{"id":1268,"date":"2023-12-04T13:25:13","date_gmt":"2023-12-04T21:25:13","guid":{"rendered":"https:\/\/www.cdcr.ca.gov\/hcdom\/?post_type=dom&#038;p=1268"},"modified":"2026-06-25T15:35:24","modified_gmt":"2026-06-25T22:35:24","slug":"3-8-8-communicating-precautions-from-health-care-staff-to-custody-staff","status":"publish","type":"dom","link":"https:\/\/www.cdcr.ca.gov\/hcdom\/dom\/chapter-3-health-care-operations\/article-8-public-health\/3-8-8-communicating-precautions-from-health-care-staff-to-custody-staff\/","title":{"rendered":"3.8.8 Communicating Precautions from Health Care Staff to Custody Staff"},"content":{"rendered":"\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Policy<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Health care staff shall communicate to custody staff the appropriate form of precautions to be used when dealing with a single patient or a small cluster of patients who have contracted certain communicable diseases.\u00a0 Staff shall use either the Correctional Standard Precautions or the transmission-based precautions.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>When a patient has an infectious disease that is easily transmitted person-to-person but transmission-based precautions are not required e.g., Staphylococcus aureus infections, health care staff shall communicate the need for Correctional Standard Precautions to custody staff.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>When a patient needs transmission-based precautions (in addition to Correctional Standard Precautions), health care staff shall communicate the need for transmission-based precautions to custody staff.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Purpose<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>To ensure both custody and health care staff are appropriately protected from communicable diseases by communicating the type of precautions required when patients have certain communicable diseases.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Responsibility<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>The Chief Executive Officer and Warden at each institution are responsible for enforcement and application of this policy and procedure.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Procedure<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Health care staff at California Department of Corrections and Rehabilitation (CDCR) institutions shall regularly consult with the California Correctional Health Care Services (CCHCS) Public Health Branch (PHB) about the prevention and control of infectious diseases in CDCR institutions.\u00a0 PHB shall follow national guidelines when consulted about the use of precautions to prevent the transmission of infectious diseases.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>PHB recommends categories of precaution for specific diseases and conditions based on Federal Bureau of Prisons (BOP) guidelines.\u00a0 The categories are standard, contact, droplet, and airborne.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The California Department of Public Health recommends that when BOP does not have a precaution guideline for a specific disease or condition, PHB follows the <a href=\"https:\/\/www.cdc.gov\/infection-control\/media\/pdfs\/Guideline-Isolation-H.pdf\">Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings<\/a>.\u00a0 These are evidence-based guidelines developed by an expert panel.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The BOP advises that all correctional institutions shall follow Correctional Standard Precautions when interacting with all incarcerated persons whether or not they have been diagnosed with a specific condition, and when interacting with patients with known bloodborne pathogen infections (e.g., hepatitis B or human immunodeficiency virus infections).<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Procedure<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Medical Classification Chrono<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Health care staff shall use the Medical Classification Chrono (MCC) to communicate the need for transmission-based precautions to custody staff.<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>To communicate transmission-based precautions, the health care clinician (i.e., Physician, Psychiatrist, Dentist, or Advanced Practice Provider) caring for the patient shall revise the patient\u2019s MCC in the following manner:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Check the \u201cTemp. Medical Isolation\u201d box.<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>When the health care clinician checks the \u201cTemp. Medical Isolation\u201d box, the form will default select the \u201cTemp. Medical Hold\u201d, thereby placing the patient on a temporary medical hold.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>If the health care clinician decides a patient who needs transmission-based precautions can move to another institution, they shall:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Deselect the \u201cTemp. Medical Hold\u201d box (which is the default).<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Select the \u201cReq. Medical Transport\u201d box.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Indicate the specific type of transmission-based precautions in the non-confidential comments section.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>In the non-confidential comments section, the health care clinician shall indicate the category of transmission-based precautions required for the patient.