Transmission
This type of isolation is ordered for confirmed or rule out cases of C diff or Norovirus
What is enteric?
This consistency and characteristics are acceptable for C diff testing, otherwise it will be rejected.
What is loose and watery?
True or False: C diff spores can live on surfaces for up to several months or even years
True
Common medications used for C diff treatment
Vanc & Fidaxomycin PO
What color is the Special Contact sign?
Purple
This form of hand hygiene is required upon exit of enteric isolation rooms
What is soap and water?
The provider orders C diff testing and you notice the patient received docusate for the past two days BID. What should you do?
What is talk to provider regarding appropriateness of screening when on stool softeners?
A patient with active C diff infection is likely to experience these signs and symptoms. Name at least 3.
What is loose/watery stool (often foul smelling), abdominal pain and/or cramping, nausea, dec. appetite, fever).
True or False: When a patient in Contact/Enteric/Special Contact precautions is discharged, any unused items in the room may be re-used and placed in clean supply as long as the packaging is unopened.
False
What is the difference between Contact & Special Contact
Bleach is required for cleaning and disinfection of all equipment that leaves the room.
These types of PPE are required for Enteric patients
What are gown and gloves?
When should enteric isolation be discontinued for C diff patients? Provide answers for rule out and positive cases
Rule out - Once testing is confirmed negative
Positive - one week after appropriate abx, two days symptom free, and moved to a new room
1 in 11 people over the age of 65 with hospital acquired C diff infection will die within this time frame.
What is 1 month?
Why is C auris so hard to treat?
Most antifungal medications are ineffective as C auris is resistant.
How do you know the contact time for Bleach wipes?
It is on the bottle
This germicidal wipe is required for use on every piece of equipment that is shared/leaving the room
What is bleach?
This will happen to your C diff order after 24h if the stool is not collected.
The order will be cancelled
Once this pathogen is in the environment, it will never leave
C auris
If a hospital aquired case of C auris is identified, we are likely to implement this strategy to determine transmission.
Point Prevalence cultures on the unit
How long is the contact time to kill C auris or C diff?
4 minutes
This isolation is followed for C auris suspects and confirmed patients
Special Contact
Patients coming from nursing homes, long term rehabs, or long-term skilled nursing facilities get screened for what?
C auris
Why is it important to wash your hands with soap and water for enteric instead of using hand sanitizer?
Spores and other enteric pathogens are not killed by sanitizer - instead it just moved them around your hands. Hand washing physically removes the pathogens from your hands.
Where do you collect the C auris cultures from?
Axilla & Groin
If allowed to leave the room, patients are required to follow what protocols if they are on isolation?
Clean gown, hand hygiene, no touching any surfaces, no entering nursing station or other communal gathering places.