Graded
single most important factor in preventing the spread of infections
hand hygeine
standard precautions
everything is infectious until proven otherwise
infection
invasion of pathogenic organisms that are actively causing illness
colonization
presence of organisms that are on or in a patient, but are not showing signs or symptoms of infection
primary routes of infectious disease transmission
contact
droplet
airborne
categories of isolation precautions
- contact precautions
- contact enteric precautions
- MDRO precautions
- droplet precautions
- airborne infection isolation (AFB) precautions
droplet
larger particle size, organism travels and then falls to a surface
airborne
smaller particle size enables organisms to travel long distances when suspended
* negative pressure rooms required
contact precaution organisms
MRSA
influenza
varicalla/zoster
RSV
Giardia
Lice
Scabies
CA-MRSA
community acquired MRSA
- often occurs in clusters
- presents as a skin or soft tissue infection, such as a boil or abscess, often described by patients as a
"spider bite"
,MDRO precaution organisms
VRE
Multi-drug resistant acinetobacter
KPC's
ESBLs producers
contact enteric precautions microorganisms
clostridium difficile
Hep A
rotavirus
shigella
norovirus
salmonella
camplyobacter
special considerations for c. diff
transmitted by spores that are resistant to alcohol sanitizer, but susceptible to bleach
hand washing is necessary
droplet precaution organisms
influenza
neisseria meningitis
pertussis
mumps
rubella
group A strep
airborne infection precautions
N95 mask
negative pressure room
airborne/AFB organisms
TB
measles
varicella
zoster
smallpox
avian flu
three therapeutic core qualities that are important links to patient-provider communication
- respect
- genuineness
- empathy
nonverbal communication
- body language
- paralinguistic (tone, rhythm, pitch, vibrancy, pauses)
- kinesics (personal space)
, - gestures
Hx
history
PE
physical exam
subjective information
what the patient tells you
objective information
what you find on a physical exam
FIFE
feelings
ideas
functions
expectations
7 attributes of a symptom
location
timing
severity
onset
what makes it better/worse?
quality
radiating/ associated findings
OPQRST
onset
palliating/provoking
quality
radiation
severity
timing
CAGE
alcohol abuse
cut down
annoyance
guilt
eye opener
H+P
the note that you write after you take a patient's history and perform the physical exam
comprehensive note