A client with an uncontained, heavily draining abdominal wound infected with Vancomycin-resistant Enterococcus (VRE) has just tested positive for Bordetella pertussis. The client is experiencing worsening respiratory distress and requires immediate transfer to the intensive care unit (ICU) for closer monitoring. Which infection control interventions are necessary for this client's care and transport? Select all that apply.
- Place a standard medical-surgical mask on the client prior to exiting the room for transport.Answer
- BWear a fit-tested N95 respirator, gown, and gloves while disconnecting the client's bedside monitoring equipment.
- CRequest that the ICU receiving nurse prepare an airborne infection isolation room (AIIR) with negative directional airflow.
- Wear a clean, fluid-resistant gown and nonsterile gloves when transferring the client from the bed to the transport stretcher.Answer
- EDelay the client's transfer to the ICU until the infection control department approves a designated travel route.
- Ensure that noncritical patient-care items, such as blood pressure cuffs and stethoscopes, remain dedicated exclusively to this client in the ICU.Answer
Answer
The correct interventions include placing a standard surgical mask on the client for transport, wearing a gown and gloves during physical contact, and dedicating noncritical equipment to the client's exclusive use.
The client requires concurrent Contact precautions (for uncontained VRE) and Droplet precautions (for Bordetella pertussis). Contact precautions mandate the use of a gown and gloves during physical interaction with the client and the dedication of noncritical equipment to prevent environmental transmission. Droplet precautions require the client to wear a standard medical-surgical mask during transport to effectively contain respiratory secretions at the source.
Step-by-Step Solution
Key Concept
Concurrent application of Contact and Droplet precautions alongside clinical prioritization during emergency client transport.