Question

Difficulty: MediumStandard and Transmission-Based Precautions

A multidisciplinary healthcare team is providing care for a client isolated on contact precautions due to an uncontained methicillin-resistant *Staphylococcus aureus* (MRSA) infection of a sacral pressure injury. Which actions by the team members demonstrate correct application of infection control principles? (Select all that apply.)

  1. Leaving a dedicated stethoscope and blood pressure cuff inside the client's room for ongoing use.Answer
  2. B
    Removing the isolation gown and gloves in the hallway immediately after exiting the client's room.
  3. Performing hand hygiene with an alcohol-based hand rub immediately after doffing gloves.Answer
  4. Applying a fresh, dry dressing over the sacral wound prior to transporting the client to the radiology department.Answer
  5. E
    Donning an N95 respirator, gown, and gloves prior to entering the room to deliver a dietary tray.
  6. F
    Routinely double-bagging the client's soiled bed linens before carrying them to the soiled utility room.

Answer

The correct actions include leaving dedicated equipment in the room, using alcohol-based hand rubs for hand hygiene, and covering the infected wound during transport.
Clients with MRSA require contact precautions. Proper adherence includes using dedicated medical equipment to prevent cross-contamination, performing hand hygiene with alcohol-based rubs (which are highly effective against non-spore-forming organisms like MRSA), and containing the source of infection by applying a clean dressing over the wound before any necessary transport outside the room.

Step-by-Step Solution

1
Identify the transmission mode and required precautions for the specified pathogen.
MRSA requires Contact Precautions.
MRSA is transmitted via direct or indirect contact with the client or their environment.
2
Determine the appropriate use and management of medical equipment.
Equipment such as stethoscopes should be dedicated to the client and left in the room.
Sharing equipment between clients without extensive disinfection spreads contact pathogens.
3
Evaluate the hand hygiene method.
Alcohol-based hand rubs are correct and effective for MRSA.
Unlike spore-forming bacteria (e.g., C. difficile), MRSA is readily eradicated by alcohol-based sanitizers.
4
Evaluate transport requirements.
The wound must be covered with a clean dressing before transport.
Source control prevents the shedding of infectious material into the hospital environment during movement.

Key Concept

Contact Precautions for MRSA
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