This NCLEX review will help you learn more about itStandard Precautions and Isolation Precautions. Standard and isolation precautions are measures we take to prevent the transmission of infectious diseases. For the NCLEX exam and nursing exams, you must be familiar with each precaution, which diseases are included in the transmission-based precautions (which are equivalent to isolation precautions), and the PPE used.
Also, I'll give you three mnemonics on how to remember isolation precautions. I created this mnemonic to help you not only remember the diseases that are included in each precautionBUTwhether for aerosols, droplets or contact AND the special PPE you need to wear!
Don't forget to get the free oneIsolation Precaution Verification Questionnaire.
Lecture on standard and transmission-based precautions
These are the precautions we are takingALL patients at ALL timesbecause we don't know if they have a contagious disease. By implementing these practices, we help prevent the transmission of infectious diseases from one person to another (e.g., patient to caregiver, caregiver to patient, or patient to patient).
If we suspect or know that a patient has an infectious disease, we addPRECAUTIONS BASED ON THE TRANSMISSION,such as CONTACT, DROP and AIR SHIPPING.
Standard precautions include:
- Hand Hygiene
- Wear appropriate PPE if necessary
- handling patient devices
- Injection Safety Practices
- environmental cleaning
- Respiratory hygiene/cough etiquette
- laundry care
- Placement in the patient room
Highlights to remember:
Hand Hygiene:performed before and after patient contact, after wearing gloves, touching surfaces in the patient room
Perform hand hygiene with soap and water or a hand sanitizer.
Always use soap and water instead of hand sanitizer for the following:
- The hands are visibly dirty
- Before eating or touching food
- After using the bathroom
- Diarrhea: C.diff, Norovirus, Rotavirus
PPE (Personal Protective Equipment):Use this device for protection AS NECESSARYSkin, clothing, mucous membranesduring patient care. Remember that we treat all patients the same regardless of what they have or don't have.
Example:You will aspirate a patient's tracheostomy. The patient is not diagnosed with an infectious disease. However, you always know that you still need to follow the usual precautions. It is therefore important to select the appropriate PPE. During this procedure there is a risk of mucus (which may contain germs) or blood splashing onto mucous membranes (eyes, nose, mouth) and clothing. Therefore, you should wear the following PPE during this procedure:Gloves, apron, mask, goggles or face shield.
MONITORING:With certain transmission-based precautions, you are now required to wear dedicated PPE at all times during patient contact. So when answering NCLEX questions, always ask yourself, “Do I have to?Is this person under isolation precautions? If so, what PPE should I always wear?'”E "What type of PPE do I need based on the care I will be providing?"
For example, during AIRBORNE patient contact precautions, wear an N95 mask BUT if inserting a NG probe or performing any procedure that may involve the splashing of body fluids, you will need an apron, goggles, face shield, gloves. So choose PPE wisely!
Types of PPE:
- Gloves:required for contact with liquids (vomit, faeces, urine, mucus, etc.) and blood.
- A dress:required in case of possible contact with liquids or blood on clothing.
- Goggles/Face Mask or Respirator/Shield:required when there is possible contact with liquids or blood on the mucous membranes (example: patient coughs, vomits on sucking/oral care etc.).
Diseases included in droplet prevention:
- Pharyngeale Diphtherie
- Epiglottitis (caused by Haemophilus influenza type b)
- Gripe(contact and drop)
- Meningococcal disease: sepsis, pneumonia, meningitis
- mumps (contagious mumps)
- lung infection
- Parvovirus B19 (erythema infectiosum or 5th disease)
- About Pneumonica
- Adenovirus(contact and drop)
- Pertussis (whooping cough)
- Scarlet fever
- Rubella (German measles)
Who is the adjustable droplet mask stopping creepy pneumatic fluid parasites plaguing distinguished German men? My epic mother, Rhonda.
To suejustified:To sueenovirus (remember to add contact measures as well)
droplet: Type of precaution
mask: PPE you should always wear
scarOf:scarleave the fever
GripeI walked:Gripe (gripe)
Men:MenIngococcal disease:MEngite, sEdogs, pNEmonia
- Transmitted by droplets emitted by the person when sneezing, coughing, speaking, etc. (nose and mouth).
- infect someone, thatGERMS MUST COME INTO CONTACT WITH THE STOPCOCKS TO INFECT THEM!!
- trage aWear a surgical mask at all times during patient contactand follow the usual precautions. Choose other types of PPE based on the type of care you will be providing. For example: Pay attention to a patient's mouth with droplet precautions (risk of liquid entering eyes, skin and clothing) In addition to the surgical mask, also wear gloves, apron, face shield.
