Isolation Precautions
Isolation precautions are infection control measures used in healthcare settings to prevent the spread of contagious diseases. They are based on how a disease spreads and are categorized into Standard Precautions and Transmission-Based Precautions:
🔹 1. Standard Precautions (used for all patients)
These are the basic infection prevention practices, regardless of diagnosis or presumed infection status.
Includes:
• Hand hygiene (before/after contact)
• Use of PPE (gloves, gown, mask, eye protection) when exposure is possible
• Respiratory hygiene/cough etiquette
• Safe injection practices
• Proper handling of soiled equipment/linens
🔹 2. Transmission-Based Precautions
Used in addition to standard precautions for patients known or suspected to be infected with certain pathogens.
🔸 A. Contact Precautions
Used for: Infections spread by direct/indirect contact (e.g., MRSA, VRE, C. diff, RSV, scabies)
• Private room preferred
• Gloves and gown upon room entry
• Equipment (e.g., stethoscopes) should be patient-dedicated or disinfected after use
🔸 B. Droplet Precautions
Used for: Infections spread via large droplets (e.g., influenza, pertussis, meningitis, COVID-19*)
• Surgical mask within 3-6 feet of patient
• Private room preferred
• Patient should wear a mask during transport
🔸 C. Airborne Precautions
Used for: Infections spread through tiny airborne particles (e.g., TB, measles, varicella/chickenpox)
• Negative pressure (airborne infection isolation) room
• N95 respirator or higher
• Limit patient transport; mask patient if needed
*COVID-19 precautions may vary depending on facility protocols and whether aerosol-generating procedures are performed.
🧠 Quick Tip for Nurses:
Remember the mnemonic “My Chicken Hez TB” for airborne diseases:
• Measles
• Chickenpox (varicella)
• Herpes zoster (disseminated)
• Tuberculosis
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