Isolation Precautions Look It Up Dont Make It
- Slides: 20
Isolation Precautions: “Look It Up, Don’t Make It Up” Bud Wiedermann, MD, MA Attending in Infectious Diseases, CNMC Professor of Pediatrics, GWUSMHS November 7, 2014
The single most effective measure for preventing spread of infectious agents is A. Airborne isolation B. Avoiding nosepicking C. Good handwashing D. Look it up, don’t make it up E. Proper doffing of personal protective equipment
Roberta is a 6 mo girl with 2 days of runny nose, fever, and cough, now with fast breathing. Exam shows tachypnea, copious rhinorrhea, and bilateral wheezing with rhonchi. Rapid RSV test is positive. Which of the following is the most appropriate isolation choice? A. Standard only B. Standard and contact C. Standard, contact, and droplet D. Standard and droplet E. Standard, contact, and airborne
Barbara is in the bay next to Roberta, with identical history, exam, and RSV results. The ED is overflowing, and you need more exam room availability. Cohorting of these 2 children is acceptable because they have the same virus. A. True B. False
Suppose Roberta’s RSV test was negative. Which of the following is the most appropriate isolation choice for her? A. Standard only B. Standard and contact C. Standard, contact, and droplet D. Standard and droplet E. Standard, contact, and airborne
David is a 3 mo boy with fever and loose, watery stools for 2 days. His exam is pertinent only for 3% dehydration, and his stool rotavirus antigen test is positive. Which of the following is the most appropriate isolation choice for him? A. Standard only B. Standard and contact C. Standard, contact, and droplet D. Standard and droplet E. Standard, contact, and airborne
Pavan is a 19 yo U. Maryland student with fever, rash, and dizziness starting this morning. His exam is pertinent for signs of shock and a diffuse petechial rash. He improves with fluids and antibiotics, and CSF shows WBC 2800 (95% polys), protein 197, glucose 20, and Gram-negative diplococci on stain. Which of the following is the most appropriate isolation choice for him? A. Standard only B. Standard and contact C. Standard, contact, and droplet D. Standard and droplet E. Standard, contact, and airborne
Of the following conditions, which does NOT require airborne isolation (possibly with other precautions) because it is transmitted via small particle aerosol route? A. B. C. D. E. F. Ebola Measles SARS Smallpox Tuberculosis Varicella
As of 10/18/14 MMWR 2014; 63: 978
New Cases 9/28 -10/18/14 MMWR 2014; 63: 978
MMWR 2014; 63: 978
Ebola: Identify, Isolate, Inform http: //www. cdc. gov/vhf/ebola/pdf/ambulatory-careevaluation-of-patients-with-possible-ebola. pdf
Ebola: Identify, Isolate, Inform http: //www. cdc. gov/vhf/ebola/pdf/ambulatory-careevaluation-of-patients-with-possible-ebola. pdf
http: //www. cdc. gov/vhf/ebola/pdf/ambulatory-care-evaluation-ofpatients-with-possible-ebola. pdf
PPE in the ambulatory care setting q No one should have direct contact with a Person Under Investigation for Ebola without wearing appropriate PPE q If PPE is available and direct patient contact necessary, a single staff member (trained in proper donning and removal of PPE) should be designated to interact with the Person Under Investigation q At a minimum, health care workers should use the following PPE before direct patient contact: q Face shield & surgical face mask, impermeable gown, and two pairs of gloves q The designated staff member should refrain from direct interaction with other staff and patients in the office until PPE has been safely removed in a designated, confined area q Examples of safe donning and removal of PPE should be reviewed: http: //www. cdc. gov/hicpac/2007 IP/2007 ip_g. html
I practice within a health system which has defined Ebola protocols for my practice. A. True B. False
If you answered “False, ” I suggest…. . q. Appoint an Ebola Czar in your practice to check CDC and state DOH web site frequently q. Meet with stakeholders to determine plan q. Signage, telephone screening q. PPE q. Patient placement q. Who you gonna call?
http: //www. cdc. gov/vhf/eb ola/index. html
Questions and Shameless Self-Promotion q. Holy Cross Peds ID Clinic q 301 -754 -7630 Wed AM, Fri PM q. Visit my blog, with the AAP q. Evidence e. Mended (just Google it)
- Look down to the left
- Don't laugh at me allen shamblin
- Dont ask dont tell political cartoon
- Barrier technique in burns
- Maintaining transmission based isolation precautions
- Droplet isolation precautions
- Why dont all radulas look alike
- Dont look up tick
- Smooth seas do not make skillful sailors
- Two wrong don't make a right
- Look at the picture in activity
- Activity 1 picture
- Activity 1 look up look down
- Learning task 2 look around your home
- Look at the picture and make the comment
- Look at the picture then choose the suitable question:
- Go make a difference we can make a difference
- Make the lie big make it simple
- Make the lie big
- Don't reply all
- Why water and oil dont mix