A home health nurse is supervising a home health aide who is changing the dressing for a client with a chronic heel wound. Which actions by the aide indicate adherence to appropriate infection control procedures? Select all that apply.

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11ecbb05_cb59_71e6_b433_c7dbb2cd3860_MD0009_00 The nurse is responsible for observing the home health aide periodically during delegated tasks. The aide should wash the hands prior to gloving and after glove removal (Option D). Sterile dressing supplies should be opened prior to the dressing change; this should be done by carefully peeling from the outermost corner of the package to expose the contents without contaminating the sterile product (Option A). A contaminated used dressing should be placed in impervious plastic or a paper bag before disposal in the household trash (Option B). (Option C) Unused sterile supplies should not be saved as it is not possible to ensure their sterility. (Option E) Paper towels are not impervious and infectious waste from the dressing can seep through and into other items in the trash can. Educational objective: In the home care setting, infection control procedures for changing a dressing include washing the hands before and after gloving, opening sterile supplies carefully to avoid contamination, and placing old dressings inside a glove or plastic bag before disposal in the household trash.

A Home Health Nurse Is Supervising a Home Health Aide