Basic Clinical Nursing Skills

Infection Control and Universal Precaution

Nurses are involved in providing a biologically safe environment and promoting health. Microorganisms exist everywhere in the environment; in water, soil and body surfaces such as skin, intestinal tract, and other areas open to the outside.

Nursing Process
Assessment

  • Identify appropriate times for hand washing
  • Identify type of protective clothing required for barrier nursing.
  • Identify epidemiology of the disease to determine how to prevent infection from spreading.
  • Identify equipment needed to prevent spread of organisms - Assess method of terminal cleaning and disposing equipment.
  • Assess method of hand washing that is most appropriate for assigned task.
  • Identify clients at risk for infection
  • Assess availability of equipment for frequent hand washing.
  • Evaluate health status of the nurse
  • Check agency policy for hand washing protocol
  • Assess need for use of unsterile gloves
  • Assess nurses and clients for latex allergies
  • Assess need for laterx-free equipment and/or environment.

Planning/Objective

  •  To prevent the spread of endogenous and exogenous flora to other client.
  • To reduce potential for transforming organisms from the hospital environment to the clients from acquiring nosocomial infections.
  • To deliver client care with pathogen-free hands.
  • To prevent pathogenic microorganisms spreading from client to client, environment or health care personnel to client.
  • To prevent health care workers from contamination.

Implementation

  • Preparation for isolation
  • Donning and removing isolation attire
  • Using a mask
  • Assessing vital signs
  • Removing items from isolation room
  • Utilizing double-bagging for isolation
  • Removing a specimen from isolation room
  • Transporting isolation client outside the room
  • Removing soiled large equipment from isolation room
  • Hand washing (Medical asepsis)
  • For using Waterless Antiseptic Agents
  • Cleaning Washable Articles
  • Donning (putting on) and Removing clean Gloves
  • Managing Latex Allergies

Evaluation/Expected Outcomes

  • Isolation environment is maintained to prevent contamination of surrounding area.
  • Personnel working with isolation clients remain free of infection.
  • Infection is prevented from spreading from person to person, person to environment and vice versa.
  • Cross-contamination is prevented from patient to health personnel, client to client from staff to patient.
  • Health care workers are protected from infection
  • Infection is prevented from spreading from person to person, person to environment and vice versa.
  • Cross-contamination is prevented from patient to health personnel, client to client from staff to patient. - Health care workers are protected from infection
Important Questions (Prev Lesson)
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