Isolation class 10
1 / 42

Isolation Class 10 - PowerPoint PPT Presentation

  • Updated On :

Isolation Class 10 . Last Class. Preventing the spread of infection. What do we do when a client has a highly infectious disease?. Specific Infection Control Policies. Isolation – the principle is to create a physical barrier that prevents the transfer of microorganisms.

Related searches for Isolation Class 10

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'Isolation Class 10' - barclay

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

Preventing the spread of infection l.jpg
Preventing the spread of infection

  • What do we do when a client has a highly infectious disease?

Specific infection control policies l.jpg
Specific Infection Control Policies

  • Isolation – the principle is to create a physical barrier that prevents the transfer of microorganisms.

What are appropriate barriers depending on l.jpg
What are appropriate barriers? Depending on -

  • Organism Transmission

    • Airborne

    • Vehicle

    • Contact

      • Direct

      • Indirect

      • Droplet

Types of barriers l.jpg
Types of Barriers

  • PPE (personal protective equipment)

    • Gowns

    • Gloves

    • Masks

    • Eyewear

What about when we don t know l.jpg
What about when we don’t know? policies and guidelines.

  • 3 systems

    • Universal precautions

    • Body substance precautions

    • Standard precautions

Precautions to guard against the unknown l.jpg
Precautions to guard against the unknown policies and guidelines.

  • Apply to everyone

  • General public

  • May or may not carry an infection

History lesson l.jpg
History Lesson policies and guidelines.

  • Initially concerned with patient to patient

  • Followed by concern for health care professionals

  • 1970 – Hepatitis B

  • 1987 – HIV

    • Universal precautions by Center for Disease Control (CDC)

Universal precautions l.jpg
Universal precautions policies and guidelines.

Stated :

All blood & body flds should be treated as potentially infectious.

Body substance isolation bsi l.jpg
Body Substance Isolation (BSI) policies and guidelines.

  • Infection control practitioners in Seattle and SanDiego

  • Canada adopted policy but renamed it Body Substance Precautions (BSP)

Standard precautions l.jpg
Standard Precautions policies and guidelines.

  • 1996- newest guidelines by CDC combined the major features of universal precautions & BSP

2 tier system l.jpg
2 Tier System policies and guidelines.

  • 1996 CDC new guidelines

1 st tier standard precautions l.jpg
1 policies and Tier – Standard Precautions

  • Most important

  • Universal precautions + BSP

  • Applies to everyone

  • Primary strategies for prevention of infection

  • Standard precautions

    • Blood, body flds., nonintact skin, mucus membranes

2 nd tier l.jpg
2 policies and guidelines.nd Tier

  • Specific infections/diagnosis

  • Droplet, airborne, contact with contaminated surface

3 types transmission based precautions l.jpg
3 Types Transmission Based Precautions policies and guidelines.

  • Airborne, droplet, contact

  • Some infections combination (chicken pox)

  • These extra precautions are in addition to Standard Precautions

Airborne l.jpg
Airborne policies and guidelines.

  • Travels on small particles

  • Air currents

  • Portal of entry – nose, mouth, mucus membranes

    • Measles, chicken pox, TB

Requirements for airborne l.jpg
Requirements for Airborne policies and guidelines.

  • Negative pressure room – door closed

  • TB = HEPA filter

  • Do not enter if not immune to measles/chickenpox

  • Client wears mask when required to leave room

Droplet l.jpg
Droplet policies and guidelines.

  • Large droplets of moisture

  • Coughing, sneezing, talking

    • Travels 3 ft. or less

    • Enters nose / mouth

    • Mumps, pertusis, influenza

  • Private room

  • Staff regular mask for 3 ft.

  • Client mask for transport

Contact l.jpg
Contact policies and guidelines.

  • Dry skin to dry skin = Direct

  • Dry skin to object = Indirect

  • Impetigo, herpes zoster, scabies

  • Gloves – for direct care or touching anything in the room

  • Private room or semi if cohort has same diagnosis

Slide21 l.jpg

Slide22 l.jpg

Protective isolation reverse isolation l.jpg
Protective Isolation / Reverse isolation policies and guidelines.

