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Airborne Precautions 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 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 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 Private room diseases with diarrhea C. diff, rotavirus, norovirus wash hands with soap and water Neutropenic Precautions/Protective Isolation 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 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