Barrier nursing procedures

Decontamination Contact precautions for healthcare workers. Diluted sodium hypochlorite solution (0.5 percent). Isolation measures and barrier nursing procedures are necessary. 

The unique facilities available at USAMRIID also include a 16-bed clinical research ward capable of BL-3 containment, and a 2-bed patient care isolation suite where ICU-level care can be provided under BL-4 containment. Here, healthcare personnel wear the same positive-pressure suits as are worn in BL-4 research laboratories. The level of patient isolation required depends on the infecting organism and the risk to healthcare providers. Patient care can be provided at BL-4. There is no patient-care category analogous to BL-3 humans who are ill as a result of exposure to BL-3 agents are cared for in an ordinary hospital room with barrier nursing procedures. 

Biosafety Level 4 (BL-4) isolation suite admission barrier nursing procedures ... 

Normal hospital room barrier nursing procedures or secretion precautions/ depending on the agent Tick-borne encephalitis complex Yellow fever virus ... 

B. Isolation Procedures (Barrier Nursing). In the context of biological agent casualties, adherence to principles of patient isolation is essential to preventing cross-infection with transmissible agents. 

Some arenaviruses, such as Lassa and Machupo viruses, are associated with secondary person-to-person and nosocomial (health-care setting) transmission. This occurs when a person infected by exposure to the virus from the rodent host spreads the virus to other humans. This may occur in a variety of ways. Person-to-person transmission is associated with direct contact with the blood or other excretions, containing virus particles, of infected individuals. Airborne iransmi.ssion has also been reported in connection w ith certain viruses. Contact with objects contaminated with these materials, such as medical equipment, is also as.sociated with transmission. In these situations, use of protective clothing and disinfection procedures (together called barrier nursing) help prevent further spread of illness. 

Functional Hierarchy versus bureaucracy. A functional hierarchy is not the hierarchy that exists as a barrier in health care today, such as the hierarchy of power differentials between physicans and nurses, physicians and patients. Rather, a functional hierarchy is a system of formal rules, structures, procedures, training, and decision making in the service of organizational mission and values. In a safety culture, there is a clear chain of command so that jteople at the sharp end know where to go for help, but hierarchies are flexible and can be modified when organizational conditions so warrant. Senior managers see the big picture and therefore do not micromanage instead, they attend to patterns and systems. De-... 

---