Infection Control PPt - UCSF Fresno

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No Special Precautions Required Rationale: ____________________________ ED I.C. CONTACT PRECAUTIONS – Private Room/Gowns/Gloves MRSA RULE-OUT MRSA Hx of MRSA VRE Cdiff C.diff RULE-OUT Cdiff C.diff RESISTANT GRAM NEGATIVE RODS SCABIES/LICE SHINGLES LOCALIZED IN IMMUNOCOMPETENT PATIENT OTHER_________________ RESPIRATORY “DROPLET” PRECAUTIONS – Surgical Mask/NO Neg Air Flow MENINGITIS RULE-OUT MENINGITIS INFLUENZA RULE-OUT INFLUENZA OTHER _________________ RESPIRATORY “AIRBORNE” PRECAUTIONS – N-95 TB Mask/Neg Air Flow TB RULE-OUT TB CHICKENPOX SHINGLES DISSEMINATED OR IN IMMUNOCOMPROMISED PATIENT OTHER_________________ Pl PLEASE DO NOT THIN Notify <strong>Infection</strong> <strong>Control</strong> Specialist before discontinuing Precautions MAINTAIN THIS WORKSHEET IN FRONT OF CHART SEND WITH CHART IF PATIENT TRANSFERRED WITHIN THE HOSPITAL NOT PART OF THE PERMANENT MEDICAL RECORD DISCARD THIS FORM AFTER PATIENT DISCHARGE 5/11//09 JB COMMUNITY MEDICAL CENTER PRECAUTIONS WORKSHEET 10
• Required for diseases that are spread by: • Small particles of evaporated droplets that remain suspended in the air for long periods of time • Dust particles contaminated with an infectious agent 11
Page 1 and 2: What You Need to Know 1
Page 3 and 4: • The single most important way t
Page 5 and 6: • When hands are visibly dirty or
Page 7: • Consists of: • Private room
Page 12 and 13: • Private room with Negative Air
Page 14 and 15: • Diseases that require Airborne
Page 16 and 17: • Prevalence in Fresno County = 1
Page 18 and 19: • Private room, NO negative air f
Page 21 and 22: • Over 70 reportable communicable
Page 23 and 24: • Wash area with soap & water or
Page 25 and 26: • Post Blood and Body Fluid Expos

Infection Control PPt - UCSF Fresno

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