<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Few patients are expected to require all three transmission-based precautions at any one time.<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Refer to Appendix 1, Precautions for Frequently Encountered Infectious Diseases in CDCR Adult Institutions, for a list of precautions necessary for the common diseases which occur among patients (based on national evidence-based guidelines).<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The information on the table is provided for informational purposes only and is not meant to be prescriptive.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The Chief Medical Executive or the health care clinician may deviate slightly from this table to require a change in the level of precautions based on clinical criteria or specific recommendations from either PHB or the local health department.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Indicate any change in the level of care based on the type of precaution.<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The health care clinician shall select \u201cOHU\u201d or \u201cCTC\u201d for most patients with transmission-based precautions.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>For patients who need special housing arrangements in general population (e.g., confined to cell, or to a special isolation area for patients with influenza), the health care clinician shall note the specific housing arrangement in the non-confidential comment section.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>When the transmission-based precautions are no longer required, the health care clinician shall revise the MCC by deselecting \u201cTemp. Medical Isolation\u201d box and remove the type of precautions from the non-confidential comments section.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Notification<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The Chief Executive Officer and the Warden at each institution shall disseminate the following information to clinical and custody staff:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Use of Standard Precautions and Transmission-Based Precautions in the Correctional Setting for the General Population (Appendix 2)<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Contact Precautions Checklist (Appendix 3)<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Droplet Precautions Checklist (Appendix 4)<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Airborne Precautions Checklist (Appendix 5)<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Custody staff shall place signage regarding the patient\u2019s specific transmission-based precautions in the following manner:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>At the cell door, bunk, or area of the housing unit where the patient is isolated for patients who are housed in general population.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>In the transportation vehicle for those patients who are transported.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Signage is not needed for Correctional Standard Precautions.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Transportation Codes<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>All precautions link to the transportation coding system used by custody staff. Transportation codes correspond with patients\u2019 precaution requirements in the following manner:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Code 90 &#8211; Patient has not yet been medically assessed in the reception centers or is on a temporary medical hold as indicated on the MCC. This code indicates that staff shall follow transmission-based precautions.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Code 91 &#8211; Patient is on temporary medical isolation. This code indicates that staff shall follow transmission-based precautions.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Code 92 &#8211; No transmission-based precautions. This code indicates that staff shall follow Correctional Standard Precautions.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Designated administrative staff (not clinical staff) at each institution shall maintain the transportation codes.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Appendices<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Appendix 1: Precautions for Frequently Encountered Infectious Diseases in CDCR Adult Institutions<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Appendix 2: Use of Standard Precautions and Transmission-Based Precautions in the Correctional Setting for the General Population<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Appendix 3:\u00a0 Contact Precautions Checklist<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Appendix 4:\u00a0 Droplet Precautions Checklist<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Appendix 5:\u00a0 Airborne Precautions Checklist<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>References<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Code of Regulations, Title 15, Division 1, Chapter 1, Subchapter 4, Article 5, Section 1051, Communicable Diseases<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Code of Regulations, Title 15, Division 1, Chapter 1, Subchapter 4, Article 11, Section 1206.5, Management of Communicable Diseases in a Custody Setting<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Code of Regulations, Title 15, Division 1, Chapter 1, Subchapter 5, Article 8, Section 1410, Management of Communicable Diseases<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Code of Regulations, Title 