PPE Precautions (Personal Protective Equipment) for Certified Perioperative Nurse (CNOR)
Included In This Lesson
Outline
PPE Precautions (Personal Protective Equipment)
Guidelines:
- Standard Precautions
- First tier of infection prevention, most important strategy for infection control
- Applies to ALL patients regardless of infection status
- Includes:
- Hand Hygiene
- Gloves
- Mask
- Eye protection
- Face shields
- Gowns
- Sharps
- Patient care equipment
- Linens
- Environmental control
- Patient placement
- Transmission-Based Precautions
- Second tier of infection prevention
- Known or suspected infection by pathogens
- Airborne, droplet, or contact
- Appropriate PPE dependent on mode(s) of transmission
Considerations:
- Airborne
- Microorganisms transmitted by small particles
- OSHA-specified respiratory protection
- Example, TB
- Surgical mask for patient when transported
- Droplet
- Microorganisms transmitted by large droplets
- Wear a mask when within 3 feet of patient
- Place mask on patient when transported
- Contact
- Organisms transmitted by direct or indirect contact
- Gloves, Gowns, hand hygiene
Nurse’s role:
- Use PPE to prevent exposure to blood, body fluids, and other potentially infectious materials
- Select gown and mask type according to task and exposure. Higher levels mean higher protection
- Use airborne, droplet, and contact precautions, as necessary, during patient transport
- Instruct visitors to wear PPE when patient is under transmission-based precautions
- Hand hygiene vigilance
Pitfalls:
- Health care personnel frequently fail to use PPE correctly
- Incorrect PPE removal can lead to self-contamination with potential pathogens
- Remove PPE in a sequence that prevents touching contaminated portions of the PPE
- Outside of gown/gloves
- Front of the eye protection
- Front of mask
- During patient transport, wear PPE according to organizational policy and when direct contact with patient is necessary
Examples:
- You are transporting a patient from the OR to the PACU and the patient is on contact precautions. You are unsure whether or not you need to wear a gown while transporting the patient to PACU. What information must you consider before determining the correct action?
Linchpins (Key Points):
- PPE is key!
- Hand Hygiene Vigilance is a must!
- Standard = First Tier, Most important
- Transmission-Based = Standard + additional precautions per mode of transmission
Transcript
References
- Rothrock, J. (2019). Alexander’s Care of the Patient in Surgery (16th ed.). Elsevier Health Sciences.
- Association of perioperative Registered Nurses (AORN): Guideline Essentials (website), 2022, https://www.aorn.org/guidelines-resources/guidelines-for-perioperative-practice/guideline-essentials
NCLEX
Concepts Covered:
- Circulatory System
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- Basics of NCLEX
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