Name: - JOHN CAYEH B. MANGAO - Caring For A Patient On Isolation Precaution

Name:____JOHN CAYEH B.
MANGAO____________________________________________
Caring for a Patient on Isolation Precaution
Basic Concept: Isolation Precaution is the second tier of the prevention isolation guidelines (CDC,2007),
which are based on the mode of transmission of the disease. Isolation precautions or transmission based
precautions are categorized to airborne, droplet and contact precautions. The category determines the
choice of barrier devices or protection that health worker needs. It includes the appropriate use of
personal protective equipment (PPE) such as gowns, gloves, masks, eyewear and other protective
devices or clothing.
Objectives:
1. To prevent and control infection and its spread.

2. To reduce and/or eliminate sources and transmission of infection.
3. To help protect client and health care provider from disease.
Materials/Equipment:
Soap in soap dish or liquid soap in dispenser
Paper towel
Clean gown
Disposable gloves
Eyewear or goggles / Face shield
Bonnet
Clean tissue
IV stand
Trash Bag
Puncture-proof container/hub
Preparation:
1. Assess isolation indication.

2. Review agency policies and precautions necessary for specific isolation systems and consider
measures you will perform while in the patient’s room.
3. Review nurse’s notes or speak with colleagues regarding patient’s emotional state and
adjustment to isolation.
4. Assess client’s knowledge and significant others for the need to wear a gown and gloves during
the care.
5. Perform hand hygiene and prepare all equipment needed to take into patient’s room.
6. Prepare for entrance in the isolation room.
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Steps Rationale
1. Put on the bonnet applying the correct - To cover hair and Incorporate preventing
technique, being sure to tuck hair under transmission of infectious agents
the bonnet.
2. Apply either surgical mask or respirator
around mouth and nose. - to protect the conjunctivae and the mucous
If needed apply eyewear or goggles membranes of the nose, eyes and mouth
snugly around eyes and face. If during activities that are likely to generate
prescription glasses are worn, side splashes or sprays of blood, body fluids,
shield may be used. secretions or excretions.
3. Apply cover gown, being sure that it
covers all outer garments.
4. Pull sleeves down to wrist. - Wear gowns to protect skin and prevent
5. Tie securely at neck and waist. soiling of clothing during activities that are
6. Apply clean gloves over gown sleeves. likely to generate splashes or sprays of blood,
7. Enter patient’s room. body fluids, secretions or excretions.
Use clean tissue to open the door knob.
8. Explain purpose of isolation and
necessary precautions to patient and -For patient/family education. Allows
family. patient/family to express thoughts and feelings
9. Offer opportunity to ask questions. regarding to her symptoms
10. Assess for evidence of emotional
problems that occur from isolation.
11. Arrange supplies and equipment for -Organization of work / better work flow
use. If equipment will be removed for
reuse, place clean paper towel.
12. Assess vital signs.
a. If patient is infected or colonized -For baseline data
with resistant organism, equipment -Avoids cross-contamination of infectious
remains in the room whenever agents
possible. This includes stethoscope
and BP cuff.
b. If the stethoscope is to be reused,
clean diaphragm or bell with
alcohol. Set aside on clean surface.
c. Use individual or electronic or
disposable thermometer. If
disposable thermometer indicates a
fever, assess for other
signs/symptoms. Confirm fever
using electronic thermometer.
13. Administer medications - Proper administration of medication
a. Give oral medications in wrapper or
cup.
b. Dispose of wrapper or cup in plastic
lined receptacle.
c. Administer injection.
d. Discard safely needle in sharp
containers and syringe in
appropriate receptacle.
14. Administer hygiene, encouraging
patient to discuss questions or concerns - Hygiene practices further minimize the
about isolation. Provide informal transfer of microorganisms. Assisting the
teaching at this time. patient with hygiene provides quality time with
a. Avoid allowing gown to become the patient and an opportunity to reinforce
wet. patient education.
b. Avoid leaning over from wet
surfaces.
c. Remove linen from bed; avoid
contact with gown. Place inlinen baf
according to agency policy.
d. Remove gloves and perform hand - Controlling the spread of pathogens from
hygiene. Wear another gloves, if infected patients (source control) is key to
further care is necessary. avoiding transmission to unprotected contacts.
15. Collect specimens.
a. Place specimen containers on clean
paper towel in patient’s bathroom. - Placing the specimen in a separate bag
Follow procedure for collecting protects the label from being damaged
specimen of body fluids.
b. Transfer specimen to container
without soiling outside of the
container. Place container in plastic
bag and place label on outside of
the bag or per facility policy.
c. Label specimen per facility policy.
d. Perform hand hygiene and wear
another gloves, if additional
procedures are needed.
16. Dispose linens and trash bag as they
become full.
a. Use sturdy, moisture resistant single - Ensure that linens or refuse are totally
bags to contain soiled particles. Use contained to protect personnel from exposure
double bag if outside bag is to infectious organisms
contaminated.
b. Tie bags securely at top in knot.
17. Remove all reusable pieces of - Disinfecting equipment after use decreases
equipment. Clean any contaminated the risk of infection transmission. Using
surfaces with hospital approved equipment that is dedicated only for use with
disinfectant. the patient on isolation precautions further
18. Explain to client when you plan to minimizes this risk
return to room. Ask whether client
requires any personal items. -Reduces patient’s anxiety and boredom
19. Leave isolation room. Remember order
of the removal of protectives barriers
depends on what is worn in room. This -
sequence describes steps to take if all
barriers were to be worn.
a. Remove gloves. Remove one glove
grasping cuff and pulling glove - Properly removing gloves prevents contact
inside out over hand. Discard glove. with the contaminated gloves’ outer surface.
With ungloved hand, tuck finger - The front of the gown and sleeves are
inside cuff of remaining glove and contaminated. Removing the gown as
pull it off, inside out. described prevents contact with the
b. Untie neck strings, then back strings contaminated front of the gown.
of gown. Allow gown to fall from
shoulders. Remove hands from
sleeves without touching outside of - The front of the mask is contaminated.
gown. Hold gown inside at shoulder Touching only the elastic or mask strings
reams and fold inside out; discard in protects ungloved hands from contamination.
laundry bag. Untying the bottom mask string first prevents
c. Untie top mask string and then the top part of the mask from falling down
bottom strings, pull mask away over the health care team member’s uniform.
from face and drop into trash
receptacle (do not touch outer
surface of mask).
d. Remove bonnet and discard.
e. Perform hand hygiene for a
minimum 10 seconds.
f. Leave room and close door if - Controlling the spread of pathogens from
necessary. Door should be closed if infected patients (source control) is key to
client is in negative airflow room. avoiding transmission to unprotected contacts
20. Do documentation of nursing care
rendered to the patient
-For further references. for good clinical
communication. Appropriate documentation
provides an accurate reflection of nursing
assessments, changes in clinical state, care
provided and pertinent patient information to
support the multidisciplinary team to deliver
great care.
21.
Name
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Name: - JOHN CAYEH B. MANGAO - Caring For A Patient On Isolation Precaution

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Name:____JOHN CAYEH B.

Caring for a Patient on Isolation Precaution

1. To prevent and control infection and its spread.

Soap in soap dish or liquid soap in dispenser

Eyewear or goggles / Face shield

1. Assess isolation indication.

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