HAND HYGIENE
This is the most effective way to prevent the spread of infection
Hand hygiene
These precautions are used for all patients regardless of diagnosis
Standard precautions
This type of respirator is required for airborne precautions
N95 respirator
Glove contact with equipment used on a patient then using the same gloves for contact with another patient is what mode of transmission?
Indirect contact
List 2 ways to perform hand hygiene
1. Washing with soap and water
2. Alcohol-based hand rub
Precautions used in addition to standard precautions when there is a risk of exposure to bloodborne pathogens are known as what type of precautions?
Universal precautions
When removing PPE, these are usually removed first because they are the most contaminated
Gown & Gloves
Name at least 2 different infectious agents
-Bacteria
-Viruses
-Fungi
-Parasites
-Prions
The recommended minimum time for handwashing is this many seconds
20 seconds
These precautions require a fit-tested N95 respirator and are used for diseases such as tuberculosis, measles, and chickenpox
Airborne precautions
Name 3 PPE that can be used more than once when cleaned and disinfected with a CC approved disinfectant
-PAPRs
-Goggles
-Face shields
List 3 factors that increase the risk of developing a healthcare-associated infection
-Compromised immunity
-Invasive procedures
-Invasive devices
-Lengthy inpatient admission
Name 2 of the 3 times patients are educated that they MUST wash their hands with soap and water at these times
1. Before preparing or eating food
2. After using the restroom
3. Anytime hands are visibly dirty
List 3 levels of controls for universal precautions
1. Administrative controls (hospital policies, procedures, staff training, and committee review)
2. Engineering controls (MPW boxes, sharps containers, safety needles)
3. Work practice controls (behavior-based: never recap needles, perform hand hygiene, use available PPE)
List the sequence for putting on PPE that includes: mask, gloves, goggles, and gown
1. Gown
2. Mask or respirator
3. Goggles or face shield
4. Gloves
Name 3 signs of a CLABSI
-Redness or swelling around the site of the central line
-Bad-smelling pus around the site of the central line
-Skin around the site is warm to the touch
-Fever of 100.4 or higher
-Chills
List 4 times staff perform hand hygiene when taking care of a patient
- Before entering patient room
- Before and after providing direct care
- Before putting on gloves, gowns, or masks
- After taking off gloves, gowns, or masks
-After leaving patient room
Name 4 requirements that are common to all isolation categories
-Perform hand hygiene
-Educate patient on reason for isolation and their restrictions
-Patient movement outside isolation room is limited
-Remove white coat and put on required PPE
-Family/visitors should wear required PPE and may not visit other patients
-Use disposable supplies for isolation when possible
-All items used in an isolation room must be cleaned and disinfected on removal
-Any food or drink taken into an isolation room must be consumed in the room
-Isolation patients may not access the nutrition station
Respirator training and fit testing is offered through...
Division of Occupational Health (DOHS) and Safety's Respiratory Protection Program
List 4 steps that the medical team will take to help prevent a CLABSI
1. Change the CVAD dressing per SOP
2. Cover patient's dressing for showers/baths
3. Daily CVAD assessments- look for signs of infection
4. Scrub the hub (15 seconds)
5. Limit contact with central line
6. Remove central line as soon as possible