15, Division 3, Chapter 1, Subchapter 4, Article 7, Section 3340, Assistance to Inmates for Administrative Segregation Classification Hearings<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Code of Regulations, Title 17, Division 1, Chapter 4, Subchapter 1, Article 2, Section 2520, Quarantine<br>Federal Bureau of Prisons, Clinical Practice Guidelines, (Guidelines to Communicable Diseases including Isolation Precautions) <a href=\"http:\/\/www.bop.gov\/resources\/health_care_mngmt.jsp\">http:\/\/www.bop.gov\/resources\/health_care_mngmt.jsp<\/a><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, June 2007 <a href=\"http:\/\/www.cdc.gov\/hicpac\/pdf\/isolation\/Isolation2007.pdf\">http:\/\/www.cdc.gov\/hicpac\/pdf\/isolation\/Isolation2007.pdf<\/a><\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Revision History<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Effective: 02\/2013<br>Revised: 12\/28\/2022<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Appendix 1:  Precautions for Frequently Encountered Infectious Diseases in California Department of Corrections and Rehabilitation Adult Institutions<\/strong><\/p>\n\t\t\t\t\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Disease<\/strong><\/td><td><strong>CCHCS Practice<\/strong><\/td><\/tr><tr><td>1) Methicillin-resistant Staphylococcus aureus (MRSA), covered lesions<br>&nbsp;<\/td><td>Standard for corrections<\/td><\/tr><tr><td>2) MRSA, uncovered lesions or not covered adequately<br>&nbsp;<\/td><td>Contact<\/td><\/tr><tr><td>3) Hepatitis C<\/td><td>Standard for corrections<\/td><\/tr><tr><td>4) Tuberculosis, pulmonary suspected<\/td><td>Airborne<\/td><\/tr><tr><td>5) Influenza<\/td><td>Droplet, single cell or cohort<\/td><\/tr><tr><td>6) Norovirus<\/td><td>Contact, single cell or cohort<\/td><\/tr><tr><td>7) Lice\/Scabies<\/td><td>Contact for the first 24 hrs of treatment<\/td><\/tr><tr><td>8) Coccidioidomycosis (Valley Fever)<\/td><td>Standard for corrections<\/td><\/tr><tr><td>9) Chickenpox and Shingles, disseminated or in an immunocompromised host<\/td><td>Airborne and contact<\/td><\/tr><tr><td>10) Shingles, localized<\/td><td>Contact, single cell, but cohorting in a dorm setting permitted, on a case by case basis<\/td><\/tr><tr><td>11) Human immunodeficiency virus<\/td><td>Standard for corrections<\/td><\/tr><tr><td>12) COVID-19<\/td><td>See separate guidance documents located on Lifeline<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Revision History<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Effective: 02\/2013<br>Revised: 12\/28\/2022<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Appendix 2:  Use of Standard Precautions and Transmission-Based Precautions in the Correctional Setting for the General Population <\/strong><br><br><strong>(General Population:  Refers to all correctional settings except health care settings.)<\/strong><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>AND ADD &#8212; TRANSMISSION-BASED PRECAUTIONS<\/strong><\/p>\n\t\t\t\t\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>CONTROL MEASURE<\/strong><\/td><td><strong>STANDARD PRECAUTIONS<\/strong><\/td><td><strong>CONTACT PRECAUTIONS<\/strong><\/td><td><strong>DROPLET PRECAUTIONS<\/strong><\/td><td><strong>AIRBORNE PRECAUTIONS<\/strong><\/td><\/tr><tr><td><strong>Application of Precautions<\/strong><\/td><td>Applies to all patients, regardless of suspected or confirmed infection status.<\/td><td>Applies to organisms spread by direct or indirect contact with patient or the patient\u2019s environment.<br>\u2022 Infected blood or fluids enter through skin breaks or contamination of mucous membranes; contaminated hands transmit from one patient to another; contaminated equipment and personal protective equipment (PPE) transmit pathogens to others.<\/td><td>Applies to organisms spread through close respiratory or mucous membrane contact with respiratory secretions.&nbsp;<br>\u2022 Examples:&nbsp; spread when infected person coughs, sneezes, or talks, and organisms spread to mouth, eye, or nasal mucosa of others.<\/td><td>Applies to organisms (airborne particles) from infected person carried and dispersed over long distances by air currents.&nbsp;<br>\u2022 May be inhaled by others who have not had face-to-face contact with infectious person.<\/td><\/tr><tr><td><strong>Hand Washing<\/strong><\/td><td>\u2022 Perform hand washing after touching blood, body fluids, secretions, excretions, and\/or contaminated items; immediately after removing gloves; and between patient contacts.<br>\u2022 Hands should be washed with soap and running water for at least 20 seconds when hands are visibly dirty and when there has been contact with blood or other body fluids (even if gloves have been worn).&nbsp; Other than the situations listed above, alcohol-based hand rubs can be used for routine hand hygiene.<\/td><td>\u2022 Perform before and after every contact with an infected patient.<br>\u2022 Instruct and encourage patient to practice frequent hand washing.<br>\u2022 Instruct on respiratory etiquette (e.g., cover your cough).<\/td><td>\u2022 Perform before and after every contact with an infected patient.<br>\u2022 Instruct and encourage patient to practice frequent hand washing.<br>\u2022 Instruct on respiratory etiquette<br>(e.g., cover your cough).<\/td><td>\u2022 Perform before and after every contact with an infected patient.<br>\u2022 Instruct and encourage patient to practice frequent hand washing.<br>\u2022 Instruct on respiratory etiquette (e.g., cover your cough).<\/td><\/tr><tr><td><strong>Personal Protective Equipment<\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td><strong>General Directions<\/strong><\/td><td>\u2022 <strong>Not routinely required<\/strong>.