Donning and Doffing PPE and Isolation Precautions

Introduction

• Focus on donning (putting on) and doffing (taking off) Personal Protective Equipment (PPE).
• Discuss different isolation and transmission precautions for patients.
• Reference: Fundamentals of Nursing flashcards (card number 49).

Donning PPE

1. Order of Donning
   • Gown
   • Mask
   • Eyewear
   • Gloves
   • Use mnemonic "GMEG" (Gown, Mask, Eyewear, Gloves) to remember the order.

Doffing PPE

1. Order of Doffing (Dirtiest to Cleanest)
   • Gloves
   • Eyewear
   • Gown
   • Mask
2. Perform hand hygiene after removing PPE.
3. Avoid touching the outside of PPE as it is contaminated.

Transmission Precautions

Standard or Universal Precautions

• Apply to all patients.
• Hand Hygiene: Wash hands or use sanitizer.
• Clean Gloves: Use non-sterile gloves.

Contact Precautions

• Use when a patient has a pathogen spread through contact.
• Examples: C. diff, MRSA, VRE, RSV, lice, scabies.
• PPE Required: Gown and clean gloves.
• For C. diff, wash hands with soap and water (not sanitizer).

Droplet Precautions

• For conditions spread by respiratory droplets.
• Examples: Influenza, pertussis, group A strep, mumps, diphtheria, rubella, bacterial meningitis.
• PPE Required: Gown, gloves, surgical mask within 3 feet of the patient.

Airborne Precautions

• For conditions spread by aerosolized particles.
• Examples: Tuberculosis, varicella (chickenpox), measles.
• Requirements:
  • Private room with negative pressure airflow.
  • PPE Required: Gown, gloves, N95 respirator.
  • If the patient leaves the room, they wear a surgical mask.

Protective Isolation

• Protects the patient from others.
• For immune-compromised patients, neutropenia, recent radiation.
• Room Requirements: Private room with positive pressure airflow.
• PPE Required: Mask, gown, gloves.
• Restrictions:
  • No live plants or flowers.
  • Limited visitors screened for illness.
• Patient Education:
  • Avoid crowded areas, sick contacts, sharing personal items.
  • Avoid raw foods, ensure meats are cooked thoroughly.
  • Avoid live plants and gardening.

Conclusion

• Stay tuned for the next video on sterile fields.
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