Radiation safety1. Know the protocols and guidelines of the health care agency.2. Label potentially radioactive material.3. To reduce exposure to radiation, do the following:a. Limit the time spent near the source.b. Make the distance from the source as great as possible.c. Use a shielding device such as a lead apron.4. Monitor radiation exposure with a film (dosimeter) badge.5. Place the client who has a radiation implant in a private room.6. Never touch dislodged radiation implants.7. Keep all linens in the client’s room until the implant is removed.

IV. TRANSMISSION-BASED PRECAUTIONS A. Transmission-based precautions include airborne, droplet, and contact precautions B. Airborne precautions1. Diseasesa. Measlesb. Chickenpox (varicella)c. Disseminated varicella zosterd. Tuberculosis2. Barrier protectiona. Single room is maintained under negative pressure; door remains closed except upon entering and exiting.b. Negative airflow pressure is used in the room, with a minimum of 6 to 12 air exchanges per hour depending on health care agency protocol.c. Ultraviolet germicide irradiation or high-efficiency particulate air filter is used in the roomd. Health care workers wear mask or personal respiratory protection device.e. Mask placed on client when client is out of the room; client leaves the room only if necessary.

C. Droplet precautions1. Diseasesa. Adenovirusb. Diphtheria (pharyngeal)c. Epiglottitisd. Influenza, including H1N1 influenzae. Meningitisf. Mumpsg. Mycoplasmal pneumonia or meningococcal pneumoniah. Parvovirus B19i. Pertussisj. Pneumoniak. Rubellal. Scarlet feverm. Sepsisn. Streptococcal pharyngitis2. Barrier protectiona. Private room or cohort clientb. Use of a maskc. Mask placed on client when client is out of the room; client leaves the room only if necessary.

D. Contact precautions1. Diseasesa. Colonization or infection with a multidrugresistant organismb. Enteric infections, such as Clostridium difficilec. Respiratory infections, such as respiratory syncytial virusd. H1N1 influenza: Infection can occur by touching something with flu viruses on it and then touching the mouth or nose.e. Wound infectionsf. Skin infections, such as cutaneous diphtheria, herpes simplex, impetigo, pediculosis, scabies, staphylococci, and varicella zosterg. Eye infection such as conjunctivitis2. Barrier protectiona. Private room or cohort clientb. Use of gloves and a gown when in contact with the client