Likewise, if you observe someone failing to use proper transmission-based precautions
(isolation), it does not matter if they are a nurse, visitor, RT, PT, CNA, or a physician, call them out because they place your patient at risk for infection.
TUESDAY, June 12, 2018 (HealthDay News) -- Active failures frequently occur in infectious agent transmission-based precautions
, including personal protective equipment (PPE) use, according to a study published online June 11 in JAMA Internal Medicine.
I remembered my training on transmission-based precautions
The two categories of isolation precautions are standard precautions and transmission-based precautions
. Standard precautions are a set of basic infection prevention practices intended to prevent transmission of infectious diseases from one person to another.
Monitoring the emergence of carbapenemases is crucial to limiting their spread; identification of patients carrying carbapenemase-producing CRE should result in the institution of transmission-based precautions
and enhanced environmental cleaning to prevent transmission.
It's certainly easier in the inpatient setting, where we use transmission-based precautions
, and colorful isolation signs instruct us to put on gown and gloves when we visit the patient with viral gastroenteritis, or gown, gloves, and mask for the child with acute viral respiratory tract infection.
The AORN Recommended Practices for Prevention of Transmissible Infections in the Perioperative Practice Setting provides detailed guidance to perioperative RNs for implementing standard precautions and transmission-based precautions
(i.e., contact, droplet, airborne).
There are three types of transmission-based precautions
: respiratory precautions; droplets precautions; and contact precautions.
True "isolation" with transmission-based precautions
(contact, droplet) requires restricting the resident to the room.
There are two main components of IPC, namely the standard precautions (previously referred to as universal precautions) which should be applied to all patients, and transmission-based precautions
which are often used empirically, according to the clinical syndrome and the likely aetiological pathogen.
The prevention and control of MRSA requires Standard and Transmission-based Precautions
, including hand hygiene, use of personal protective equipment such as gloves and gowns, surveillance, antibiotic stewardship and appropriate contact preca utions (NHMRC 2010; Coia et al 2006).