Question

Difficulty: MediumStandard and Transmission-Based Precautions

A resident in a long-term care facility is diagnosed with crusted (Norwegian) scabies. The LPN/LVN is reviewing infection control protocols with the nursing team. Which directive must the LPN/LVN emphasize regarding this resident's care?

  1. Dedicate reusable medical equipment, such as a stethoscope and blood pressure cuff, to remain inside the resident's room.Answer
  2. B
    Wear a fit-tested N95 respirator mask whenever entering the room to provide direct physical care.
  3. C
    Maintain a tightly closed room door at all times to prevent the transmission of mites into the hallway.
  4. D
    Remove the protective gown and gloves in the hallway immediately after exiting the resident's room.

Answer

The correct action is to dedicate reusable medical equipment to the resident's room.
Crusted (Norwegian) scabies is highly contagious and is transmitted through direct contact. It strictly requires Contact Precautions. According to evidence-based infection control guidelines, reusable medical equipment (such as vital sign machines or stethoscopes) should be dedicated solely to the infected client and left inside the room to prevent cross-contamination to other residents.

Step-by-Step Solution

1
Identify the mode of transmission for crusted (Norwegian) scabies.
Scabies mites are highly contagious and are transmitted through direct skin-to-skin contact or contact with contaminated items.
Understanding the transmission route determines the correct isolation protocol.
2
Determine the required transmission-based precautions.
The resident requires strict Contact Precautions.
Contact Precautions are mandated for infections spread by direct or indirect contact with the client or their environment.
3
Evaluate the nursing directives against standard Contact Precaution guidelines.
Contact Precautions require a private room, gown, gloves, and dedicated reusable client care equipment.
Ensuring equipment stays in the room prevents cross-contamination to other vulnerable residents.

Key Concept

Contact Precautions for Parasitic Infestations
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