Ch 25 11 21
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This document discusses guidelines for infection control and prevention of transmission of multidrug-resistant organisms (MDROs) in healthcare settings. It covers standard precautions, transmission-based precautions, management of common MDROs like MRSA and VRE, and protection of healthcare workers from occupational exposure. It also addresses problems from inadequate antimicrobial therapy, assessment and management of patients, and nursing care considerations for patients with infections.
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Ch 25 11 21
- 1. Adequate staffing Sterilization Disinfection Patient placement: Cohorting Patient transportation Infection Control
- 2. CDC and Prevention Transmission–Based Guidelines Standard Precautions: Respiratory hygiene/cough etiquette (RH/CE) Safe injection practices
- 3. Airborne Precautions Droplet Precautions Contact Precautions Transmission-Based Precautions
- 4. Methicillin-Resistant Staphylococcus Aureus (MRSA) Vancomycin (Vancocin) Linezolid (Zyvox) Community-associated MRSA The best way to decrease the incidence of this growing problem is health teaching
- 5. Vancomycin-resistant Enterococcus (VRE) Multidrug resistant tuberculosis Gonorrhea Vancomycin-intermediate Staphylococcus aureus (VISA) Vancomycin-resistant S. aureus (VRSA) Other MDROs
- 6. OSHA Federal laws to protect workers Sharps handling Prevention of transmission to family Change clothes before leaving work Keep work clothes separate from others Take shower on arrival to home Care to not contaminate personal equipment such as stethoscopes and scissors Occupational Exposure
- 7. Problems from Inadequate Antimicrobial Therapy Noncompliance or nonadherence Legal sanctions that compel a patient to complete treatment Tuberculosis Septicemia Septic shock
- 8. History Physical assessment and clinical manifestations Psychosocial assessment Collaborative Care
- 9. Laboratory assessment including: Culture and antibiotic sensitivity testing Complete blood count Erythrocyte sedimentation rate Serologic testing Imaging assessment Collaborative Care
- 10. Hyperthermia R/T increased metabolic rate Risk for Social Isolation R/T altered state of wellness Acute Pain R/T physical injury Fatigue R/T disease state Risk for Deficit Fluid Volume R/T hypermetabolic state Collaborative problems Risk for Septic Shock Disseminated Intravascular Coagulation Nursing Diagnoses
- 11. Home care management Health teaching Health care resources Community-Based Care