YouTube transcript (VlUWsNC3ibs) — Transcript

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1. 0:00[Music]
2. 0:06hello I'm Dan DEA the director of the
3. 0:08division of infectious diseases and the
4. 0:10associate Hospital epidemiologist here
5. 0:12at the University of Iowa hospital today
6. 0:15we're going to be talking about standard
7. 0:16and isolation precautions why should you
8. 0:19be concerned you ask because these
9. 0:21precautions protect you your co-workers
10. 0:24our patients and visitors against the
11. 0:26spread of infection first we'll be
12. 0:29talking about standard precautions you
13. 0:30should use standard precautions in
14. 0:32caring for every patient regardless of
15. 0:34that patient's diagnosis or whether that
16. 0:36patient has an infection that you know
17. 0:38about a crucial step in standard
18. 0:40precautions is hand hygiene which is the
19. 0:43absolute Cornerstone of infection
20. 0:44prevention standard precautions also
21. 0:47requires the use of personal protective
22. 0:48equipment depending on the tasks that
23. 0:50you're performing for example if you're
24. 0:52drawing blood you need to wear gloves
25. 0:55other tasks might require wearing a gown
26. 0:57a surgical mask or eyewear all of these
27. 1:00will be covered in detail during this
28. 1:02video in addition to standard
29. 1:04precautions we have what we call
30. 1:06isolation precautions there are three
31. 1:08categories of isolation precautions and
32. 1:11each one involves a different sign on
33. 1:13the door to the patient's room I will
34. 1:16show you an example of each of these
35. 1:18signs the most frequently used form of
36. 1:20isolation precautions involves this
37. 1:22orange sign which is for contact
38. 1:24precautions this sign and these
39. 1:27precautions are used when a germ is
40. 1:29transmitted by direct or indirect touch
41. 1:32such as touching body fluids or touching
42. 1:34equipment in the patient's room that
43. 1:36might be
44. 1:37contaminated a certain type of germ
45. 1:39called custum defil is also listed under
46. 1:43contact precautions and is indicated by
47. 1:45this pink sign if you see this sign this
48. 1:48means that staff must use hand gel or
49. 1:50foam when entering the room but must use
50. 1:53soap and water when exiting the
51. 1:56room the next type of isolation
52. 1:58precautions is design designated by this
53. 2:00green sign which is for droplet
54. 2:02precautions droplet precautions are used
55. 2:04when a germ is transmitted by big
56. 2:06droplets in the air that settle quickly
57. 2:08such as when a person coughs or
58. 2:11sneezes and finally the last type of
59. 2:13isolation precautions is designated by
60. 2:15this blue sign which is for airborne
61. 2:17precautions this means that a germ is
62. 2:19transmitted by small droplets that
63. 2:21travel for long distances in the air
64. 2:24because these are small enough to remain
65. 2:26Airborne for a long period of Time air
66. 2:29born precautions involves special rooms
67. 2:32that have different air handling
68. 2:34capabilities now you will see scenarios
69. 2:36that illustrate implementing every one
70. 2:39of these types of isolation
71. 2:43[Music]
72. 2:49precautions let's discuss contact
73. 2:52precautions contact precautions are
74. 2:54infections that are spread by direct or
75. 2:56indirect contact such as touching any
76. 2:59body fluids are touching the equipment
77. 3:01in a patient's room patients diagnosed
78. 3:04with C VRE and MRSA need to be placed in
79. 3:08contact precautions let's watch a scene
80. 3:11where a nurse is caring for a patient in
81. 3:13contact precautions for C diff see if
82. 3:16you can identify what goes wrong in this
83. 3:27situation hi Mrs John
84. 3:30I'm your nurse today and you're going to
85. 3:32go for an x-ray so I want you to get
86. 3:34ready I bought you a cap to put
87. 3:37on some gloves a mask to put over your
88. 3:42mouth and nose and a gown okay if you
89. 3:46need any help just let me know
90. 3:49okay while it may seem like the nurse
91. 3:51was being careful by putting on all
92. 3:54PPE contact precautions only require
93. 3:57hand hygiene gown and gloves before
94. 3:59performing patient care in this case the
95. 4:01nurse was preparing the patient for
96. 4:03transport the patient should wear a
97. 4:05clean hospital gown or robe and wash
98. 4:08their hands before exiting the room the
99. 4:11nurse should notify the receiving
100. 4:12department of the patient's isolation
