Place of Body Substance Isolation Practice in History
Practice of Universal precautions was introduced in 1985–88. In 1987, the practice of Universal precautions was adjusted by a set of rules known as body substance isolation. In 1996, both practices were replaced by the latest approach known as standard precautions (health care). Nowadays and in isolation, practice of body substance isolation has just historical significance.
Body substance isolation went further than universal precautions in isolating workers from pathogens, including substances now currently known to carry HIV. These pathogens fall into two broad categories, bloodborne (carried in the body fluids) and airborne. The practice of BSI was common in Pre-Hospital care and Emergency Medical Services due to the often unknown nature of the patient and his/her disease or medical conditions. It was a part of the National Standards Curriculum for Prehospital Providers and Firefighters.
Types of body substance isolation included:
- Hospital gowns
- Medical gloves
- Shoe covers
- Surgical mask or N95 Respirator
- Safety Glasses
It was postulated that BSI precautions should be practiced in environment where treaters were exposed to bodily fluids, such as:
- blood, semen, preseminal fluid, vaginal secretions, synovial fluid, amniotic fluid, cerebrospinal fluid, pleural fluid, peritoneal fluid, marrow, pericardial fluid, feces, nasal secretions, urine, vomitus, sputum, mucus, cervical mucus, phlegm, saliva, breastmilk, colostrum, and secretions and blood from the umbilical cord
Such infection control techniques that were recommended following the AIDS outbreak in the 1980s. Every patient was treated as if infected and therefore precautions were taken to minimize risk. Other conditions which called for minimizing risks with BSI:
- Diseases with air-borne transmission (e.g., tuberculosis)
- Diseases with droplet transmission (e.g., mumps, rubella, influenza, pertussis)
- Transmission by direct or indirect contact with dried skin (e.g., colonisation with MRSA) or contaminated surfaces
- Prion diseases (e.g., Creutzfeldt-Jakob disease)
or any combination of the above.
Read more about this topic: Body Substance Isolation
Famous quotes containing the words place, body, substance, isolation, practice and/or history:
“Socratic man believes that all virtue is cognition, and that all that is needed to do what is right is to know what is right. This does not hold for Mosaic man who is informed with the profound experience that cognition is never enough, that the deepest part of him must be seized by the teachings, that for realization to take place his elemental totality must submit to the spirit as clay to the potter.”
—Martin Buber (1878–1965)
“When one thinks profusely and cleverly, not only his face but his body too takes on a clever appearance.”
—Friedrich Nietzsche (1844–1900)
“Strong be thy wallis that about the standis;
Wise be the people that within the dwellis;
Fresh is thy ryver with his lusty strandis;
Blith be thy chirches, wele sownyng be thy bellis;
Riche be thy merchauntis in substance that excellis
Fair be thy wives, right lovesom, white and small;
Clere be thy virgyns, lusty under kellis:
London, thou art the flour of Cities all.”
—William Dunbar (c. 1465–c. 1530)
“There is a very holy and a very terrible isolation for the conscience of every man who seeks to read the destiny in affairs for others as well as for himself, for a nation as well as for individuals. That privacy no man can intrude upon. That lonely search of the spirit for the right perhaps no man can assist.”
—Woodrow Wilson (1856–1924)
“I am out of practice at living.
You are as brave as a motorcycle.”
—Anne Sexton (1928–1974)
“Both place and time were changed, and I dwelt nearer to those parts of the universe and to those eras in history which had most attracted me.”
—Henry David Thoreau (1817–1862)