A client has been placed in blood and body fluid isolation. The nurse is instructing auxiliary personnel in the correct procedures. Which statement by the nursing assistant indicates the best understanding of the correct protocol for blood and body fluid isolation?
A. Masks should be worn with all client contact
B. A private room is always indicated
C. Isolation gowns are not needed
D. Gloves should be worn for contact with non intact skin, mucous membranes, or soiled items
Correct Answer: D. Gloves should be worn for contact with nonintact skin, mucous membranes, or soiled items.
Gloves should be worn for all contact with blood and body fluids, nonintact skin and mucous membranes; for handling soiled items; and for performing venipuncture. These precautions treat all blood and body fluids as potentially infectious for diseases that are transmitted in the blood. The organisms spreading these diseases are called blood-borne pathogens.
Option A: Masks should only be worn during procedures that are likely to cause splashes of blood or body fluid. Masks and protective eyewear, such as goggles or a face shield, help protect the eyes, mouth, and nose from droplets of blood and other body fluids. Always wear a mask and protective eyewear if doing a procedure that may expose oneself to splashes or sprays of blood or body fluids.
Option B: A private room is only indicated if the client’s hygiene is poor. Blood and body fluid precautions are recommendations designed to prevent the transmission of HIV, hepatitis B, hepatitis C, and other diseases while giving first aid or other health care that includes contact with body fluids or blood.
Option C: Gowns should be worn during procedures that are likely to cause splashes of blood or body fluids. Gowns or aprons protect the personnel from splashes of blood or body fluids. Always wear a gown or apron if doing a procedure that may expose oneself to splashes or sprays of blood or body fluids.