101. 4:15status and wipe the patients's bed rails
102. 4:17with bleach
103. 4:18wipes she should also remove all PPE and
104. 4:21wash her hands before leaving the room
105. 4:23let's watch as she does it the correct
106. 4:28way
107. 4:35hi Mrs Johnson I'm your nurse today and
108. 4:38uh the doctor wants you to go for an
109. 4:40x-ray okay so we're going to get you
110. 4:42ready to go okay first thing I want you
111. 4:44to do is wash your
112. 4:47hands Y and I can see that you have a
113. 4:49nice clean gown on I just put it on okay
114. 4:52that's great we're going to wipe off the
115. 4:54handrails before we leave the room okay
116. 4:57okay with a bleach wipe okay and then
117. 5:00we'll be on our way okay all
118. 5:03right H this person is orange contact
119. 5:06precaution room looks like I'll be using
120. 5:08Beach
121. 5:16wipes that was much better we also added
122. 5:19the environmental service team member at
123. 5:21the end bring your attention to their
124. 5:23role in isolation precautions it's
125. 5:25important to note that for cleaning
126. 5:27rooms under contact precautions EVS must
127. 5:30clean with bleach wipes to account for
128. 5:32some organisms ability to live on
129. 5:34services for
130. 5:37[Music]
131. 5:42hours the next type of precaution is
132. 5:45droplet precautions droplet precautions
133. 5:48are needed when germs are spread by big
134. 5:50droplets in the air such as when a
135. 5:52patient sneezes or coughs examples are
136. 5:55many respiratory viruses influenza and
137. 5:57influenza-like illnesses let's take a
138. 6:00look at a situation where a respiratory
139. 6:02therapist goes in to see a patient in
140. 6:04droplet precautions see if you can
141. 6:06identify what is being done
142. 6:11wrong good morning Mrs
143. 6:14Green Hi how are you feeling
144. 6:17today oh pretty good I got a
145. 6:21cough did you notice that the
146. 6:23respiratory therapist did not perform
147. 6:25hand hygiene or wear a mask before
148. 6:27entering the room of a patient in drop
149. 6:29precautions by doing this she's putting
150. 6:32herself and others at risk let's watch
151. 6:35as she does it the correct
152. 6:46way oh goodness good morning Mrs Green
153. 6:49Hi how are you how are you feeling today
154. 6:52A little better still have this
155. 6:58cough
156. 7:02[Music]
157. 7:06the last type of isolation precaution is
158. 7:08Airborne airborne precautions are needed
159. 7:11when germs are spread by very small
160. 7:13droplets in the air examples include TB
161. 7:16chickenpox and measles among others
162. 7:19patients must be placed in a negative
163. 7:21air pressure room and staff must wear an
164. 7:24n95 respirator or paper when entering a
165. 7:27room let's look at a scenar where a
166. 7:30nurse interacts with a patient who has
167. 7:37TB hey there miss Johnson I heard your
168. 7:39call light going off so I wanted to go
169. 7:41ahead and silence it um is there
170. 7:43something I can get for you I'd like
171. 7:45some water please okay I'll just be
172. 7:47right back
173. 7:52okay what did you notice in this
174. 7:55situation the nurse did well choosing
175. 7:57the correct PPE but she took off her n95
176. 8:00while she was in the room by taking off
177. 8:03her n95 before leaving the room she put
178. 8:05herself at risk because she was exposed
179. 8:07to TB let's watch again as the nurse
180. 8:10does it the correct
181. 8:15way hey there miss Johnson I heard your
182. 8:18call light going off um can I get you
183. 8:20something I get some water please
184. 8:22Absolutely I'll be right back okay
185. 8:28okay
186. 8:29[Music]
187. 8:32in summary you've learned now about
188. 8:34standard precautions and the three types
189. 8:36of isolation precautions Airborne
190. 8:38contact and droplet some extremely
191. 8:41important points to remember hand
192. 8:43hygiene is absolutely the most important
193. 8:45way to prevent infection in the hospital
194. 8:48second when wearing gowns make sure that
195. 8:50you secure them don't let them hang
196. 8:52loose around you and please do not reuse
197. 8:56gowns for isolation third where mask if
198. 8:59you are coughing fourth think about the
199. 9:02tasks that you'll be performing before
200. 9:04you enter a patient's room so that you
201. 9:06make sure that you have the right
202. 9:07personal protective equipment fifth
203. 9:10remember isolate the germ not the
204. 9:14patient thank you very much and remember
205. 9:17infection prevention is in your
206. 9:20[Music]
207. 9:25hands