<br>\u2022 PPE is indicated only if contact with blood\/body fluids likely (e.g., gloves to protect hands from contact, or mask, face\/eye wear, and\/or gowns to protect from sprays and splashes.<\/td><td>\u2022 <strong>Routinely required.<\/strong><\/td><td>\u2022 <strong>Routinely required.<\/strong><\/td><td>\u2022 <strong>Routinely required.<\/strong><\/td><\/tr><tr><td><strong>Gloves<\/strong><\/td><td>\u2022 Use, clean, non-sterile gloves when touching blood, body fluids, secretions, excretions, and\/or contaminated items; and for touching mucous membranes (e.g., eyes, nose, mouth, and non-intact skin.)<\/td><td>\u2022 Continue Standard Precautions.<br>\u2022 Wear whenever touching patients\u2019 intact skin or touching contaminated surfaces near patient.&nbsp; Change gloves after contact with infective material.<br>\u2022 Remove gloves before leaving patient\u2019s area and wash hands.<\/td><td>\u2022 Continue Standard Precautions.<br>\u2022 Wear whenever touching patients\u2019 intact skin or touching contaminated surfaces near patient.&nbsp; Change gloves after contact with infective material.<br>\u2022 Remove gloves before leaving patient\u2019s area and wash hands.<\/td><td>\u2022 Continue Standard Precautions.<br>\u2022 Wear whenever touching patients\u2019 intact skin or touching contaminated surfaces near patient.&nbsp; Change gloves after contact with infective material.<br>\u2022 Remove gloves before leaving patient\u2019s area and wash hands.<\/td><\/tr><tr><td><strong>Gown<\/strong><\/td><td>\u2022 During procedures and patient care activities when contact of clothing to exposed skin with blood, body fluids, secretions, and excretions is anticipated.<\/td><td>\u2022 Wear whenever clothing will have direct contact with patient or contaminated surfaces.<\/td><td>\u2022 Wear whenever clothing will have direct contact with patient or contaminated surfaces.<\/td><td>\u2022 Wear whenever clothing will have direct contact with patient or contaminated surfaces.<\/td><\/tr><tr><td><strong>Mask, eye protection (goggles), face shield<\/strong><\/td><td>\u2022 During procedures and patient care activities likely to generate splashes or sprays of blood, body fluids, secretions; especially suctioning and endotracheal intubation.<\/td><td>\u2022 Use if contact with blood or infectious body fluid from sprays or splashes is likely.<\/td><td>\u2022 Don mask upon entry into patient room.&nbsp; Don eye protection depending on the organism.<br>\u2022 Don eye protection during procedures and patient care activities likely to generate splashes or sprays of blood, body fluids, secretions; especially suctioning and endotracheal intubation.<\/td><td>\u2022 Until patient is in an Airborne Infection Isolation Room (AIIR), place surgical mask on patient and N95 respirator on staff.<br>\u2022 Staff to wear N95 respirator when in AIIR with patient.<\/td><\/tr><tr><td><strong>Cardio-Pulmonary Resuscitation<\/strong><\/td><td>\u2022 Use mouthpiece, resuscitation bag, other ventilation devised to prevent contact with mouth and oral secretions.<\/td><td>\u2022 Continue Standard Precautions.<\/td><td>\u2022 Continue Standard Precautions.<\/td><td>\u2022 Continue Standard Precautions.<\/td><\/tr><tr><td><strong>Sharps<\/strong><\/td><td>\u2022 Do not recap, bend, break, or hand manipulate used needles; if recapping is required, use a one-hand scoop technique only; use safety features available; place used sharps in leak-proof, puncture-resistant container.<\/td><td>\u2022 Continue Standard Precautions<\/td><td>\u2022 Continue Standard Precautions<\/td><td>\u2022 Continue Standard Precautions<\/td><\/tr><tr><td><strong>Soiled Patient-care Equipment<\/strong><\/td><td>\u2022 Handle in a manner that prevents transfer of microorganisms to others (minimum agitation) and to the environment; wear gloves if visibly contaminated; perform hand hygiene.<\/td><td>\u2022 Continue Standard Precautions, and<br>safely handle contaminated patient-care equipment to prevent skin and mucous membrane exposures, contamination of clothing, and transfer of microorganisms to other patients and environments.<br>\u2022 Ensure that reusable equipment is decontaminated and reprocessed between each patient use.<br>\u2022 Discard all single-use items properly<br>\u2022 Promptly decontaminate reusable equipment if contaminated with infectious body fluids or visibly soiled.<\/td><td>\u2022 Continue Standard Precautions, and safely handle contaminated patient-care equipment to prevent skin and mucous membrane exposures, contamination of clothing, and transfer of microorganisms to other patients<br>and environments.<br>\u2022 Ensure that reusable equipment is decontaminated and reprocessed between each patient use.<br>\u2022 Discard all single-use items properly<br>\u2022 Promptly decontaminate reusable equipment if contaminated with infectious body fluids or visibly<br>soiled.<\/td><td>\u2022 Continue Standard Precautions, and safely handle contaminated patient-care equipment to prevent skin and mucous membrane exposures, contamination of clothing, and transfer of microorganisms to other patients<br>and environments.<br>\u2022 Ensure that reusable equipment is decontaminated and reprocessed between each patient use.<br>\u2022 Discard all single-use items properly<br>\u2022 Promptly decontaminate reusable equipment if contaminated with infectious body fluids or visibly<br>soiled.<\/td><\/tr><tr><td><strong>Laundry<\/strong><\/td><td>\u2022 Collect at bedside.