Airborne precautions: MEASLES VARICELLA SHINGLES PARENT TEACHING: child has been placed in a private room to prevent others

s from catching your childs illness. The air in this private room goes directly outside rather than going to other areas in the hospital. The room also keeps air from your childs room from going back into the hallway. For the air to stay in the room and then be vented outside BOTH the DOORS TO THE ROOM MUST STAY CLOSED. If your child's room has only one door, keep it closed. Toys should not be shared with other patients unless a staff member has cleaned and disinfected the toy before giving it to another patient. Equipment should not be used on other patients until has been cleaned with disinfectant. Your child will need to wear a mask if going to another area of the hospital. Before entering: 1.Wash hands 2. Don N95 Respirator (Mask) BEFORE ENTERING 3. Don gown then gloves *Negative Pressure Isolation Room KEEP DOOR CLOSED Transporting patient: 1. Patient must wear a surgical or procedure mask and a clean gown 2. Patient must wash hands 3. For direct contact with pt, nurse or care provider should wear a gown and gloves. 4. Notify receiving area Before leaving pt's room: 1. Remove gloves then gown NOT N95 mask 2. Wash hands After leaving pt's room: 1. Shut door 2. Wash hands 3. Remove N95 mask AFTER LEAVING ROOM 4. Wash hands

For Chicken pox (Varicella) and Measles (Rubeola) Parents/guardians do not need to wear a mask in your childs room. Parents/guardians who have not had the illness or have not had the immunization for the illness should tell the nurse. It is possible that the parent may become ill and spread the infection to others without knowing it. It is important to discourage visitors who have not had the illness or have not had the immunization for the illness from visiting your child. This will help keep them from becoming ill. If they must visit, the visitor will need to wear a mask in the room. If the visitor is not sure, the visitor should wear the mask just to be safe. Since your child has an illness that can easily spread to others, your child needs to stay in the room until the illness does not have a chance of spreading to others. Even though your child must stay in the room, arrangements can be made to provide certain toys and books for your child to use.

DROPLET PRECAUTION (EYE PROTECTION) -----surgical mask when within 3 feet of the patient (put mask on in room) private room pt should wear surgical mask when transporting limit pt's transport pts affected w/ same organism may cohort (share room)

Before Entering: 1. Wash Hands 2. DON Mask and Eye Protection 3. DON Gown then Gloves Patient Transport: 1. Pt must perform hand hygeine 2. Pt must wear a surgical or procedure mask and clean gown 3. For direct contact with pt, nurse or care provider should wear a gown and gloves. 4. Notify receiving area

Before Leaving Pt's Room: 1. Remove gloves then gown 2. Wash Hands 3. Remove eye protection and mask 4. Wash Hands Droplet Contact Precautions Microorganisms: 1. Influenza (Flu) 2. Viral Respiratory tract infections (adenovirus, parainfluenza, rhinovirus, RSV) 3. Streptococcus group A pharyngitis, pneumonia, scarlet fever 4. Neisseria meningitidis invasive infections 5. H. Influenzae type b invasive infections 6. Pertussis 7. Rubella 8. Mumps DROPLET PRECAUTION think of SPIDERMAN! S - Sepsis S - Scarlet fever S - Streptococcal pharyngitis P - Parvovirus B19 P - Pertussis P - Pneumonia I - Influenza D - Diptheria (Pharyngeal) E - Epiglottitis R - Rubella M - Mumps M - Meningitis M - Mycoplasma or meningeal pneumonia An - Adenovirus

CONTACT PRECAUTION -- gloves & gown before entering room -- private room/ cohort -- remove gloves + gowns before leaving room -- change gloves after contact with infected material -- dedicate equipment to pt ; leave equipment in room Before entering: 1.wash hands 2. DON gown then gloves Upon entering: 1. use disposable equipment when possible 2. when not available clean and disinfect all equipment before removing from room Transporting patient: 1. PT should perform hand hygeine and wear a clean gown 2. For direct contact with pt, nurse or care provider should wear a gown and gloves. 3. Notify receiving area Before leaving the patient's room: 1. Remove gloves then gown 2. Wash hands Contact Precautions Microorganisms: 1. Antibiotic Resistant Organisms (Methicillin resistant Staphylococcus aureu (MRSA), Extended spectrum beta-lactamase (ESBL), Penicillin resistant Streptococcus pneumoniae (PRSP), Multi-drug resistant Pseudomonas aeruginosa (MDRP)) 2. Scabies 3. Herpes Zoster (Shingles) localized 4. Diarrhea, Clostrididum difficile Diarrhea illnesses Colds in children Viral pneumonia Respiratory Syncytial Virus (RSV) Chicken pox (Airborne, also) Lice and Scabies Multi-Resistant Organisms such as:MRSA ;ESLB ;VRE