Transmission-Based Precautions: Contact
help prevent the spread of certain infections. Contact precautions are one type of transmission-based precaution. Always use contact precautions in addition to standard precautions.
When to use contact precautions
Most germs are spread through touch. They are often spread by hands. They can also be spread by patient care equipment and other objects. Use contact precautions with patients known to have or suspected of having certain infections as outlined by your facility, including:
Scabies and other skin infections
Respiratory syncytial virus (RSV)
Clostridium difficile infection. Note that contact precautions for C. difficile require vigorous hand-washing with soap and water, because alcohol-based hand disinfectants aren't as effective against C. difficile spores.
Multidrug-resistant bacteria, such as MRSA and gram-negative organisms
How to use contact precautions
The infected patient should be given a private room and bathroom. If this can’t be done, check with your facility’s infection control department. Also:
Put gloves on before entering the room.
Change your gloves if they have touched body fluids or substances. Remove gloves and wash your hands before leaving the patient’s room.
Wear a gown when working directly with the patient or if your clothing will touch surfaces or other objects in the room.
Have family members and other visitors wear a gown and gloves as outlined by your facility.
Transport the patient only when necessary. Change the patient’s gown and linens before moving him or her. Alert the receiving department.
Change gloves as soon as possible after they become contaminated. Change them before you go on to another task.
Avoid touching objects, surfaces, or the patient with contaminated gloves or other contaminated objects.
Avoid sharing patient care equipment. If an item must be shared, clean it with disinfectant between patients.
Help patients wash their hands as often as possible.
Clean all surfaces in the patient’s room and bathroom daily with approved disinfectant.
Remove gloves and other personal protective equipment (using proper protocol) before leaving the room.
Clean hands with soap and water or alcohol-based products after touching a patient or surroundings. Alcohol-based hand products are generally effective. Be sure the sanitizer contains at least 60% alcohol. But to prevent the spread of C. difficile, you should wash your hands with soap and water.
April 20, 2018
Types of precautions for infection control, Up To Date
Freeborn, Donna, PhD, CNM, FNP,Hurd, Robert, MD