- keep distance3 feet or morefrom other patients and visitors.
- The patient must wear a surgical mask during transport.
- The patient door can be left open.
- No special ventilation is required.
Precautions in the air
Diseases included in the precautions for airborne transmission:
- chickenpox (chickenpox)(air and contact)
- Herpes zoster (varicella zoster (disseminated) shingles(air and contact)
- measles (rubella)
- M. Tuberkulose
Sandgrouse #95 dissects its mealworm
In the air: Type of isolation precaution
NUmber95: N95 Mask... special PPE that you must wear at all times
DissaffectedWeil:DissEmmineWeilPes Zoster (Zoster)
- Transmitted when the infected person coughs, sneezes, etc. produces the respiratory droplets (which contain the germ). Usually when people emit droplets, as in airborne diseases, the droplets dry up, killing the germ. However withIn airborne diseases, these germs SURVIVE the drying process and develop into droplet nuclei.
- These droplet nuclei are residual particles (SUPER small...you can't see them) that can be inhaled and suspended in the air. these particlesINFECT a person if the person breathes the contagious diseaseinto your lungs (as opposed to a droplet, where it gets into the mucous membranes).
- you have to wear itan N95 mask (blocks very small particles) while in the room at all times, PLUS follow standard precautions such as hand hygiene and use other types of PPE as needed depending on the type of care you are providing.
- Single room that isan AIIR room (Airborne Infection Isolation Room, also called negative pressure room). This special space maintains a lower pressure in the patient room than outside.
- The room has 6-12 air changes per hour to reduce infectious particles in the room.
- Always keep the bedroom door closed!
- Limit transportation unless necessary (perform bedside procedures as often as possible). If the patient needs to leave the room, the patient must wear a surgical mask.
Diseases included in contact protection:
- Drug Resistant Organisms:MRSA, VRE,Extended-Spectrum-Beta-Lactamase-Produzenten (ESBLs), Klebsiella pnemoniae Carbapenemase (KPC)
- Diarrheal infections or infections of unknown origin:C. diff, Noravirus, Rotavirus…USE SOAP AND WATER TO WASH YOUR HANDS, NOT hand sanitizer.
- NOTE: Hepatitis A. (if patient is swaddled or incontinent). Remember that it spreads across the chair
- Hautinfektion: iMpetigo, lice, scabies, herpes simplex, chickenpox(air and contact), cutaneous diphtheria, shingles(air and contact)
- Wound infections with excessive drainage or staph
- Lung infections:RSV, Parainfluenza
- eye infection:conjunctivitis
Wear medical gloves/gowns at every contact prevention session
Luvas / bata: PPE you must wear at all times
CContact: Type of isolation precaution
SMeeting:SInfections from family members
- Transmitted by direct or indirect contact (touching)...the patient or something the patient has touched...their surroundings.
- must always be useda dress and gloves PLUS follow standard precautions such as hand hygiene and use other types of PPE as needed depending on the type of care you are providing.
- Single room is best or grouping of patients with the same infection
Protection of medical staff | SHARK | CDC. (2017).Cdc.gov. Retrieved January 7, 2017 from https://www.cdc.gov/hai/prevent/ppe.html
The way you can remember the diseases that require contact precautions is to use the mnemonic “ABCDEF”.What are standard precautions Nclex? ›
Standard Precautions. These are precautions we take with EVERY patient at ALL times because we don't know if they have an infectious disease. By implementing these practices, we help prevent transmission of infectious diseases from one to another (ex: patient to nurse, nurse to patient, or patient to patient).What are standard & isolation precautions in nursing? ›
Standard precautions apply to all clients regardless of whether they are infected with an infectious disease. Isolation precautions apply to clients diagnosed with a specific infectious disease.What are the standard precaution taken for a isolation patient? ›
Standard Precautions combine the major features of Universal Precautions (UP) 780, 896 and Body Substance Isolation (BSI) 640 and are based on the principle that all blood, body fluids, secretions, excretions except sweat, nonintact skin, and mucous membranes may contain transmissible infectious agents.How can I pass NCLEX in one try? ›
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Hand hygiene. Use of personal protective equipment (e.g., gloves, masks, eyewear). Respiratory hygiene / cough etiquette. Sharps safety (engineering and work practice controls).What are standard precautions answer? ›
Standard precautions are a set of infection control practices used to prevent transmission of diseases that can be acquired by contact with blood, body fluids, non-intact skin (including rashes), and mucous membranes.What are standard precautions Milady? ›
Standard Precautions. Definition:Abbreviated SP; precautions such as wearing personal protective equipment to prevent skin and mucous membranes where contact with a client's blood, body fluids, secretions (except sweat), excretions, non-intact skin, and mucous membranes is likely.What are the 7 standard precautions? ›
- Hand hygiene1.