&nbsp;<br>\u2022 If wet or soiled, handle as little as possible, and bag in a leak-proof bag at the location it was used, in accordance with local guidance on management of contaminated linens.&nbsp;<br>\u2022 Machine wash and dry.<\/td><td>\u2022 Continue Standard Precautions.<br>\u2022 <strong>Linens<\/strong>: Change linens every other day (more often if visibly soiled).&nbsp; Patient shall bag linen in the cell.&nbsp; Change towels and wash cloths daily.&nbsp; Machine wash and dry.<\/td><td>\u2022 Continue Standard Precautions.<br>\u2022 Do not shake items or handle them in any way that may aerosolize infectious agents.<br>\u2022 Avoid contact of one\u2019s body and personal clothing with soiled items being handled.&nbsp;<br>\u2022 Contain soiled items in a dissolvable bag and place in a yellow bag prior to sending to laundry.<\/td><td>\u2022 Continue Standard Precautions.<br>\u2022 Do not shake items or handle them in any way that may aerosolize infectious agents.<br>\u2022 Avoid contact of one\u2019s body and personal clothing with soiled items being handled.&nbsp;<br>\u2022 Contain soiled items in a dissolvable bag and place in a yellow bag prior to sending to laundry.<\/td><\/tr><tr><td><strong>Sanitation:&nbsp;<\/strong><br><strong>Environmental Control<\/strong><\/td><td>\u2022 Develop procedures for routine care, cleaning, and disinfection of environmental surfaces, especially frequently touched surfaces in patient-care areas.<br>\u2022 Use an Environmental Protection Agency (EPA)-registered disinfectant.&nbsp; Use according to the manufacturer\u2019s instructions.&nbsp; All washable (non-porous) surfaces should be cleaned <strong>during<\/strong> and <strong>after <\/strong>(terminal) cell occupancy.&nbsp; Correctional workers should conduct sanitation inspections of living and bathroom areas to identify visibly dirty areas.&nbsp; &nbsp;Each institution should designate custody staff and supervisors to attend to this regularly.<br>\u2022 Shared equipment, weight benches, or any other surface exposed to sweat should be disinfected<em> daily<\/em> and<em> routinely<\/em> wiped clean between users with a clean dry towel.&nbsp; Patients should use barriers to bare skin, such as a clean towel or clean shirt while using exercise equipment.&nbsp; Incarcerated work crews should be assigned to do this task regularly after specific training is furnished.<\/td><td>\u2022 Routinely clean all countertops, treatable surfaces per local schedule.&nbsp; Emphasis on frequently touched surfaces (i.e., doorknobs, bed rails) and after any contamination with blood\/body fluids.<br>\u2022 Use an appropriate quaternary ammonium (chloride containing) disinfectant.<br>\u2022 Ensure that patient care items and potentially contaminated surfaces are cleaned and disinfected after use.&nbsp; Barrier protective coverings, as appropriate, for surfaces touched frequently with gloved hands during patient care or may become contaminated with blood, body fluids, or are difficult to clean.<\/td><td>\u2022 Routinely clean all countertops, treatable surfaces per local schedule.&nbsp; Emphasis on frequently touched surfaces (e.g., doorknobs, bed rails) and after any contamination with blood or body fluids.<br>\u2022 Use an appropriate quaternary ammonium (chloride containing) disinfectant.<br>\u2022 Ensure that patient care items and potentially contaminated surfaces are cleaned and disinfected after use.&nbsp; Barrier protective coverings, as appropriate, for surfaces touched frequently with gloved hands during patient care or may become contaminated with blood\/body fluids or are difficult to clean.<\/td><td>\u2022 Continue Standard Precautions.<\/td><\/tr><tr><td><strong>Housing: Single cell<\/strong><\/td><td>\u2022 <strong>Single cell not routinely required<\/strong>.&nbsp;<br>\u2022 Place potentially infectious patients in a private room (in consultation with medical staff).&nbsp; Consider this for patients with poor hygiene practices.<br>\u2022 In an outbreak situation, patients with the same infectious organism may be housed together.<br>\u2022 Monitor patient hygienic practices particularly if mentally impaired.<br>\u2022 Medical determines the appropriate housing for a patient with infections.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/td><td>\u2022 <strong>Single cell on a case-by-case basis.<\/strong><br>\u2022 Patients should be kept separated<br>&gt; 3 feet apart.<br>\u2022 Continue Standard Precautions.<br>\u2022 Patients with skin infections may be housed in general population if the wound drainage can be contained in a dressing and the patient is cooperative.<br>\u2022 Patients with wounds that have significant drainage should generally be housed in a single cell.<\/td><td>\u2022 <strong>Single room when available especially those who have a productive cough.<\/strong><br>\u2022 Continue Standard Precautions.<br>\u2022 Place together those who are infected with the same pathogen.&nbsp; Separate &gt; 3 feet from each other.&nbsp;<br>\u2022 Patient shall wear surgical mask upon exiting his\/her cell and on transport.<br>\u2022 Permit routine showering last.<\/td><td>\u2022 <strong><u>Always single cell in an AIIR.<\/u><\/strong><br>\u2022 Place in AIIR \u2013 that provides 6 to12 air exchanges per hour.&nbsp; Direct exhaust to outside; monitor air pressure daily.&nbsp;<br>\u2022 When AIIR is not available, transfer to a facility with AIIR.<br>\u2022 Patient shall wear surgical mask upon exiting his\/her cell and on transport.<br>\u2022 Permit routine showering last.<\/td><\/tr><tr><td><strong>Transfers<\/strong><\/td><td>\u2022 Decision to transport on a case-by-case basis with concurrence from medical or public health.