper disinfectant to the spill area and allow it to stand for a minimum of 10 minutes.

minutesNursing Fundamentals 7243923.01Slide93

Guidelines: Cleaning Spills involving Blood, Body Fluids, or Glass

Clean up spills immediately with the proper cleaning solution.

Do not pick up any pieces of broken glass no matter how large, with your hands. Use a dustpan and broom or other tools. Nursing Fundamentals 7243933.01Slide94

Guidelines: Cleaning Spills involving Blood, Body Fluids, or Glass

Waste containing broken glass, blood, or body fluids should be properly bagged. Waste containing blood or body fluids may need to be placed in a special biohazard container.

Follow facility policy. Agency PolicyNursing Fundamentals 7243943.01Slide95

Standard Precautions

Resuscitation devices

MUST BE SINGLE USENursing Fundamentals 7243953.01Slide96

Standard PrecautionsWaste and linen disposal

DETERMINE IF CONTAMINATEDWITH BLOOD OR BODY FLUIDS THAT CONTAIN BLOOD. IF SO, HANDLE AS BIOHAZARDOUS MATERIAL.

Nursing Fundamentals 7243963.01Slide97

Standard PrecautionsLINEN

Handle, transport, and process used linen soiled with blood, body fluids, secretions, and excretion in a manner that prevents skin and mucous membrane exposures and contamination of clothing

Nursing Fundamentals 7243

3.01Slide98

Hold linens

away

from uniform.Nursing Fundamentals 7243983.01Slide99

Standard PrecautionsLINEN(continued)

Handle, transport, and process used linen soiled with blood, body fluids, secretions, and excretion (continued): in a manner that prevents transfer of microorganisms to other residents and environments Nursing Fundamentals 7243

993.01Slide100

Standard PrecautionsRESIDENT PLACEMENTPlace resident who contaminates environment or who does not, or cannot be expected to assist in maintaining appropriate hygiene or environmental control, in private room

Nursing Fundamentals 7243

100

3.01Slide101

Standard PrecautionsRESIDENT PLACEMENT(continued)

If a private room is not available, consult with infection control professionals regarding resident placement or other alternatives

Nursing Fundamentals 7243

101

3.01Slide102

Standard PrecautionsTRANSPORT OF INFECTED RESIDENTSAppropriate barriers (masks, impervious dressings) are worn

Personnel in area to which resident is taken are notified of arrival and precautions to take

Nursing Fundamentals 7243

102

3.01Slide103

Standard PrecautionsTRANSPORT OF INFECTED RESIDENTS(continued)

Inform residents in ways they can assist in prevention of transmission

Nursing Fundamentals 7243

103

3.01Slide104

Standard Precautions

Injuries

Wash the area immediatelyComplete a facility incident reportFollow procedures for testing and treatment

Exposure

Control

Plan

Nursing Fundamentals 7243

104

3.01Slide105

Bloodborne

Pathogen Standard

PATHOGENS found in the BLOOD Nursing Fundamentals 72431053.01Slide106

Bloodborne Pathogen Standard

Applies to all occupational exposure of blood or other potentially infectious material.Blood = human blood, blood components, blood productsBloodborne pathogens = disease causing organisms in blood (Hep. B, Hep. C, HIV)

Nursing Fundamentals 72431063.01Slide107

Bloodborne Pathogen Standard

In an emergency when you cannot identify body fluids or tell whether they contain blood, treat all body fluids as potentially infectious.

Nursing Fundamentals 72431073.01Slide108

BLOODBORNEPATHOGENS:

Human

Immunodeficiency Virus (HIV)Hepatitis B Virus (HBV)Nursing Fundamentals 72431083.01Slide109

Human Immunodeficiency Virus (HIV)Persons infected with HIV may carry virus without developing symptoms for several yearsHIV infected persons will eventually develop AIDS (Acquired Immune Deficiency Syndrome)

Nursing Fundamentals 7243

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3.01Slide110

Human Immunodeficiency Virus (HIV)(continued)Persons infected with HIV may develop AIDS-related illnesses including neurological problems, cancer, and other opportunistic infections

Persons infected with HIV may suffer flu-like symptoms, fever, diarrhea, weight loss and fatigue

Nursing Fundamentals 7243

110

3.01Slide111

Human Immunodeficiency Virus (HIV)(continued)Brain of persons infected with HIV may be affected, causing confusion, memory loss, depression or motor dysfunction

Although drugs may delay symptoms, there is no known cure for AIDS

Nursing Fundamentals 7243

111

3.01Slide112

Hepatitis B Virus (HBV)About one third of persons infected do not show symptomsAnother one third have mild flu-like symptoms which go away The last one third experience abdominal pain, nausea and fatigue; skin and eyes jaundiced and urine dark

Nursing Fundamentals 7243

112

3.01Slide113

Hepatitis B Virus (HBV)(continued)HBV preventable with use of HBV vaccine

Six to ten percent of HBV infected persons become chronic carriers (may or may not have active infection, few or no symptoms, but can transmit disease)

Nursing Fundamentals 7243

113

3.01Slide114

Bloodborne PathogensModes of Transmission

Sexual contactSharing contaminated needlesReceiving blood transfusionsPregnant mother to unborn babyNursing mother to baby through breast milk (for HIV, not HBV)

