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Airborne Precautions
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Most contagious / needs private room
Airborne droplets stay in air for up to 2 hours and travel across the room
Diseases are: My Chicken haZ TB
 Measles
 Chicken pox / Varicella Zoster (when lesions have crusted over can just be
contact)
 Shingles / Herpes Zoster
 TB
PPE: N95 mask/particulate respirator, gown, gloves, goggles
Client wears surgical mask when leaving room
negative pressure room, air exchanges and keep door closed
Droplet Precautions
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Private room
large drops that go out about 3 feet and fall to floor
SPIDERMAN (3 S’s and 3 P’s)
 scarlet fever, sepsis, streptococcal pharyngitis, parovirus, pertussis,
pneumonia, influenza, diphtheria, epiglottis, rubella, meningitis, mumps,
mycoplasma/meningococcal pneumonia, adenovirus
PPE: surgical mask within 3 feet of client; wear gown, googles and gloves if closer
Contact Precautions
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Private room
disease is transmitted by touching the client or touching something else the client
touched
mostly wound, skin and eye infections
multi-drug resistant organisms: MRSA, VRE, CRE
skin and wound infections: CHIPS
 cutaneous diphtheria, herpes simplex, impetigo, pediculosis, scabies,
staphylococci
eye infections (conjunctivitis)
PPE: gown and gloves (possible mask, eye wear)
Contact & Enteric Precautions
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Private room
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diseases with diarrhea
 C. diff, rotavirus, norovirus
wash hands with soap and water
Neutropenic Precautions/Protective Isolation
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Private room
For immunosuppressed
 AIDs, burns, organ transplants, immunosuppression meds, chemotherapy
wear gloves for all procedures
no live vaccines, avoid invasive procedures, check WBC and temp
Personal Protective Equipment
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putting on/donning
 puts hands over your head, pretend you have it on already and go from
bottom up
 ON– gown, mask, googles, gloves
taking off/doffing
 alphabetical order
 OFF– gloves, goggles, gown, mask