A clinical unit manager is evaluating staff adherence to isolation protocols. A client was recently admitted with concurrent confirmed infections of Neisseria meningitidis pneumonia and a vancomycin-resistant Enterococcus (VRE) colonized leg wound. Which observed staff interventions indicate correct application of the required transmission-based precautions? Select all that apply.
- Leaving a dedicated stethoscope and blood pressure cuff inside the client's room.Answer
- BDonning an N95 particulate respirator before entering the client's room.
- Securing a standard surgical mask on the client prior to transport for a diagnostic scan.Answer
- DAssigning the client to a private isolation room equipped with monitored negative air pressure.
- ERemoving the isolation gown and gloves and performing hand hygiene immediately after exiting into the hallway.
- Putting on a clean isolation gown and disposable gloves prior to crossing the threshold of the client's room.Answer
Answer
The correct actions are dedicating equipment to the client's room, placing a surgical mask on the client during transport, and donning a gown and gloves upon entering the room.
The client requires simultaneous Droplet precautions for Neisseria meningitidis and Contact precautions for VRE. Correct practices include using dedicated noncritical client-care equipment to prevent environmental cross-contamination. When transport is necessary, the client must wear a standard surgical mask to contain respiratory secretions. Furthermore, healthcare workers must don a clean gown and gloves upon entering the room to prevent contamination of clothing and hands from potentially contaminated environmental surfaces.
Step-by-Step Solution
Key Concept
Concurrent application of Droplet and Contact transmission-based precautions