<br>\u2022 In general, do not transfer patients with infectious diseases who require Contact, Droplet, or Airborne Precautions.<\/td><td>\u2022 If transfer is<strong> required<\/strong> for security or medical reasons the following procedures should be followed:<br>\u2022 Wound should be dressed on the day of transfer with clean bandages;<br>\u2022 Use contact precautions as described above (hand-washing, gloves if touching wound drainage and safe disposal of dressings) if soiling of security devices likely, use disposable restraints (if feasible), if not, decontaminate after use; and<br>\u2022 Place clean sheet on cloth seats in vehicle (not needed if vinyl) and<br>\u2022 Decontaminate, if visible contamination occurs.<\/td><td>\u2022 Limit transport on patients on droplet precautions to essential purposes, such as diagnostic and therapeutic procedures that cannot be performed in the patient\u2019s room.<br>\u2022 When transport is necessary, have the patient and staff don a surgical mask.<br>\u2022 Staff in close contact (&lt;3 feet) should wear surgical mask.<br>\u2022 Notify healthcare personnel in the receiving area of the impending arrival to prepare for necessary precautions.<br>\u2022 For patients being transported outside of the facility, inform the receiving facility and emergency vehicle personnel (transportation team) in advance about the type of Transmission-Based Precautions being used.<\/td><td>\u2022 Do not transport while contagious unless medically necessary or for security reasons.<br>\u2022 Consult with medical prior to transport.<br>\u2022 When transport is necessary, have the patient wear a surgical mask at all times.<br>\u2022 Staff shall wear a respirator (such as a N95 mask.)<br>\u2022 Maximize airflow in the transport vehicle (if possible roll down windows to permit outside air exchange.)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Report to Medical:  <\/strong>Correctional and Health Care staff should follow local procedures on reporting infections.  Staff with suspected infections should report them to their supervisor.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Revision History<\/strong><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Effective: 02\/2013<br>Revised: 12\/28\/2022<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Appendix 3:  Transmission-Based Precautions for Use in the Correctional Setting for the General Population<\/strong><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>CONTACT PRECAUTIONS CHECKLIST<\/strong><br><strong>The following information is to be used for Patients who require Contact Precautions:<\/strong><\/p>\n\t\t\t\t\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Control Measure<\/strong><\/td><td><strong>Indicated<\/strong><\/td><td><strong>Additional Information<\/strong><\/td><\/tr><tr><td><strong>Hand Washing<\/strong><\/td><td>     <strong> \u2610<\/strong><\/td><td>\u2022 After touching blood, body fluids, secretions, excretions, contaminated items, and immediately after removing gloves.<br>\u2022 Between patient contact.<\/td><\/tr><tr><td><strong>Personal Protective Equipment (PPE)<\/strong><\/td><td><strong>      \u2610<\/strong><\/td><td>\u2022 Contact Precautions apply where the presence of excessive wound drainage, fecal incontinence, or other discharges from the body suggest an increased potential for extensive environmental contamination and risk of transmission.<br>\u2022 Don gown and gloves for all interactions that may involve contact with the patient or potentially contaminated areas in the patient\u2019s environment.<br>\u2022 Don mask and eye protection during procedures and patient care activities likely to generate splashes or sprays of blood, body fluids, secretions; especially suctioning and endotracheal intubation.<\/td><\/tr><tr><td><strong>Housing<\/strong><\/td><td>     <strong>\u2610<\/strong><\/td><td>\u2022 A single patient room is preferred for patients who require Contact Precautions.&nbsp; When a single room or cell is not available, consultation with the Public Health Section is recommended to assess the various risks associated with patient placement options (e.g., cohorting, keeping patient with an existing cellmate).<br>\u2022 In dormitory settings &gt;3 feet spatial separation between beds is advised to reduce the opportunities for inadvertent sharing of items between infected patients.<\/td><\/tr><tr><td><strong>Sanitation<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Instruct and encourage patient to practice frequent hand hygiene.<br>\u2022 Implement strict glove use policy for all food preparation.<br>\u2022 Increase frequency of cleaning public toilets.<br>\u2022 Shower symptomatic patient last and bleach clean shower stalls after use.<br>\u2022 When cleaning up vomit or feces:<br> \u2022 Wear disposable gown, mask, gloves, and goggles.<br> \u2022 Disinfect the contaminated area with an Environmental Protection Agency approved virucidal agent or bleach.&nbsp; The contaminated area is a radius of 25 feet of the incident.<br> \u2022 Dispose of gown, mask, and gloves in biohazard waste.<br> \u2022 Wash hands.<br> \u2022 Close or cordon off the contaminated area for at least one hour.<br> \u2022 If possible, open windows to allow for thorough air circulation.<br>\u2022 For cardiopulmonary resuscitation (CPR), use mouthpiece, resuscitation bag, or other ventilation device to prevent contact with mouth and oral secretions.<\/td><\/tr><tr><td><strong>Laundry<\/strong><\/td><td>     <strong>\u2610<\/strong><\/td><td>\u2022 Follow Standard Precautions and handle laundry in a manner that prevents transfer of microorganisms to others and to the environment.