Don't Hesitate, Just...
This infectious Disease was declared eradicated in the year 2000 because of a large percentage of people that had immunity mostly due to vaccination.
What is: Measles
Section of the EMR where patient alerts are placed indicating the patient has an antibiotic resistant organism historically or currently.
What is: FYI flag
This is the number one way to prevent the spread of infection.
What is : HANDWASHING or Hand Hygiene!!
cleaning agent used if a patient has C.DIFF.
What PPE is worn in a patients home having "Droplet" precautions:
What is : BLEACH (10%)
What is: a mask, gloves for handling respiratory secretions or objects contaminated with respiratory secretions and a gown when soiling with respiratory secretions is anticipated.
Active tuberculosis is caused most commonly in the U.S. by the aerobic acid-fast bacillus, Mycobacterium tuberculosis and is spread mainly by ________ after someone who's infectious, coughs, sings, talks or sneezes.
What is: inhalation (airborne route)
The number of vaccinations required to be declared immune from Measles.
What is: 2
The person(s) responsible for entering and discontinuing FYI flags into the patient's EPIC EMR.
Who is: Infection Prevention and Control RN and/or Infectious Disease Physician-Dr. Math.
DAILY DOUBLE
The length of time you must rub your hands with soap.
True or False: You do not need to do hand hygiene after wearing gloves. Afterall, you didn't get anything on them and you're 20 minutes behind schedule.
What is 15 seconds
What is: FALSE
True or False: Alcohol hand sanitizer will kill C.Diff.
What PPE is worn to provide care in a patients home in "Contact" Precautions?
What is: FALSE- it does not kill spores-C.Diff is a spore
gown and gloves
These are two terms describing TB, one of which is inactive TB and the other is infectious?
What is : Latent (Inactive) and Active
DAILY DOUBLE: These three C's are prodromal signs/symptoms of Measles. (Don't worry if you can't say the words-just describe the three signs/symptoms)
What are: Cough, Coryza(runny nose), Conjunctivitis(red eyes)
An infection affecting the intestine, with symptoms of diarrhea that is NOT placed in a FYI flag.
What is: Clostridium Difficile
True or False: With the exception of Clostridium Difficile, hand sanitizer is as effective as hand washing at cleaning hands.
What is: True
The only Multidrug Resistant Organism(MDRO) FYI flag that currently can be removed by a CCH Infection Prevention and Control nurse for the patient that has no long term devices, no chronic wounds, has not resided in a long term care facility, and is not receiving dialysis. (AFTER advised testing is completed and negative)
What is : MRSA
A person that has a positive TST(TB Skin Test;Mantoux,PPD) or IGRA(Interferon Gamma Release Assay=TB blood tests; QuantiFERON Gold; T-Spot) should be evaluated for the presence of active TB by evaluating patient symptoms and doing this diagnostic test.
What is: a chest x-ray
This type of transmission-based precaution to be taken for a patient with Measles.
What is: Airborne
After returning home from a short hospital stay where a patient had a port infection, you are going to his home to do cares. He insists he doesn't need any precautions because he just tested negative for for MRSA. You still use precautions and tell him...
What is: "Because you have an implanted port, our policy states that I need to use the gown and gloves. OR...I will use the gown and gloves this time and verify with the IPC nurse if you can have the FYI flag discontinued.
Airborne-N-95 masks please!
True or False: The Nursing Assistant just finished cares on a patient and did hand hygiene with ABHR. The Physical Therapist just arrived and is in a hurry to get started-she forgets to do hand hygiene. It is okay that the Nurse Assistant says nothing and gets on her way to the next Home Care patient.
What is: FALSE- In the moment remind any coworker and/or patient/family member to do hand hygiene.
It's okay to use a code word: "SNAP"=Sanitize Now And Prevent. Sounds like "Oh SNAP, remember to do hand hygiene" or "Can I SNAP chat you right now?"
T/F: MSSA is methicillin susceptible staph aureus meaning it is susceptible to antibiotics effective against it=no precautions necessary.
What is: True
Three symptoms(out of five) suggestive of active pulmonary TB.
What are: fever, night sweats, weight loss, cough lasting more than 2 weeks, hemoptysis, chest pain, anorexia, malaise
All CCH employees have this as a condition of employment to reduce spread and risk of contracting measles.
What is: Proof of immunity; either proof of 2 immunizations or IGg titers.
Names of two multi drug resistant organisms that are placed in the FYI flag.
If a patient has Clostridium Difficile, how do you decontaminate your hands?
What is: MRSA, ESBL, VRE, CRE,
What is: You must use soap and water, NOT alcohol hand sanitizer
Name 3 of the 5 moments when hand washing is appropriate.
What are before and after touching the patient, after touching patient surroundings/equipment, after body fluid exposure risk, before a clean/aseptic procedure(i.e. drawing up meds)
These antibiotic resistant bacteria are ones that FYI flags cannot be removed. Name three.
What are : ESBL, CRE, VRE, VISA/VRSA, KPC
Extended spectrum beta lactamase, carbapenem resistant Enterobacteriaceae, vancomycin resistant enterococci, vancomycin intermediate-resistant s. aureus, vancomycin resistant s. aureus, Klebsiella pneumonia carbapenemase resistant bacteria
Having three negative results of these lab tests, is recommended before discontinuing respiratory isolation, i.e. use of personal respiratory protection.
hint: I could spew the answer if that would help.
What is: three sputum smears.