1. Transmission/Isolation-Based Precautions

2. Transmission-Based Precautions (A.K.A. Isolation Precautions)
Refers to actions (precautions) implemented in addition to standard precautions.
Actions that are used for residents with documented or suspected infections or colonized with infectious agents.

3. Implementation of Transmission-Based Precautions
Important for staff to identify the type of transmission precaution needed for the resident
Communication is essential of transmission-precautions to all “Team” members.
Staff to know the appropriate Personal Protective Equipment (PPE)
PPE readily available

4. Contact Precautions
Measures that are intended to prevent transmission of infectious which are spread by direct or indirect contact with the resident or environment.
MRSA

5. Contact (Special Enteric)
Methicillian- Resistant Staphyloccus (MRSA)
Vancomycin- Resistant Enterococci (VRE)
Clostridium Difficile ( C. Diff.)
C. Diff
MRSA
VRE

6. Must be placed outside the door

7. Droplet Precautions
Respiratory droplets transmit infections directly from the respiratory tract of an infected individual to susceptible recipient
Facial protection is necessary
Private room or room with another patient with the same pathogen
Coughing, sneezing, talking, suctioning, and CPR
Flu

8. Droplet-Borne Organisms
Some forms of meningitis
Mumps
Pertussis
Influenza

9. Must be placed outside the door

10. Airborne Precautions
Measures taken to prevent transmission of infectious agents by airborne droplet spray. Airborne precautions include use of masks and air filtration systems.
Examples: Flu, Varicella Zoster (Shingles) and M. Tuberculosis

11. Management of Airborne Infections
Single-resident airborne isolation room
Specific Ventilation Standards for room
Keep the door closed
Staff caring for the resident should wear mask or respirator
Mycoplasma Tuberculosis

12. Must be placed outside the door

13. N-95 versus Regular Mask N-95 Very close fitting
Efficient filtration of airborne particles
Blocks 95% very small particles
Single use
Face Masks
Loose fitting, disposable and physical barrier
Not intended to be used more than once

14. Personal Protective Equipment
Sequence for Donning Personal Protective Equipment
Gown
Mask
Goggles or Face Shield
Gloves

15. Personal Protective Equipment
Sequence for Removing Personal Protective Equipment
Gloves
Goggles or Face Shield
Gown
Mask