- Gloves. ■ Wear when touching blood, body fluids, secretions, excretions, mucous membranes, nonintact skin. ...
- Facial protection (eyes, nose, and mouth) ■ ...
- Gown. ■ ...
- Prevention of needle stick and injuries from other.
- Respiratory hygiene and cough etiquette.
- Environmental cleaning. ■ ...
- hand hygiene;
- use of PPE;
- respiratory hygiene;
- environmental controls (cleaning and disinfection);
- waste management;
- packing and transporting of patient-care equipment, linen and laundry, and waste from isolation areas;
- prevention of needle-stick or sharps injuries.
There are three types of transmission-based precautions--contact, droplet, and airborne - the type used depends on the mode of transmission of a specific disease.What are the 4 types of isolation? ›
- Standard Precautions. These precautions are followed by medical staff when caring for all patients, even those with no known infectious disease. ...
- Contact Isolation. ...
- Droplet Isolation. ...
- Airborne Isolation.
What is the difference between standard precautions and transmission-based isolation techniques? Standard precautions are used on all patients, but transmission-based isolation precautions are used to provide extra protection against specific pathogens or diseases to prevent their spread.What PPE is used for isolation precautions? ›
Isolation or barrier precautions include the appropriate use of PPE, such as a gown, mask, eye protection, and gloves. Health care personnel must assess the need for barrier precautions for each planned task and for each patient, regardless of the diagnoses.What state is the easiest to pass NCLEX? ›
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Answering all 145 questions on the NCLEX-RN alone does not mean you failed the exam. However, with each correct answer you provide, the test should give you a question that becomes increasingly more difficult than the previous one.What is the least amount of questions to pass the NCLEX? ›
While it's possible to pass the NCLEX after answering all 135, it's also possible to pass the test with a minimum of 70 questions or any number in between. Keep in mind NCLEX has a time limit of five hours. If you haven't answered enough questions correctly when the clock runs out, you will fail the test.Is 1 week enough to study for NCLEX? ›
Recommended study times may vary depending upon the level of preparation needed and can range anywhere from four to twelve weeks or more. Although this article provides a guide to studying NCLEX in one month, it is highly recommended you allocate more than just four weeks to prepare for your exam.Does Mark Klimek help pass NCLEX? ›
Mark Klimek, a nursing associate professor at Cedarville University, has developed an NCLEX review course designed to help you pass the exam. Mark Klimek's NCLEX Review course was developed by someone who specialized in Psych Mental-Health Nursing and Med-Surg/ICU.What Nclex Prep has the highest pass rate? ›
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Hand Hygiene (please refer to policy no 149 - Hand Hygiene Policy). 3. Respiratory Hygiene, cough etiquette 4. Personal Protective Equipment (please refer to policy no 151 - Personal Protective Equipment Policy 5.What are the three 3 types of additional precautions? ›
There are three categories of additional precautions: i) contact precautions, ii) droplet precautions, and iii) airborne precautions. Some infections require multiple additional precautions.What are the five safety precautions? ›
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- 3) Use Mechanical Aids When Possible. ...
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Which is a TRUE statement about Standard Precautions guidelines? Standard Precautions guidelines are only used when treating patients diagnosed with or suspected of having an infectious disease.What are standard precautions quizlet? ›
Standard Precautions. are a set of infection control practices used to prevent transmissions of diseases that can be acquired by contact with blood, body fluids, or intact skin (including rashes) mucous membranes. 5-6 Different pieces of PPE. (Personal Protective Equipment) 1.What is another name for standard precautions? ›
Universal precautions were introduced in the US by CDC in the wake of the AIDS epidemic between 1985 and 1988. In 1987, the practice of universal precautions was adjusted by a set of rules known as body substance isolation. In 1996, both practices were replaced by the latest approach known as standard precautions.How many standard precautions are there? ›
There are 10 elements of SICPs: patient placement/assessment of infection risk. hand hygiene.What do standard precautions require? ›
Standard precautions consist of the following practices: hand hygiene before and after all patient contact. the use of personal protective equipment, which may include gloves, impermeable gowns, plastic aprons, masks, face shields and eye protection. the safe use and disposal of sharps.What are the five elements of standard precautions quizlet? ›
- Goggles/face shield.
- Hand hygiene.
