Hand Hygiene
This specific pathogen's spore formation necessitates mandatory handwashing with soap and water, even after glove removal, due to its resistance to alcohol-based hand rubs
What is Clostridioides difficile (c-diff)?
For an adult in cardiac arrest, this is the recommended compression depth in inches or centimeters
What is at least 2 inches (5 cm)
This is the primary ethical and legal justification for applying any type of physical restraint
What is to prevent harm to self or others
The correct sequence for donning
Gown, mask, gloves
This unique number is often assigned to each patient within a single hospital system to track their visits and medical history.
What is a Medical Record Number?
This is the primary cognitive domain assessed by Feature 1 of the BCAM, requiring the patient to correctly name the current month and year
What is orientation?
This specific skin condition, which can be exacerbated by frequently handwashing and compromise skin integrity, can become a reservoir for pathogens and reduce hand hygiene compliance
What is dermatitis?
For a choking adult, after delivering five back blows and five abdominal thrusts, if the obstruction is still present and the patient becomes unresponsive and blue, this is the next step the rescuer should perform
What is CPR?
For an adult patient in behavioral restraint, this is the maximum duration for a single order before it must be renewed by a physician
What is 4 hours?
To prevent self-contamination during doffing, this item of PPE should be removed first
What is a gown?
If the patient arrives in the emergency department as an unknown name, unresponsive, and lacking identification, the temporary patient ID looks like
Random last name and color, (e.g., Whitecoat Teal)
A positive finding for Feature 3, Disorganized Thinking, is often indicated by the patient exhibiting this specific type of speech pattern
What is rambling, tangential, or incoherent speech?
Beyond direct patient care, hand hygiene is critically important immediately following this common nursing task that involves contact with environmental surfaces in the patient's immediate vicinity
What is touching the patient's intact skin or environment (bed rails, IV pump, bedside table)
In the absence of an advanced airway, this is the recommended compression-to-ventilation ratio for two-rescuer CPR on an infant
What is 15 compressions to 2 breaths?
For a patient in a non-violent medical restraint, this is the maximum interval for a physician's order before renewal is required
What is 24 hours?
According to OSHA and CDC, healthcare personnel wearing an N95 respirator must have successfully completed this annual validation process to ensure adequate respiratory protection
What is fit testing?
If a patient has an exact match for both name and date of birth with another patient in the hospital's system, facilities are typically required to implement this additional safeguard to prevent misidentification during medication administration or procedures.
What is using a third, unique patient identifier (e.g., medical record number
While the full CAM assessment has 4 features, the BCAM adds this specific feature as a mandatory initial screen to determine if the patient's consciousness fluctuates over time.
What is the level of Consciousness
According to the WHO guidelines, this is the recommended minimum duration for performing an alcohol-based hand rub for effective decontamination
What is 20-30 seconds?
After delivering a shock with an AED, this is the immediate next action a rescuer should take, without pausing or pulse checks or rhythm analysis
What is immediately resuming chest compressions
For a patient in a behavioral health restraint, this is the required frequency for documenting reassessment of circulation, skin integrity, and range of motion for the restrained extremities
What is 15 minutes
The specific type of transmission-based precaution requires the use of an N95 respirator or higher-level respiratory protection
What are airborne precautions?
For a patient who is unable to verbally communicate, this alternative method is acceptable for verifying their identity in conjunction with their wristband
What is asking the family member, HCP
Feature 2 of the BCAM assesses this cognitive domain, often by asking the patient to recite the months backward
What is inattention?
According to the current CDC recommendations, this particular type of jewelry is generally permissible to wear under gloves without significantly impacting hand hygiene effectiveness, though often discouraged by facility policy
What is a plain wedding band (without stones)
During the pulse check in an unresponsive adult, this is the maximum duration a rescuer should take to identify a definite pulse before initiating chest compressions
What is 10 seconds?
This specific type of behavioral restraint requires the highest level of supervision, involving dedicated, continuous, one-to-one monitoring
What is total physical restraint or 4-point restraint?
In addition to a gown and gloves, this specific piece of PPE is required for droplet precautions if there is a risk of splashes or sprays
What is eye protection (goggles or face shield)
To prevent wrong-site, wrong-procedure, and wrong-person surgery, this mandatory process involves the patient, surgical team, and all relevant documentation immediately prior to incision
What is "time-out"?
To accurately complete Feature 4, Altered Level of Consciousness, the healthcare professional must use this specific, validated scale
What is the Richmond Agitation-Sedation Scale (RASS)