Transmission Precautions: Specific Precautions (Nursing)

by Samantha Rhea, MSN, RN

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    00:01 So there are some different specific precautions that we use, and again, like we had talked about earlier, there's different variations depending on what we need, and what disease process we're taking care of.

    00:13 Going back to those different modes of transmission, we talked about droplet precautions, direct contact, and airborne precautions.

    00:20 So when we're talking about droplet precautions, specifically, this is kind of like the flu, maybe RSV in babies.

    00:27 This is where we're gonna cover up our mucous membranes and use a mask.

    00:32 So this just has a mask on here but typically, many times in the health care field, we will use a mask, also gowns and gloves in addition.

    00:41 So there's certain variations on that, but keep that in mind.

    00:45 Next, let's talk about the most common precaution you're gonna use.

    00:49 So you're going to hear things such as C. diff which is, you don't want to know until you have to, MRSA, VRE, there's lots of different superbugs out there that require contact precautions.

    01:01 Oh, here's a good one, bed lice, scabies - all contact precautions.

    01:05 So there's variation of this as well, so gowns, gloves.

    01:09 If we're talking about scabies, lice - we're using hairnet, shoe cover.

    01:14 So again, contact precautions, there's some variation.

    01:17 But remember, this has to do with direct contact.

    01:21 So lastly, let's not forget about airborne precautions.

    01:24 So what comes to mind is tuberculosis.

    01:27 Also don't forget about in current news, COVID-19.

    01:31 So with airborne precautions, we're gonna have specialized face coverings, we're typically going to wear eye goggles.

    01:37 And again, there's variations on this.

    01:39 But you can see how airborne precautions covers all mucous membranes.

    01:44 So let's look at the most popular precautions that you will have to use in the health care system contact precautions.

    01:51 So the nice thing anytime you see these signs, you see a big red stop sign.

    01:56 We're doing that to protect you, and also it's very informational to let you know what you will need to go into that exact room.

    02:03 So if you look at this slide, you'll notice that first at the top of the list, at the bases is clean your hands or wash your hands.

    02:10 We're gonna use gloves for contact precautions, we're gonna put on our gown.

    02:15 And we're also gonna make sure we use dedicated equipment that stays in that room.

    02:20 What I mean by that is if I go to listen and assess my patient with my stethoscope, I want to enter that room with my gown and my glove entering the room.

    02:29 And then I'm gonna use a stethoscope that stays in that room.

    02:33 Therefore when I exit the room, I can remove my dirty gown, my dirty glove, and I am not taking that stethoscope that's in direct contact with that patient to another patient and to another.

    02:45 So these are all precautions to help prevent that mode of transmission.

    02:52 Next, let's look at droplet precautions.

    02:54 We've talked about flu here and there and this is a biggie for droplet - flu, RSV in children for example.

    03:01 And again, you notice these big red stop signs.

    03:04 Now keep in mind that these precaution signs look a little bit different facility to facility, so please make sure you get familiar with yours.

    03:12 So when we're talking about droplet precautions, there it is again, clean your hands, clean your hands, wash your hands, As you notice again, bases for all different precautions for us to keep us safe and to keep the patient safe.

    03:26 So you notice on here it shows us to wash your hands and also, there's that mask again.

    03:31 You want to make sure your eyes, your nose and your mouth are fully covered before you enter the room.

    03:37 So one thing to keep in mind about precautions just to reiterate, you will enter a room with clean equipment or PPE.

    03:46 When you leave the room, it needs to stay in that room when you exit out into the hallway.

    03:51 So keep that in mind that dirty, used PPE never comes out of the room.

    03:58 Lastly, let's talk about airborne precautions.

    04:00 At the forefront is hand hygiene.

    04:03 What I want you to look at is that there's an N95 and a high-level respirator.

    04:09 So this is different than our droplet precautions we discussed earlier.

    04:13 Earlier with droplet precautions, it's just a simple mask that covers our nose and our mouth.

    04:18 Now with airborne, this is a specifically fit for you mask that's going to help protect you in those rooms.

    04:27 With airborne precautions specifically, remember because again, everything is airborne, make sure when you exit the room, you still have your respirator on, you close the door and then you can remove your respirator.

    About the Lecture

    The lecture Transmission Precautions: Specific Precautions (Nursing) by Samantha Rhea, MSN, RN is from the course Safe and Effective Patient Care (Nursing).

    Included Quiz Questions

    1. Contact
    2. Airborne
    3. Droplet
    4. Standard
    1. Put on a fitted N95 mask.
    2. Wash hands before entering and when leaving the room.
    3. Remove N95 respirator while in the patient’s room.
    4. The room door must remain open.
    5. Keep a disposable stethoscope in the room.

    Author of lecture Transmission Precautions: Specific Precautions (Nursing)

     Samantha Rhea, MSN, RN

    Samantha Rhea, MSN, RN

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