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Essential Facts Every Social Worker Needs to Know
Published in David M. Aronstein, Bruce J. Thompson, HIV and Social Work, 2014
Blood Body Substance Isolation (BBSI) is an alternative approach to the CDC’s system of UP. BBSIs are frequently used in communities or areas with high HIV prevalence and incidence. The actual practices of BBSI and UP are very similar. Philosophically, BBSI and UP differ in the following ways:UP emphasizes avoiding blood-borne infection; BBSI requires barrier precautions for all body substances and “moist membranes” (such as mucous membranes and open wounds).UP reduces the risk of transmission of blood-borne pathogens; BBSI reduces the risk of all nosocomial pathogens.UP is used when exposure to identified blood and body fluids is anticipated; BSSI is used for any anticipated contact with blood, body fluids, mucous membranes, nonintact skin (cuts, laceration, abrasions), and moist body substances.UP is used with any routine procedure; BBSI use is based on the degree of contact with the blood, body fluids, or tissues of each patient that a specific procedure requires; under BBSI, there are procedures that require minimal to no barrier use.
The Impact of Virtual Reality Hypnosis on Pain and Anxiety Caused by Trauma: Lessons Learned from a Clinical Trial
Published in International Journal of Clinical and Experimental Hypnosis, 2022
Shelley A. Wiechman, Mark P. Jensen, Sam R. Sharar, Jason K. Barber, Maryam Soltani, David R. Patterson
The inclusion criteria for the study included the following: aged 18 years or older, hospitalized for orthopedic injuries (closed long bone or calcaneus fractures), and/or intraabdominal injuries requiring a laparotomy or a minimum of 2 days in the hospital, decisional capacity to consent to study, able to communicate verbally, and English speaking. Exclusion criteria consisted of evidence of traumatic brain injury, current delirium, currently receiving prophylaxis for alcohol or drug withdrawal, face/head/neck injuries preventing helmet use, extreme susceptibility to motion sickness, seizure history, body-substance-isolation procedures, incarcerated, homeless, or pregnant. The study was approved by our institutional review board and registered on ClinicalTrials.gov (NCT00739076) in 2008. However, we began enrolling patients in 2007 prior to the existence of the clinical trials registry.
Infection Prevention: 2020 Review and Update for Neurodiagnostic Technologists
Published in The Neurodiagnostic Journal, 2020
Anna M. Bonner, Petra Davidson
The educational objectives of this article are: Define the governing organizations responsible for health-care standards on infection prevention.Review the use of PPE and hand hygiene to prevent Healthcare-Associated Infection (HCAI).Educate regarding risk of (bloodborne pathogens) BBP in the Neurodiagnostic lab.Educate managers and staff about necessity for compliance with governmental regulations.Review the concept of Universal Precautions vs. Standard Precautions and body substance isolation (BSI).Review the disinfection level necessary for ND equipment and methods to achieve.