Droplet Precautions
Droplet precautions prevent infectious pathogens from traveling from the respiratory tract of an infectious person to the mucous membranes of a susceptible host.1 These pathogens, which are carried by respiratory droplets, spread when an infected individual coughs, sneezes, or talks or during procedures such as suctioning or endotracheal intubation. (See Conditions requiring droplet precautions, page 234.)
Ideally, a patient requiring droplet precautions should be placed in a single-patient room.1 People having direct contact with the patient and those who will be within 3′ (0.9 m) of him should wear a surgical mask covering the nose and mouth. When exposure to a highly virulent pathogen is likely, it may be prudent to wear a mask when within 6′ to 10′ (2 to 3 m) of the patient or upon entering the patient’s room.1
As a general precaution, instruct anyone who enters your health care facility with signs of a respiratory infection (such as cough, congestion, rhinorrhea, or increased respiratory secretions) to cover his mouth and nose with a tissue when coughing and have him dispose of soiled tissues promptly. Have him wear a surgical mask, if tolerated, and instruct him to perform hand hygiene after contact with respiratory secretions. If possible, separate him by at least 3′ from other people in common waiting areas to prevent the spread of infection.1 These actions can help prevent the spread of infectious pathogens until appropriate isolation precautions are established.
Equipment
Mask ▪ plastic bags ▪ tissues ▪ droplet precautions sign ▪ hospital-grade disinfectant ▪ Optional: gowns, gloves.
Preparation of Equipment
Keep all droplet precaution supplies outside the patient’s room in a cart or anteroom.
Implementation
Verify the patient’s condition requiring droplet precautions. Put a droplet precautions sign on the door, according to your facility’s policy, to notify anyone entering the room of the situation.
Just before entering the patient’s room, put on a mask and secure the ties or elastic band at the middle of the back of your head and neck. Fit the flexible metal nose strip to your nose bridge so it fits firmly but comfortably. Make sure the mask fits snugly to your face and below your chin.1
Put on gloves and a gown if necessary, according to standard precautions.1
Confirm the patient’s identity using at least two patient identifiers according to your facility’s policy.5
Situate the patient in a single room with private toilet facilities and an anteroom if possible. If necessary, at least two patients with the same infection may share a room if approved by your facility’s infection preventionist.1
Explain isolation procedures to the patient and his family to ease patient anxiety and promote cooperation.
If the patient is wearing a mask during transport to the room, remove his mask.
Instruct the patient to cover his nose and mouth with a facial tissue while coughing or sneezing, dispose of the tissue immediately, and then perform hand hygiene to prevent the spread of infectious droplets.1,2,3,4Stay updated, free articles. Join our Telegram channel
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