A medical-surgical nurse is preparing several clients for transport to various diagnostic departments. Which of the following infection control interventions are appropriate to implement during the transport process? Select all that apply.
- Place a standard surgical mask over the mouth and nose of a client with suspected pulmonary tuberculosis.Answer
- Apply a clean, dry dressing to securely contain the draining abscess of a client infected with methicillin-resistant Staphylococcus aureus (MRSA).Answer
- CInstruct the transport personnel to don an N95 respirator before accompanying a client diagnosed with seasonal influenza.
- DDelegate the initial teaching of isolation transport protocols to the unlicensed assistive personnel (UAP) assisting the client.
- Notify the receiving diagnostic department of the client's specific transmission-based precautions prior to their departure from the unit.Answer
- FAllow a client with Bordetella pertussis to remove their surgical mask once inside the transport elevator to promote comfort.
Answer
The correct interventions are placing a surgical mask on the client with tuberculosis, containing the MRSA wound with a clean dressing, and notifying the receiving department of the required precautions before transport.
Effective infection control during transport focuses primarily on 'source control.' For airborne diseases like tuberculosis, the client must wear a standard surgical mask to contain expelled droplet nuclei. For contact precautions like MRSA, infected areas must be entirely covered. Additionally, interdepartmental communication ensures the receiving staff can maintain an unbroken chain of infection control.
Step-by-Step Solution
Key Concept
Infection Control: Client Transport on Transmission-Based Precautions