<\/td><\/tr><tr><td><strong>Activities<\/strong><\/td><td>     <strong>\u2610<\/strong><\/td><td>\u2022 Allow yard time for the sick.<br>\u2022 Bleach-clean equipment and other frequently touched surfaces on the yard after use (e.g., water faucets and\/or fountains).<\/td><\/tr><tr><td><strong>Patient Hygiene<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Instruct and encourage patient to practice frequent hand hygiene.<\/td><\/tr><tr><td><strong>Equipment<\/strong><\/td><td>     <strong>\u2610<\/strong><\/td><td>\u2022 Bleach-clean yard equipment and other touched surfaces after use (e.g., water faucets and\/or fountains).<\/td><\/tr><tr><td><strong>Transports<\/strong><\/td><td><strong>     \u2610 <\/strong><\/td><td>\u2022 Limit transport for patients on contact precautions to essential purposes such as diagnostic and therapeutic procedures that cannot be performed in the patient\u2019s room.<br>\u2022 When transport is necessary, use appropriate barriers.<br>\u2022 Notify health care personnel in the receiving area of the impending arrival of the patient and of the precautions necessary to prevent transmission.<br>\u2022 For patients being transported outside the facility, inform the receiving facility and the emergency vehicle personnel in advance about the type of Transmission-Based Precautions being used.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Revision History<\/strong><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Effective: 02\/2013<br>Revised: 12\/28\/2022<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Appendix 4:  Transmission-Based Precautions for Use in the Correctional Setting for the General Population<\/strong><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>DROPLET PRECAUTIONS CHECKLIST<\/strong><\/p>\n\t\t\t\t\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Control Measure<\/strong><\/td><td><strong>Indicated<\/strong><\/td><td><strong>Additional Information<\/strong><\/td><\/tr><tr><td><strong>Hand Washing<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 After touching blood, body fluids, secretions, excretions, contaminated items, and immediately after removing gloves.<br>\u2022 Between patient contacts.<\/td><\/tr><tr><td><strong>Personal Protective Equipment (PPE)<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Follow Standard Precautions Guideline and:<br>    \u2022 Don mask upon entry into patient room.<br>    \u2022 Don eye protection during procedures, and patient care activities likely to generate splashes or sprays of blood, body fluids, and secretions; especially suctioning and endotracheal intubation.<\/td><\/tr><tr><td><strong>Housing<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Single cell if available, especially those who have a productive cough.<br>\u2022 If no single cell is available, place together those who are infected with the same pathogen but separate &gt; 3 feet from each other.<\/td><\/tr><tr><td><strong>Sanitation<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Instruct and encourage patient to practice frequent hand hygiene.<br>\u2022 Instruct patient on respiratory etiquette.<br>\u2022 For cardiopulmonary resuscitation (CPR), use mouthpiece, resuscitation bag, or other ventilation device to prevent contact with mouth and oral secretions.<\/td><\/tr><tr><td><strong>Laundry<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Do not shake items or handle laundry in any way that may aerosolize infectious agents.<br>\u2022 Avoid contact of one\u2019s body and personal clothing with the soiled items being handled.<br>\u2022 Contain soiled items in a laundry bag or designated bin.<\/td><\/tr><tr><td><strong>Activities<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Patient shall wear mask upon exiting his or her cell.<br>\u2022 Permit routine showering.<\/td><\/tr><tr><td><strong>Patient Hygiene<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Instruct and encourage patient to practice frequent hand hygiene.<br>\u2022 Instruct patient on respiratory etiquette.<\/td><\/tr><tr><td><strong>Equipment<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Follow Standard Precautions and handle in a manner that prevents transfer of microorganisms to others (minimum agitation), and to the environment; wear gloves if there is visible contamination and perform hand hygiene.<\/td><\/tr><tr><td><strong>Transports<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Limit transport for patients on Droplet Precautions to essential purposes, such as diagnostic and therapeutic procedures that cannot be performed in the patient\u2019s room.<br>\u2022 When transport is necessary, patient and staff shall don a surgical mask.<br>\u2022 Staff in close contact (&lt;3 feet) should wear surgical mask.<br>\u2022 Notify health care personnel in the receiving area of the impending arrival of the patient and of the precautions necessary to prevent transmission.<br>\u2022 For patients being transported outside the facility, inform the receiving facility and the emergency vehicle personnel (transportation team) in advance about the type of Transmission-Based Precautions being used.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Revision History<\/strong><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Effective: 02\/2013<br>Revised: 12\/28\/2022<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Appendix 5:  Transmission-Based Precautions for Use in the Correctional Setting for the General Population<\/strong><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>AIRBORNE PRECAUTIONS CHECKLIST<\/strong><\/p>\n\t\t\t\t\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Control Measure<\/strong><\/td><td><strong>Indicated<\/strong><\/td><td><strong>Additional Information<\/strong><\/td><\/tr><tr><td><strong>Hand Washing<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 After touching blood, body fluids, secretions, excretions, contaminated items, and immediately after removing gloves.