Nursing Nerds

Infection Prevention, Isolation, and PPE

Book 03 · Page 1515 / 15

The One-Page Safety Card and the Ten-Minute Drill

Figure brief · not yet drawn

A taped recap card in four quadrants, quadrant two carrying a miniature of the two-lane PPE sequence with the doorway rule kept, quadrant four redrawing the four triage tags with their word labels retained.

THE CARD

Quadrant 1 · Route to barrier

RouteBarrier
ContactGown and gloves on entry, dedicated equipment, single room preferred
DropletSurgical mask on entry, single room preferred, door may stay open
AirborneFit-tested respirator with seal check, negative-pressure isolation room, door closed
Protective environmentPositive pressure, high-efficiency filtered incoming air, sealed room, no added PPE for the healthy staff member

Quadrant 2 · The two sequences

DONDOFF
1 Hand hygiene1 Gloves
2 Gown2 Goggles or face shield
3 Mask or respirator3 Gown
4 Goggles or face shielddoorway, door closed
5 Gloves4 Mask or respirator
5 Hand hygiene

CDC also publishes a variant removing gown and gloves together. Re-check both against the current CDC PPE sequence at every reprint.

Quadrant 3 · Hand hygiene agent

SituationAgent
Routine, hands not visibly soiledAlcohol-based rub
Hands visibly soiled, or after the restroomSoap and water
Spore-forming organism suspected or confirmedSoap and water, plus a sporicidal surface agent

Watch outSpores survive alcohol. This is the single line on the card most often skipped.

Quadrant 4 · Triage tags

TagCriterion
Green, minorAmbulatory; directed away from the treatment area
Yellow, delayedBreathing, perfusing, following commands
Red, immediateFailure of respirations, perfusion, or mental status that intervention can correct
Black, expectantNo respirations after the airway is opened, under the adult algorithm

THE TEN-MINUTE DRILL — one minute each, from memory, no page turning.

  1. Assign the four precaution categories to four organisms of your choosing.
  2. State the removal order and where each item comes off.
  3. Name the two situations that require soap and water for spores.
  4. State RACE and PASS in order.
  5. State the restraint order rule.
  6. Name the two dual-category conditions and the one exception.
  7. State what the transported patient wears and what the transporter wears.
  8. Name the four immunities and give one example of each.
  9. State four things that make a sterile field contaminated.
  10. State the first action after a fall.

NPSG YEAR BLOCKNPSG EDITION 2026 — current-year, verify at reprint Identify patients correctly · Improve staff communication · Use medications safely · Use alarms safely · Prevent infection · Identify patient safety risks · Prevent mistakes in surgery.

CROSS-LINKS → BOOK 05 · P7 drug safety · → BOOK 06 · P5 calculation safety · → BOOK 07 · P3 every value · → BOOK 11 · P9 the neutropenic patient · → BOOK 13 · P8 the immunization schedule · → BOOK 15 · P7 technique · → BOOK 16 · P4 the countdown.

Margin noteGloves off first, respirator off outside.

Memory hookFour that float, everything else falls.

TakeawayOne card, ten prompts, and everything else in the book was scaffolding to get here.