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Zorluk: OrtaStandard and Transmission-Based Precautions

The unit manager is conducting leadership rounds on a busy medical-surgical floor and observing staff adherence to infection control protocols. Which observed action necessitates immediate correction by the manager?

  1. A clinical technician uses an alcohol-based hand sanitizer immediately after providing care for a client with Clostridioides difficile.Cevap
  2. B
    A provider removes an N95 respirator in the anteroom after securely closing the door to a client's negative-pressure room.
  3. C
    A primary nurse leaves a dedicated stethoscope and blood pressure cuff inside the room of a client with active methicillin-resistant Staphylococcus aureus (MRSA).
  4. D
    A dietary aide dons a surgical face mask before entering the room of a client isolated for suspected Bordetella pertussis.

Cevap

The manager must correct the staff member who uses an alcohol-based hand sanitizer after caring for a client with Clostridioides difficile.
The action requiring correction is the use of an alcohol-based hand sanitizer after caring for a client with Clostridioides difficile. This organism produces resilient spores that are not killed by alcohol. Evidence-based infection control guidelines mandate the use of mechanical friction with soap and water to physically wash away the spores from the hands, preventing transmission to the environment and other clients.

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1
Identify the pathogen and its required transmission-based precautions for each observed scenario.
Clostridioides difficile requires contact/enteric precautions. Airborne precautions apply to the negative-pressure room. MRSA requires standard contact precautions. Bordetella pertussis requires droplet precautions.
Accurate identification of precautions is the foundation for evaluating staff adherence to infection control protocols.
2
Evaluate the specific infection control intervention observed against evidence-based guidelines for that isolation category.
Removing the N95 outside the airborne room, dedicating equipment for MRSA, and wearing a mask for pertussis are all correct actions. Using alcohol rub for C. diff is incorrect.
Comparing observed actions to established standards determines if a safety breach has occurred.
3
Determine which action represents a breach in protocol requiring immediate intervention by the manager.
The use of alcohol-based hand sanitizer instead of soap and water for a client with C. diff represents a failure to physically remove resilient spores, risking transmission.
The manager's role is to ensure patient safety by immediately correcting practices that increase the risk of healthcare-associated infections.

Anahtar Kavram

Hand Hygiene and Enteric Contact Precautions
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Konular

Standard and Transmission-Based Precautions

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