AND SOLUTIONS FULL SOLUTION
◉ Medical Asepsis. Answer: clean technique, reduces and helps
prevent spread of organisms (hand hygiene, using clean gloves,
routine cleaning of environment)
◉ Surgical Asepsis. Answer: sterile technique, prevents
contamination of open wound, isolates operative area from unsterile
environment
◉ Standard Transmission. Answer: used with all pts, applies to
blood, all body fluids (except sweat, non-intact skin, and mucous
membranes. Designed to reduce risk of transmission of
microorganisms. Designed to protect pts and health care workers
◉ Transmission Based Precautions. Answer: used in addition to
standard precautions, used for specific diseases based on how
disease is spread from person-to-person
◉ Standard Precautions. Answer: hand hygiene, use of PPE (gloves,
gown, mask, eye protection or face shield), anticipated exposure,
safe injection practices, care of contaminated equipment, respiratory
hygiene and cough etiquette
,◉ Hand Hygiene. Answer: (5 Moments) before pt contact, before
aseptic task, after bodily fluid exposure to risk, after pt contact, after
contact w/ pt surroundings
◉ PPE. Answer: Clean unsterile gloves - for touching blood, body
fluids, secretions, excretions, and contaminated items. Remove
gloves
Gown - single use, if anticipation contamination of uniform
Mask - for close contact of pt w/ respiratory symptoms (observe
droplet precautions)
Eye/face protection - if splashes or spraying of blood, secretions,
excretions is expected
◉ Anticipated Exposure. Answer: Will nurses' clothing be in contact
with pt or pt's secretions/excretions? Pt level of personal hygiene.
Will procedure cause splashor spraying of body? Is pt incontinent?
Coughing up secretions?
◉ Safe Injection Practices. Answer: Aseptic technique when
preparing and giving injections. Single use of equipment, single dose
vials whenever possible. Wear surgical mask with any lumbar
puncture procedure. Dispose needles, syringes, and "sharps"
(lancets, scalpels, broken glass) in puncture-resistant container
, ◉ Contaminated Equipment. Answer: If single use, dispose after use.
Bag infective material in sturdy impervious bag or double bag if
needed. Use universal symbol for biologic waste. Never share
equipment b/w pts unless cleaned. (BP cuff off if in contact w/ intact
skin). Never place contaminated linen on the floor. Handle soiled
linen with little agitation.
◉ Respiratory Hygiene/Cough Etiquette. Answer: Incorporates
education of staff, pts and visitors. Cover mouth/nose with tissue
when coughing. Prompt disposal of used tissues. Hand hygiene after
contact with respiratory secretions. 3 foot separation and common
waiting area for persons w/ resp. symptoms. Masks on cough pts if
in waiting areas
◉ Types of Transmission Based Precautions. Answer: Airborne,
droplet, & Contact precautions
◉ Airborne Precautions. Answer: transmitted by airborne droplet
nuclei smaller than 5mcg.
private room, negative airflow room for TB, N95 particle respirator,
gowns and gloves if secretions may contaminate
clothing/environment, includes diseases such as measles,
chickenpox, disseminated herpes zoster, smallpox, TB