Standard Precautions
Standard precautions were developed by the Centers for Disease Control and Prevention (CDC) to protect against the transmission of infection. CDC officials recommend that health care workers assume that all patients are potentially infected or colonized (carry the organism but not showing signs or symptoms of infection) with an organism that could be transmitted in the health care setting, regardless of their diagnosis.
One part of standard precautions includes wearing gloves for situations involving known or anticipated contact with blood, body fluids, tissue, mucous membrane, and nonintact skin.1 If the task or procedure being performed may result in splashing or splattering of blood or body fluids to the face, a mask and goggles or face shield should be worn. If the task or procedure being performed may result in splashing or splattering of blood or body fluids to the body, a fluid-resistant gown or apron should be worn.1,2 Additional protective clothing such as shoe covers may be appropriate to protect the feet in situations that may expose the health care worker to large amounts of blood or body fluids (or both), such as when caring for a trauma patient in the operating room or emergency department.
Standard precautions should be combined with transmission-based precautions for patients with confirmed or suspected infection with highly transmissible pathogens. (See Transmission-based, precautions, page 670 as well as “Airborne precautions,” page 10; “Contact precautions,” page 196; and “Droplet precautions,” page 233.)
Equipment
Gloves ▪ masks ▪ goggles, glasses, or face shields ▪ gowns ▪ resuscitation bag ▪ hospital-grade disinfectant ▪ bags for specimens.
Implementation
Wash your hands immediately if they become contaminated with blood or body fluids, excretions, secretions, or drainage; perform hand hygiene before and after patient care and before and after putting on and discarding gloves. Hand hygiene removes microorganisms from your skin. If your hands aren’t visibly soiled, an alcohol-based hand rub can be used for routine decontamination.1
Transmission-Based Precautions1
Depending on the patient’s condition, these precautions may be necessary in addition to standard precautions.
Precaution type | Indications | Nursing actions |
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Airborne | When a patient is suspected of having or known to have an infection that’s spread by the airborne route |
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Contact | To prevent the spread of epidemiologically important infectious organisms through direct or indirect contact with the patient or his environment |
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Droplet | To prevent the spread of infectious organisms through close respiratory or mucous membrane contact with respiratory secretions from an infected individual |
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