The nurse manager is observing a new nursing graduate caring for a burned client in protective isolation. The nurse manager intervenes if the new nursing graduate planned to implement which incorrect component of protective isolation technique?
A. Performing strict handwashing techniques.
B. Wearing protective garb, including a mask, gloves, cap, shoe covers, gowns, and a plastic apron.
C. Using sterile bed sheets and linens.
D. Wearing gloves and a gown only when giving direct care to the client.
Correct Answer: D. Wearing gloves and a gown only when giving direct care to the client.
Thorough hand washing is performed before and after each contact with the burn-injured client. During the delivery of healthcare, avoid unnecessary touching of surfaces in close proximity to the patient to prevent both contaminations of clean hands from environmental surfaces and transmission of pathogens from contaminated hands to surfaces.
Option A: The physical action of washing and rinsing hands under such circumstances is recommended because alcohols, chlorhexidine, iodophors, and other antiseptic agents have poor activity against spores.
Option B: Protective garbs such as masks, gloves, caps, shoe covers, gowns, and a plastic apron need to be worn when having direct contact with the client. Remove gloves after contact with a patient and/or the surrounding environment (including medical equipment) using proper technique to prevent hand contamination.
Option C: Sterile sheets and linen are used due to the high risk of infection. Soiled textiles, including bedding, towels, and patient or resident clothing may be contaminated with pathogenic microorganisms. However, the risk of disease transmission is negligible if they are handled, transported, and laundered in a safe manner.
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