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Zorluk: OrtaStandard and Transmission-Based Precautions

A practical nurse (PN) has finished providing care for a client diagnosed with varicella. The client is placed in a negative-pressure isolation room, and the PN is currently wearing an N95 respirator, an isolation gown, and gloves. Which of the following describes the correct procedure for removing the personal protective equipment (PPE)?

  1. Remove the isolation gown and gloves inside the client's room, and remove the N95 respirator after exiting the room and closing the door.Cevap
  2. B
    Remove all personal protective equipment, including the N95 respirator, inside the client's room prior to opening the door.
  3. C
    Keep all personal protective equipment on while exiting the room, and remove the gown, gloves, and respirator in the hallway.
  4. D
    Remove the gloves inside the client's room, exit into the hallway, and then remove the isolation gown and N95 respirator.

Cevap

The correct procedure is to remove the isolation gown and gloves inside the client's room, and remove the N95 respirator after exiting the room and closing the door.
Varicella requires both airborne and contact precautions. To prevent environmental cross-contamination, the PPE used for contact precautions (the gown and gloves) must be removed inside the client's room prior to leaving. To protect the healthcare worker from airborne particles, the N95 respirator must remain securely in place until the nurse has exited the negative-pressure room and the door is completely closed.

Adım Adım Çözüm

1
Identify the required isolation precautions for a client diagnosed with varicella (chickenpox).
Varicella requires a combination of both airborne and contact precautions.
The virus is transmitted through airborne infectious droplet nuclei as well as direct contact with skin lesions.
2
Determine the proper location for removing contact precaution PPE (the isolation gown and gloves).
Gowns and gloves must be removed inside the client's room before exiting.
Removing contact PPE inside the room prevents the spread of pathogens from the contaminated garments to the external hospital environment.
3
Determine the proper location for removing airborne precaution PPE (the N95 respirator).
The N95 respirator must remain on until the nurse has exited the room and the door is completely closed.
Airborne droplet nuclei can remain suspended in the air of the negative-pressure room. Removing the respirator inside would expose the nurse to these particles.

Anahtar Kavram

PPE Removal Sequence and Location for Combined Airborne and Contact Precautions
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