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Everyone taking the NCLEX or is about to take the NCLEX has realized that the NCSBN had change

some of the content


format of the NCLEX. One of the big changes includes the percent amount ofSAFETY AND INFECTION
CONTROL that will be on the NCLEX. The Safety and Infection Control now makes up about 8-14% of the questions
in the NCLEX, I believe that it only previously composed of about 9-12% prior (or I could be wrong).
INFECTION CONTROL
Recently Infection Control makes up about 10- 13% of the NCLEX. That means that if you are able to get the average of
about 130-150 questions, then you are guaranteed to recieved between 15- 20 questions that is related to Infection
Control. Even if we get the least (75) amount of questions, we can still receive about 7-9 questions that is related to
infection control, that is a HUGE help, if we do well on these questions. I personally dont think that Infection control is a
difficult area. I believe that most of the nursing students never really studied Infection Control, when they were in
Nursing School. Therefore, this lack of knowledge did not prepare the majority of the Nursing Student for the NCLEX.
STANDARD PRECAUTIONS
- is always done in congruent with the other types of precautions.
Transmission-based Precautions includes:
A Airborne
D Droplet
C Contact
Airborne Precaution

IS DONE WHEN SMALL DROPLETS OF INFECTED PATHOGENS ARE ABOUT ( 5 UM) ARE
SUSPENDED IN THE AIR OVER TIME AND TRAVELS A DISTANCE OF MORE THAN (3) THREE FEET.

AIRBORNE PRECAUTION IS USED WITH THESE DISEASES:


My Measles

MEASLES- OR RUBEOLA

CAN BE TRANSMITTED THROUGH BLOOD URINE AND DROPLETS

COMMUNICABLE ABOUT 4-5 DAYS AFTER THE RASH

TREATMENT: BEDREST AND ANTIBIOTICS

Chicken Chickenpox

CHICKENPOX (VARICELLA)

PT. WILL HAVE A SLIGHT FEVER

MACULAR RASH APPEARS ON TRUNK AND EVENTUALLY TURN TO CRUST.

Hez Herpes Zoster (Disseminated)


TB Tuberculosis

PRIVATE ROOM

NEGATIVE PRESSURE WITH 6-12 AIR EXCHANGES PER HOUR

UV

MASK

N95 MASK FOR TB

DROPLET PRECAUTION
S Sepsis
S Scarlet fever
S Streptococcal pharyngitis
P Pneumonia
I Influenza
D Diptheria (Pharyngeal)
E Epiglottitis
What is necesary: Private room and Mask
Contact Precation
M Multidrug resistant organism
R Respiratory infection RSV
E Enteric infections clostridium defficile
E Eye infections
Skin Infections:
V Varicella zoster
C Cutaneous diptheria
H Herpes simplex
I Impetigo
S Scabies, Staphylococcus
PRIVATE ROOM
GLOVES
GOWNS

One thing you are going to want to have down pat, is your contact precautions! Not only the PPE you should have on for
each type of disease, but also what order to PPE off, what the patient should have on when being transported to another
unit, what those transporting the patient should have on, the order in which you remove each piece of equipment, how
often to perform hand hygeine and which diseases require which type of precaution.
Standard Precautions: These are the safety measures that should be taken with all patients.
1. Wash your hands (*Most important step in infection control, prevents nosocomial infections)
2. DON gloves (before coming in contact with anything wet, i.e. broken skin, mucous membranes, blood, body fluids,
soiled instruments, and contaminated waste materials.
3. Wash hands again upon removal of gloves and between patients
Contact Precautions:
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 betalactamase (ESBL), Penicillin resistant Streptococcus pneumoniae (PRSP), Multi-drug resistant Pseudomonas aeruginosa
(MDRP))
2. Scabies
3. Herpes Zoster (Shingles) localized
4. Diarrhea, Clostrididum difficile
Airborne Contact Precautions:
Before entering:
1.Wash hands
2. Don N95 Respirator (Mask)
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
4. Wash hands
Airborne Contact Precautions Microorganisms:
1. Measles (Rubeola)
2. Tuberculosis (TB)
3. Chicken Pox (Varicella-Zoster virus)
4. Herpes Zoster (Shingles) disseminated
Droplet Contact Precautions:
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

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