<br>\u2022 Between patient contacts.<\/td><\/tr><tr><td><strong>Personal Protective Equipment (PPE)<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Gloves when touching blood, body fluids, secretions, excretions, contaminated items, mucous membranes, and non-intact skin.<br>\u2022 Patient should wear surgical mask and staff should wear N95 respirator or powered air-purified respirator.<\/td><\/tr><tr><td><strong>Housing<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Always single cell in an airborne infection isolation room.<\/td><\/tr><tr><td><strong>Sanitation<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Instruct and encourage patient to practice frequent hand hygiene.<br>\u2022 Instruct patient on respiratory etiquette.<br>\u2022 Use mouthpiece, resuscitation bag, or other ventilation device to prevent contact with mouth and oral secretions.<\/td><\/tr><tr><td><strong>Laundry<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Do not shake items or handle laundry in any way that may cause infectious agents to become airborne.<br>\u2022 Avoid contact of one\u2019s body and personal clothing with soiled items.<br>\u2022 Contain soiled items in a laundry bag or designated bin.<\/td><\/tr><tr><td><strong>Activities<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Patient shall wear surgical mask upon exiting his or her cell.<\/td><\/tr><tr><td><strong>Patient Hygiene<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Instruct and encourage patient to practice frequent hand hygiene.<br>\u2022 Instruct patient on respiratory etiquette.<\/td><\/tr><tr><td><strong>Equipment<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Follow Standard Precautions and handle in a manner that prevents transfer of microorganisms to others (minimum agitation), and to the environment; wear gloves if visible contamination, and perform hand hygiene.<\/td><\/tr><tr><td><strong>Transports<\/strong><\/td><td><strong>     \u2610<\/strong><\/td><td>\u2022 Limit transport for patients on Airborne Precautions to essential purposes such as diagnostic and therapeutic procedures that cannot be performed in the patient\u2019s room.<br>\u2022 When transport is necessary, use appropriate barriers on the patient.<br>\u2022 Notify health care personnel in the receiving area of the impending arrival of the patient and of the precautions necessary to prevent transmission.<br>\u2022 For patients being transported outside the facility, inform the receiving facility and the emergency vehicle personnel in advance about the type of Transmission-Based Precautions being used.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Revision History<\/strong><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Effective: 02\/2013<br>Revised: 12\/28\/2022<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t","protected":false},"parent":553,"template":"","class_list":["post-1268","dom","type-dom","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>3.8.8 Communicating Precautions from Health Care Staff to Custody Staff - Health Care Department Operations Manual (HCDOM)<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"3.8.8 Communicating Precautions from Health Care Staff to Custody Staff - Health Care Department Operations Manual (HCDOM)\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.cdcr.ca.gov\/hcdom\/dom\/chapter-3-health-care-operations\/article-8-public-health\/3-8-8-communicating-precautions-from-health-care-staff-to-custody-staff\/\" \/>\n<meta property=\"og:site_name\" content=\"Health Care Department Operations Manual (HCDOM)\" \/>\n<meta property=\"article:modified_time\" content=\"2026-06-25T22:35:24+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"15 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/dom\\\/chapter-3-health-care-operations\\\/article-8-public-health\\\/3-8-8-communicating-precautions-from-health-care-staff-to-custody-staff\\\/\",\"url\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/dom\\\/chapter-3-health-care-operations\\\/article-8-public-health\\\/3-8-8-communicating-precautions-from-health-care-staff-to-custody-staff\\\/\",\"name\":\"3.8.8 Communicating Precautions from Health Care Staff to Custody Staff - Health Care Department Operations Manual (HCDOM)\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/#website\"},\"datePublished\":\"2023-12-04T21:25:13+00:00\",\"dateModified\":\"2026-06-25T22:35:24+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/dom\\\/chapter-3-health-care-operations\\\/article-8-public-health\\\/3-8-8-communicating-precautions-from-health-care-staff-to-custody-staff\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/dom\\\/chapter-3-health-care-operations\\\/article-8-public-health\\\/3-8-8-communicating-precautions-from-health-care-staff-to-custody-staff\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/dom\\\/chapter-3-health-care-operations\\\/article-8-public-health\\\/3-8-8-communicating-precautions-from-health-care-staff-to-custody-staff\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"HCDOM\",\"item\":\"https:\\\/\\\/www.cdcr.ca.gov\\\/hcdom\\\/dom\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Chapter 3 &#8211; 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