Hand Hygiene
Environmental Hygiene & Precautions
VA Infection Prevention Initiatives
Random (but important) trivia
Bugs
100
In order to ensure hands have been thoroughly cleaned, healthcare workers perform soap and water hand hygiene for this length of time.
What is at least 15 seconds?
100
This type of precautions is used with all patients, during all patient contacts and includes any possible combination of PPE.
What is standard precautions?
100
This initiative started in June of 2012 with the goal to reduce national healthcare facility-onset C. difficile infection rates within the Veteran population to zero or to 30% below baseline?
What is the Clostridium Difficile (CDI) Prevention Initiative?
100
The natural occurance of bacteria on the body (skin, airway, intestine) that causes no symptoms but can be transmitted from person to person and environment to person.
What is colonization?
100
Each year in the US, this pathogen causes 14,000 - 20,000 deaths, more than 250,000 infections and rivals MRSA as the most common cause of Healthcare Associated Infection (HAI).
What is Clostridium difficile?
200
Healthcare workers would not use alcohol based hand sanitizer in these situations.
What is when the hands are visibly soiled or dirty, if working with a patient with an unknown enteric pathogen or with a patient with confirmed C.diff or norovirus.
200
In addition to standard precautions, what type of precaution is used to reduce the risk of transmission of MDROs in an inpatient setting?
What is contact precautions? Glove and gown upon entrance into the pt room.
200
Within five years of implementation of this initiative, health-care associated MRSA infections declined 69% in VA acute care facilities, 81% in Spinal Cord Injury units, and 36% in Community Living Centers.
What is the MRSA Prevention Initiative - initiated in 2007?
200
By what methods are MDROs and other pathogens transmitted to patients?
What is healthcare workers (hands & clothing), patient care equipment, and the environment? Anything you touch as been touched by someone else and who knows where their hands have been!!
200
Studies show that about one in three (33%) people carry staph in their nose, usually without any illness. Approximately two in 100 people carry a resistant strain. In the US each year this pathogen kills 19,000 people, causes nearly 370,000 hospitalizations, causes 7 million doctor visits and cost billions of additional dollars in healthcare spending.
What is MRSA?
300
Healthcare workers avoid bringing in their own skin care products for this reason.
What is possible chemical incompatibility issues.
300
This is done to all non-critical reusable medical equipment (RME) between all patients.
What is cleaning of the equipment with the appropriate cleaner/disinfectant?
300
These are the components of the MRSA Prevention Initiative bundle.
What is aggressive hand hygiene, contact precautions, active surveillance screening, and culture change?
300
Staff can access this for important infection prevention-related documents.
What is the Infection Prevention and Control SharePoint site?
300
Each year in the US there are approximately 2 million of these, 70% of which are resistant to one or more classes of antibiotics.
What is a healthcare associated infection (HAI)?
400
In addition to performing adequate hand hygiene, healthcare workers do this to ensure they are not transmitting harmful microbes from patient to patient.
What is keep nails less than 1/4 inch in length, do NOT wear nail polish or artificial nails and keep skin well hydrated.
400
This is where you find information on how to clean non-critical reusable medical equipment (RME) based on manufacturer instructions.
What is the non-critical RME SharePoint site?
400
These are the components of the CDI Prevention Initiative bundle?
What is environmental hygiene, hand hygiene, contact precautions, and cultural transformation?
400
There is substantial evidence that this reduces the incidence of infections and assists in preventing the spread of MDROs.
What is frequent hand hygiene and frequent environmental cleaning?
400
This is the difference between infection and colonization.
What are signs and symptoms and being harmful?
500
Name at least five indications for performing hand hygiene.
What is 1) when hands are visibly dirty, contaminated, or soiled, wash with soap and water 2) when hands are not visibly soiled, use an alcohol-based handrub for routinely decontaminating hands. 3) before: *patient contact *donning gloves *performing a procedure such as inserting urinary catheters, peripheral vascular catheters, or other invasive devices that don't require surgery 4) after: *contact with a patient's skin *performing a procedure *contact with body fluids or excretions, non-intact skin, wound dressings *doffing gloves 5) after touching the environment in the patients room 6) before and after using the restroom 7) before and after eating 8) before starting work for the day and before leaving for home at the end of the day
500
In an inpatient setting patients with confirmed or suspected enteric pathogens of interest are placed into this type of precautions.
What is enteric precautions? Where only soap and water hand hygiene and bleach cleaning is used.
500
This scale is used to help the healthcare worker determine which stool samples are acceptable for C. difficile (CDI) testing?
What is the Bristol Stool Scale?
500
This is where you find the status of a patient that has a known history of colonization or infection with an MDRO.
What is in the postings section of CPRS on the coversheet in the upper right hand corner?
500
This develops through gene transfer of plasmids, mutations and antibiotic exposure.
What is antimicrobial resistance?
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