Document Sample
airborne_precautions Powered By Docstoc
					REMOTE HEALTH ATLAS – Section 27: INFECTION CONTROL                                  AIRBORNE PRECAUTIONS

                                  AIRBORNE PRECAUTIONS

1.          General Information
Airborne precautions will be used with any client who is known or suspected of being infected
with a pathogen that is transmitted through airborne particles.

2.          Definitions
Particulate Filter Personal Respiratory Protection Devices (RPD) – capable of filtering
0.3um particles with a P2 rating or N95 (USA Standard).

3.          Responsibilities
3.1         All Staff
      Observe Standard and appropriate Additional precautions
3.2  Health Centre Manager
 Ensure Standard Precautions are adhered to
 Ensure Personal Protective Equipment is available to staff
3.3         Professional Practice Nurse
      Review and maintain Infection Control information

4.          Procedure
Airborne Precautions are taken to reduce the risk of transmission of pathogenic micro-
organisms through airborne particles. Airborne particles are smaller than droplet (less than 5
um) and remain suspended in the air for long periods of time. They are transmitted when
susceptible people inhale contaminated air.
Examples of conditions transmitted by airborne particles include:
     -    Pulmonary Tuberculosis
     -    Measles
     -    Varicella
     -    Severe Acute Respiratory Syndrome (SARS).
Viral Haemorrhagic Fever and SARS are exceptions and have special requirements. Refer to
Managing Infectious Diseases in the Health Care Setting, section 28.15 and 28.16

4.1         Requirements for Airborne Precautions

               Requirements                                       Airborne Transmission
    Gloves                                        Nil
    Impermeable apron / gown                      Nil
    Mask                                         P2 particulate respiratory device for Tuberculosis and
                                                 SARS only.
                                                 For all other conditions, use surgical masks. Masks can
                                                 be labelled and worn by the same Health Care Worker
                                                 and discarded at completion of contact.
                                                 Note: masks need replacing if worn for four hours straight,
                                                 or if mask becomes wet or soiled.
    Developed by: Professional Practice Group            Page 1         Reviewed: June 2008
    Endorsed by:  Professional Practice Coordinator
    Release Date: October 2006                                          Next Review: June 2011

            Requirements                                       Airborne Transmission
 Special handling of equipment                As per Standard Precautions
                                              Limit the amount of furniture and equipment exposed to
                                              the client.
                                              Reusable equipment should be cleaned with detergent
                                              and water prior to reuse on other clients. Normal
                                              disinfection and sterilisation procedures apply.
 Transport of Client                          Surgical mask for client. Notify area receiving client.
 Linen                                        Minimise contact and shaking of client linen.
                                              Soiled, wet or infested linen should be processed as soon
                                              as practicable.
                                              Chlorine or oxygen bleaches, eg Napisan, or equivalent,
                                              should be used in the first instance following the
                                              manufacturer’s instructions and followed by normal
                                              machine laundering.
                                              Care should be taken in handling contaminated linen -
                                              gloves and protective clothing (plastic aprons) are
 Waste                                        Handle as per Standard Precautions.
 Other                                         Hand washing.

5.       Forms

6.       References and Supporting Documents
Related Atlas Items:
       Additional Precautions
       Aseptic Technique
       Biohazard Exposure Management
       Contact Precautions
       Droplet Precautions
       Instrument Cleaning & Sterilisation
       Personal Protection Equipment
       Sharps Handling
       Skin Precautions
       Staff Immunisation
       Standard Precautions
       Waste Management
Flowchart – Standard & Additional Precautions
Royal Darwin Hospital Infection Control Manual
Infection control guidelines for the prevention of transmission of infectious diseases in the
health care setting

 Developed by: Professional Practice Group            Page 2          Reviewed: June 2008
 Endorsed by:  Professional Practice Coordinator
 Release Date: October 2006                                           Next Review: June 2011

Shared By: