A registered nurse is planning care for a client admitted with meningococcal meningitis and a stage 3 pressure injury colonized with methicillin-resistant *Staphylococcus aureus* (MRSA). The nurse is reviewing the daily care plan with an unlicensed assistive personnel (UAP). Which of the following statements by the UAP indicate a correct understanding of the required transmission-based precautions and scope of practice? Select all that apply.
- I will wear a surgical mask, an isolation gown, and clean gloves when entering the client's room to provide care.Answer
- BThe client must be assigned to an airborne infection isolation room with negative air pressure.
- I will perform hand hygiene using an alcohol-based hand rub or soap and water immediately after removing my personal protective equipment.Answer
- DI will assess the sacral wound for signs of worsening infection while assisting the client with a bed bath.
- EI will ensure the client wears an N95 respirator if they need to be transported outside the room for testing.
- I will use the blood pressure cuff and thermometer that are dedicated specifically to this client's room.Answer
Answer
The correct statements are that the UAP will wear a surgical mask, isolation gown, and gloves; perform hand hygiene using an alcohol-based hand rub or soap and water after removing PPE; and use dedicated vital signs equipment for the client.
The client requires a combination of Droplet precautions (for meningococcal meningitis) and Contact precautions (for MRSA). Proper adherence involves wearing a surgical mask, gown, and gloves upon entry; using dedicated patient equipment to prevent cross-contamination; and performing standard hand hygiene with soap and water or alcohol-based rub upon exiting. Hand hygiene with alcohol-based rub is fully acceptable because neither of these organisms forms spores.
Step-by-Step Solution
Key Concept
Dual Isolation Precautions (Droplet and Contact) and Safe Delegation