Nursing Fundamentals 7243

114

3.01Slide115

Bloodborne PathogensModes of Transmission(continued)

Puncture wounds from sharpsMucous membrane contactContact of infectious substances (urine, feces, saliva) with non-intact skinContaminated surfaces (for HBV, not HIV)

Nursing Fundamentals 7243

115

3.01Slide116

Nurse Aide has possible exposure to blood or fluids containing

BLOOD

Nursing Fundamentals 72431163.01Slide117

Bloodborne PathogensExposure Control Plan

Post-exposure evaluation and follow-upWash the area immediatelyComplete a facility incident reportFollow procedures for testing and treatment

Exposure

Control

Plan

Nursing Fundamentals 7243

117

3.01Slide118

Bloodborne PathogensExposure Control Plan

Copy must be available at workplaceMandated by OSHAIdentifies employees at risk of exposure by tasks performed

Exposure

Control

Plan

Nursing Fundamentals 7243

118

3.01Slide119

Bloodborne PathogensExposure Control Plan

Specific measures to decrease risk to exposureAdministrative controlsWork practice controlsEngineering controlsHousekeepingHBV vaccine

Exposure

Control

Plan

Nursing Fundamentals 7243

119

3.01Slide120

Standard Precautions

~Summary~Includes:Hand washing

Personal Protective Equipment (PPE)GlovesGownsMasks and eye protectionNeedle stick safetySharpsSpills and splashesResuscitation devicesWaste and linen disposalInjuriesUsed on ALL patientsNursing Fundamentals 72431203.01Slide121

Skills related to Standard Precautions…

Training Lab Assignment:

Engage in the Skill Acquisition Process forNursing Fundamentals 72431213.01Slide122

3.01

Nursing Fundamentals 7243

122

SKILL

3.01C

Don & Remove

Complete PPE

Training Lab Assignment

Engage in the Skill Acquisition Process for:Slide123

Transmission based precautions

Nursing Fundamentals 72431233.01Slide124

Standard Precautions

PLUSAirborne Precautions

Contact PrecautionsDroplet PrecautionsNursing Fundamentals 7243

124

3.01Slide125

Standard Precautions PLUS

aka

Transmission based precautionsNursing Fundamentals 72431253.01Slide126

Airborne Precautions

Nursing Fundamentals 7243

1263.01Slide127

Transmission Based PrecautionsAIRBORNE PRECAUTIONS

In addition to Standard Precautions, use Airborne Precautions, or the equivalent, for resident known or suspected to be infected with microorganisms transmitted by airborne droplets that remain suspended in the air and can be widely dispersed by air currents.

Nursing Fundamentals 7243

127

3.01Slide128

Transmission Based PrecautionsAIRBORNE PRECAUTIONS(continued)

RESIDENT PLACEMENT: Private room. Negative air pressure in relation to the surrounding areas. Keep doors closed at all times and resident in room.

Nursing Fundamentals 7243

128

3.01Slide129

Transmission Based PrecautionsAIRBORNE PRECAUTIONS(continued)

GLOVES: Same as Standard Precautions GOWN OR APRON: Same as Standard Precautions

Nursing Fundamentals 7243

129

3.01Slide130

Transmission Based PrecautionsAIRBORNE PRECAUTIONS Mask and Eyewear

For known or suspected pulmonary tuberculosis: Mask N-95 (respirator) must be worn by all individuals prior to entering room

Nursing Fundamentals 7243

130

3.01Slide131

Transmission Based PrecautionsAIRBORNE PRECAUTIONS Mask and Eyewear

(continued)For known or suspected airborne viral disease (e.g., chickenpox, or measles)Standard mask should be worn by any person entering the room unless the person is not susceptible to the disease When possible, persons who are susceptible should not enter room

Nursing Fundamentals 7243

131

3.01Slide132

Transmission Based PrecautionsAIRBORNE PRECAUTIONS Handwashing

Hands must be washed before gloving and after gloves are removed Skin surfaces must be washed immediately and thoroughly when contaminated with body fluids or blood

Nursing Fundamentals 7243

132

3.01Slide133

Transmission Based PrecautionsAIRBORNE PRECAUTIONS Resident Transport

Limit transport of the resident for essential purposes onlyPlace a mask on the resident, if possible

Nursing Fundamentals 7243

133

3.01Slide134

Transmission Based PrecautionsAIRBORNE PRECAUTIONSResident Care Equipment

When using equipment or items (stethoscope, thermometer), the equipment and items must be adequately cleaned and disinfected before use with another resident

Nursing Fundamentals 7243

134

3.01Slide135

Droplet Precautions

Nursing Fundamentals 7243

1353.01Slide136

Droplet precautionsUsed when large-particle droplets are expelled during coughing, sneezing, talking or laughing

Specific PPEs-mask if working within 3 feet of patient

Nursing Fundamentals 72431363.01Slide137

Transmission Based PrecautionsDROPLET PRECAUTIONS

In addition to Standard Precautions, use Droplet Precautions, or the equivalent, for a resident known or suspected to be infected with microorganisms transmitted by droplets that can be generated by the resident during coughing, sneezing, talking, or the performance of procedures that induce coughing.

Nursing Fundamentals 7243

137

3.01Slide138