Droplet Precautions 1. Used for pneumonia, influenza, rubella, mumps, sepsis 2. Private room or room with someone with the same thing 3. Masks for providers and visitors d. Contact Precautions 1. Used for respiratory syncytial virus (RSV), shigella, wound infections, scabies 2. Private room or room with other patient that has the same infection 3. Gloves and gowns worn by caregivers F. Herpes Zoster (shingles) a. Chickenpox shingles 12
b. Risk factors 1. Concurrent illness, stress, compromise immune system, fatigue, poor nutritional status c. Symptoms: paresthesia, unilateral rash, low grade fever 1. Rash is erythematous, vesicular, pustular, or crusting d. Nursing care 1. Isolate the client until the vesicles have crusted 2. Avoid exposing to infants, pregnant women, and those who not had the chicken pox e. Medications: 1. analgesics- enhance client comfort 2. Antiviral agents- acyclovir f. Complications 1. Postherpetic neuralgia- pain more than 1 month after shingles is gone g. Prevention: Zoster vaccine and chicken pox vaccine 12. CLIENT SAFETY A. Preventing falls a. Patient with orthostatic hypotension should avoid getting up too quickly 1. Sit on side of bed for few seconds, stand up for a few seconds, then walk b. Provide regular toileting c. Place clients at risk for falls close to nurses’ station d. Provide hourly rounding e. Keep bed in low position and lock breaks f. Avoid using all side rails g. Provide nonskid footwear h. Use gait belts 13
B. Seizures a. Sudden surge of electrical activity in the brain b. Do not restrain c. Lower them to the floor put them on their side don’t put anything in their mouth C. Fire Safety Fire Response R -rescue by moving people to a safer location A -alarm- activate facility’s alarm system C -contain- close doors/windows, turn off sources of oxygen E- extinguish the fire 13. HOME SAFETY A. Infants and Toddlers a. Do not feed the infant ad hard foods that could be choking hazard b. Always place infants on their back to rest c. Keep plastic bags to reach d. Make sure crib slats are no more than 2 3/8 inches apart e. Do not place anything in the crib with the infant f. Place toddlers in rear facing car seat in the back seat until 2 years old g. Use car seat with 5-point harness for infants and children h. Place pots on back burner and turn handle away from front of stove B. Preschool age children a. Place locked fences around pools and provide supervision around pools or water 14 Fire Extinguishers P- pull the pin A -aim at base of fire S - squeeze the handle S- sweep the extinguisher side to side
b. Use booster seats for children who are less than 4 feet 9 in tall and weigh less than 40 lbs c. If passenger seat has an air bag, place children under 12 years in the back seat d. Use of protective equipment in sports e.
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- Spring '15