PPE for Standard Precautions: Determining What to Wear

Decisions about what PPE to use should be determined by the type and level of contact you will have with the client. Ask yourself:paste_image5.jpg

 

Decisions about PPE can also be made with the following in mind: the diagnosis or suspected diagnosis of the client, the client's symptoms, and the type of infectious agent or illness you may encounter. To determine what PPE to wear, ask yourself:

 

Consider the use of the following PPE:

 

When in doubt, applying the most conservative level of PPE is the best protection.

 

What would you wear?

 

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  1. When working with a client with a skin infection or an open wound?
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When working with a client who has incontinent diarrhea?
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When working with a client for whom you deliver food and mail without interaction?
 
 
 
 
 

 

Transmission-Based Precautions

In addition to standard precautions, transmission-based precautions should be when you know or suspect that a client has an illness or infectious agent or if the client's symptoms pose a risk of contact with blood or body fluids.The practice of transmission-based precautions include contact precautions; droplet precautions; and airborne precautions

 

What PPE would you wear when visiting a client who has been diagnosed with...

                   

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Hepatitis A and is incontinent/diapered?
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Influenza?
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SARS?
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Scenario

You are a health agent and have been asked to investigate a home where one or more birds may have psittacosis. You call the homeowner and confirm there are 30 birds in the home, several of which are sick. You research psittacosis and determine that it is airborne transmitted by infected birds via fecal dust or secretions. You get ready to visit the home.

 

What precautions should you take, and what PPE should you wear?

Because psittacosis is airborne spread via dried dust, excretions, or secretions, you should follow:

 

Standard precautions by wearing gloves, gown and goggles, and by practicing proper hand hygiene.

In this case, you may need to touch objects in the environment, including the birds, and will want to protect your eyes from contaminated dust.

 

Precautions for airborne infection isolation by wearing appropriate respiratory protection (e.g., N-95 respirator). Transmission-based precautions should be followed based on your assessment of the mode of transmission of a known or suspected illness/disease. In this case, the transmission is airborne.