SAFETY AND INFECTON CONTROL Flashcards
(31 cards)
Contact Precautions: SCREWS
Superbugs (MRSA, VRE)
Conjunctivitis
RSV
Enteric: C. diff, noroviruses, rotaviruses
Wound infections
Skin Infections
Droplet Precautions: SPIDERMAN
Scarlet fever, Strep
Parvovirus, pneumonia, pertussis
Influenza
Diptheria
Epiglottitis
Rubella, rhinovirus
Mumps, meningitis (bacterial)
Adenovirus
Safety precautions the nurse should partake when caring for a pt w/ droplet precautions
Hand hygiene
Surgical mask
Pt is to where a mask when transported
Place pt in a private room or cohort w/ same infection
Safety precautions the nurse should partake when caring for a pt w/ contact precautions
Hand hygiene
Gown and gloves
Disposable equipment only
Pt is to be placed in a private room
What is the difference b/w contact vs contact enteric?
In contact enteric, hand hygiene via handwashing is a must to reduce the chain of infection with/ these conditions
Name the Contact Enteric conditions
C. diff
Noroviruses
Rotaviruses
Safety precautions the nurse should partake when caring for a pt w/ airborne precautions
Hand hygiene
N95
Private, neg. pressure room w/ the door closed at all times
Gown and gloves
Airborne Precautions: Three RVS
Tuberculosis
Rubeola (measles)
Varicella (chickenpox), VZV (disseminated)
SARS, smallpox
The order in which the nurse is suppose to Doff PPE
Gloves
Goggles/ face shield
Gown
Mask
When is it ok to use restraints?
- Pt is harming themselves or others
- If they’re trying to pull out their medical devices
- Delirious and trying to harm them selves.
Environmental restraint
seclusion and secure unit
Pharmacological restraints
Benzos
Antipsychotics
Sedatives
Physical restraint
When you’re physically holding them against their will
Restraining all limbs (4 nurses caring)
Mechanical restraints
Limb & wrist restraint
Vest and mitts
All 4 side rails raised
This type of restraint is not oftenly used anymore due to the risk of a choking hazard
Vest
A restraint used typically for children trying to leave their crib or bed
posey bed
The following are…
Armboard for IV stabilization
Immobilizations during MRI, surgery, etc.
Orthopedic devices
Helmets
Handcuffs used by law enforcement
Not Restraints
Nonviolent Restraint Protocols
PCP must see pt within 24 hrs.
RN assesses Q1-2HRS
Restraints expire in 24 hrs.
Violent Restraint Protocols
PCP must see pt within 1 hr.
RN assesses Q15min
Expires: 4 hrs. (adults), 2 hrs. (9-17 yrs.), 1 hr. (<9 yrs.)
What needs to be documented when a pt is in restraints ?
Reason
Start & stop times
Plan of care
Assessments → skin breakdown
Where do you check for a pulse on an unresponsive pt?
Carotid (adult)
brachial (infant)
During CPR, check for a pulse for no longer than ________.
10 seconds
The process of CPR for an adult
100-120 chest compressions
2 inches deep
Allow the chest to fully recoil
CPR Cycle (adult)
● 30 compressions: 2 breaths
● 2 minutes
● At 2 minute mark; check
rhythm and pulse
● If the client is still pulseless, switch
compressors and resume
compression
● NEVER stop compressions for
more than 10 seconds