  • Compromised or suppressed immune system

  • Highly susceptible to infections

  • Protection from environmental pathogens

Protective isolation reverse isolation24 l.jpg
Protective Isolation / Reverse isolation policies and guidelines.

What do you need ?

  • Private room – door closed

  • Gown, mask, gloves if direct contact

  • Wash hands

  • No plants / flowers

Procedure l.jpg
Procedure policies and guidelines.

  • Before instituting

    • EXPLAIN to client & family

      • Disease

      • Purpose of isolation

      • Steps to follow

      • Time frame

Room preparation l.jpg
Room Preparation policies and guidelines.

  • Private with BR facilities

  • Sign on door

  • Isolation cart outside door

  • Laundry hamper in room

  • Waste basket with plastic bag

  • Thermometer, B/P cuff, stethoscope in room

  • Sharps receptacle

Slide27 l.jpg

  • Be organized policies and guidelines.

  • Gather equipment prior to entering room

  • Remove rings and wash hands

  • Don PPE

  • Gown usually disposable

  • Gloves up over cuff of gown

Slide28 l.jpg

Exiting room l.jpg
Exiting Room policies and guidelines.

  • Untie gown at waist

  • Remove gloves properly

  • Remove mask

  • Untie gown at neck, drop over shoulders, don’t touch outside, fold inwards, and discard

Exiting room30 l.jpg
Exiting Room policies and guidelines.

  • Wash hands

  • Use paper towel on door handle

  • Wash hands again outside room

    Important to do as much client care as you can while you are in the room….CLUSTER ACTIVITY.

Basic principles l.jpg
Basic Principles policies and guidelines.

  • Wash hands prior to entering & exiting room

  • Careful disposal of contaminated materials

  • Knowledge of disease and mode of transmission

  • Protection of client and public during transport

Client consideration l.jpg
Client Consideration policies and guidelines.

  • Isolation

  • Loneliness

  • Self – esteem, body image

  • Boredom

Sterile technique surgical asepsis l.jpg
Sterile Technique / Surgical Asepsis policies and guidelines.

Purpose – to eliminate all microorganisms from objects that come into contact with the tissues of the body that are normally sterile.

Practice areas l.jpg
Practice Areas policies and guidelines.

  • Operating room

  • Labor and delivery

  • Major diagnostic area

  • At the bedside in 3 main situations

    • Procedures requiring intentional perforation of the skin

Slide35 l.jpg

Slide36 l.jpg

Methods of sterilization l.jpg
Methods of Sterilization increasing clients risk for infection.

  • Steam – most common

  • Dry heat

  • Ethylene oxide gas

  • Chemicals

  • Indicator of sterility –

    • tape on pkg. turns color or forms lines

    • Expiration Date

Examples of sterilization processes l.jpg

Moist heat /steam increasing clients risk for infection.


Autoclave- instruments, parental solutions, dressings

Drugs, foods, heat sensitive items

Examples of sterilization processes

Examples of sterilization processes39 l.jpg

Chemicals increasing clients risk for infection.

All types microorganisms

Rapid action

Work with water

Stable in heat & light


Not harmful to body tissue


Glass thermometers

Ex. Chlorine – used to disinfect water & for housekeeping purposes

Examples of sterilization processes

Examples of sterilization processes40 l.jpg

Ethylene oxide gas increasing clients risk for infection.

Destroys microorganisms by altering cells’ metabolic processes.



Examples of sterilization processes

Examples of sterilization processes41 l.jpg

Boiling water increasing clients risk for infection.


Imp. – bacterial spores andsome viruses resist boiling. Not used in hospitals!

Items should be boiled for at least 15 min.

Examples of sterilization processes

Practical exam l.jpg
Practical Exam increasing clients risk for infection.

  • Prepare a sterile field

  • Add an item

  • Add a liquid

  • Don sterile gloves