Question

Difficulty: EasyStandard and Transmission-Based Precautions

During a morning shift, a nurse is reviewing the care plan for a patient with a newly positive culture for vancomycin-resistant Enterococcus (VRE) in a sacral pressure injury. Which specific infection control interventions are required for this patient? Select all that apply.

  1. Put on a clean gown immediately before entering the patient's room.Answer
  2. Apply clean, non-sterile gloves upon entering the room.Answer
  3. Use a dedicated stethoscope and blood pressure cuff for this patient only.Answer
  4. D
    Ensure the patient is placed in a negative-pressure isolation room.
  5. E
    Wear a surgical mask when providing care within 3 feet of the patient.

Answer

The required interventions are putting on a clean gown before entering, applying clean gloves upon entry, and using dedicated patient care equipment.
Vancomycin-resistant Enterococcus (VRE) is a multidrug-resistant organism that is easily transmitted by direct patient contact or contact with items in the patient's environment. Therefore, Contact Precautions are indicated. Standard protocol for Contact Precautions includes donning a clean gown and gloves upon entering the room to create a barrier between the nurse and contaminated surfaces. Additionally, dedicating patient-care equipment (such as blood pressure cuffs and stethoscopes) to the infected patient prevents the organism from being carried to other patients' rooms.

Step-by-Step Solution

1
Identify the transmission route for the pathogen.
Vancomycin-resistant Enterococcus (VRE) is spread via direct and indirect contact.
Knowing the transmission route dictates the tier of isolation precautions required.
2
Determine the appropriate isolation category.
Contact Precautions must be implemented.
VRE requires Contact Precautions in addition to Standard Precautions.
3
Select interventions that align with the identified isolation category.
Gowns, gloves, and dedicated equipment are chosen; negative-pressure rooms and surgical masks are rejected.
Contact Precautions specifically mandate gowns and gloves upon room entry and the dedication of equipment to prevent environmental cross-contamination.

Key Concept

Contact Precautions for Multidrug-Resistant Organisms (MDROs)
Estimated Time:1m 0s
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