Isolation precautions create barriers between people and germs. These types of precautions help prevent the spread of germs in the hospital. Anybody who visits a hospital patient who has an isolation sign outside their door should stop at the nurses' station before entering the patient's room.
Isolation nursing is carried out by placing the patient in a single room or side room. Barrier nursing – this occurs when a patient(s) is kept in a bay and extra precautions are implemented to prevent spread of the germ. It may be necessary occasionally to move a patient to another ward.What is isolation types of isolation? ›
There are two types of isolation – Source Isolation (barrier nursing) where the patient is the source of infection and Protective Isolation (reverse barrier nursing) where the patient requires protection i.e. they are immunocompromised.What are types of patient isolation? ›
It recommended that hospitals use one of seven isolation categories (Strict Isolation, Respiratory Isolation, Protective Isolation, Enteric Precautions, Wound and Skin Precautions, Discharge Precautions, and Blood Precautions).Is RSV airborne or droplet precautions? ›
Transmission of RSV occurs via inoculation of the eye and nose16 and through close contact via direct inoculation of large droplets or self-inoculation after touching contaminated fomites.What are the 2 main types of isolation? ›
Behavioral isolation occurs when two populations that are capable of interbreeding develop differences in courtship rituals or other behaviors. Geographic isolation occurs when two populations are separated by geographic barriers such as rivers, mountains, or bodies of water.What are the two most common isolation techniques? ›
- Streaking for isolation on an agar plate.
- The pour plate method.
In fact, the ANSI / ISO SQL standard defines four levels of transaction isolation: Read Uncommitted, Read Committed, Repeatable Read and Serializable.What are the two primary purposes of standard precautions? ›
Standard Precautions are used for all patient care. They're based on a risk assessment and make use of common sense practices and personal protective equipment use that protect healthcare providers from infection and prevent the spread of infection from patient to patient.What is a droplet precaution? ›
A patient will be placed on droplet precautions when he or she has an infection with germs that can be spread to others by speaking, sneezing, or coughing. Everyone coming into the room of a patient under droplet precautions will be asked to wear a mask to prevent the spread of germs to themselves.What PPE should be removed first in airborne isolation? ›
The order for removing PPE is Gloves, Apron or Gown, Eye Protection, Surgical Mask. Perform hand hygiene immediately on removal. All PPE should be removed before leaving the area and disposed of as healthcare waste.
TODAY - 'Iso' – a common abbreviation for 'isolation', has... | Facebook.What is the nursing acronyms for NCLEX? ›
NCLEX-RN (National Council Licensure Examination for Registered Nurses)Does getting all 145 questions on NCLEX mean you failed? ›
Answering all 145 questions on the NCLEX-RN alone does not mean you failed the exam. However, with each correct answer you provide, the test should give you a question that becomes increasingly more difficult than the previous one.How many questions can you miss and still pass NCLEX? ›
Failing the test can result in not answering the minimum amount of 70 questions within the allotted time. You can answer the first 69 questions correctly, but you will automatically fail the exam if you don't reach number 70.What percentage of correct answers do you need to pass NCLEX? ›
How the 2022 NCLEX is Scored. The NCLEX is scored using dichotomous scoring, so you can either pass or fail the exam. Currently, to pass the NCLEX-RN, the standard is 0.00 logits–or answer questions correctly at least 50% of the time. The NCLEX-PN standard is -0.18 logits.What are the 4 main universal precautions? ›
Hand hygiene. Use of personal protective equipment (e.g., gloves, masks, eyewear). Respiratory hygiene / cough etiquette. Sharps safety (engineering and work practice controls).What is the difference between Quarantine & isolation? ›
Isolation separates sick people with a contagious disease from people who are not sick. Quarantine separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick.What is another name for protective isolation? ›
Protective isolation or reverse isolation denotes the practices used for protecting vulnerable persons for contracting an infection.What are the 4 routes of transmission? ›
The mode of transmission can include direct contact, droplets, a vector such as a mosquito, a vehicle such as food, or the airborne route.What are the 3 elements chain of infection? ›
Infectious agent (pathogen) Reservoir (the normal location of the pathogen) Portal of exit from the reservoir.
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SATA (“select all that apply”, or “multiple response”) nursing questions require you to select all answer choices that apply from among five or six answer options. You must get all options correct (even if you miss one, it is considered wrong; there's no partial credit).What is the new NCLEX called? ›
A new and improved NCLEX exam is coming. The Next Generation NCLEX (NGN) exam asks better questions to help nurses think critically when providing care and make the right decisions. NGN is about protecting the public and achieving the best outcomes for clients, nurses and institutions.