Additional Precaution Signs
What precautions does a patient require if they've developed new respiratory symptoms and fever?
Droplet Contact
When is the best time to perform a point of care risk assessment?
Before every patient interaction.
When should the ARO screen be completed?
Within 24 hours of admission.
True OR False
I do not need to clean my hands before entering a room, if I do not plan to touch my patient.
False, you should always clean your hands at moment 1, before patient environment.
Who can remove Additional Precautions?
Only IPAC is authorized to discontinue precautions
If a patient has received health care in another facility outside of Canada in the last year, what precautions would the require?
Contact (complete ARO screening tool, concern for CPE)
True OR False
I should not wear more PPE than indicated on the precautions sign outside of the patients room?
False, you can upgrade PPE to suit needs of the task you're completing based on risk assessment
What 3 ARO's do we screen for at PRH?
MRSA, ESBL, CPE
When is soap and water required for HH, vs alcohol rub?
When hands are visibly soiled.
Wearing a mask at work.
What should I do if I have a cold this season?
What precautions are required during a lumbar puncture, to rule out Meningitis?
Droplet Contact, these precautions must remain until results are finalized
What question (s) do you ask yourself before entering a patient room?
Fluid exposure risk? New symptoms? Do I have all tools I need? What task am I carrying out and am I prepared for it?
True OR False
If a patient is known to be ARO+ they do not need to be re swabbed?
False, admission screen tool is done on every patient and swabbed as required
How long should you wash your hands with soap and water?
20 seconds
My patient's visitor is coughing and sneezing at the bedside.
Should I suggestion that they visit when they are feeling better?
What are routine practices?
Standard infection control measures used with all patients at all times in all settings to prevent the spread of infection.
Hand Hygiene, PCRA, Respiratory hygiene, Safe sharp handling, environmental cleaning.
True OR False
I only need to clean shared equipment between patients if it came out of an isolation room?
False. All shared equipment should be cleaned between each patient interaction.
My patients MRSA swab was negative, can we remove the Contact precautions?
No.
True OR False
Moment 4 can count as Moment 1, if I am travelling between patients.
Do I have to wash my hands twice between patients?
True, if you are doing HH after patient environment contact, as you are walking in to see a new patient you do not have to do HH again, as long as you've onot touched anything.
My patient has come from an influenza outbreak unit.
Should I place my patient on droplet/contact precautions and notify IPAC?
While working in ED, patient presents with fever and advanced leg infection (red, hot, swollen, purulent discharge), what precautions should be initiated?
Droplet Contact (suspect group A strep infection)
True OR False
A risk assessment only needs to be done once per patient, every shift.
FALSE. A risk assessment should be done before each interaction with each patient as their condition can change quickly.
Which ARO should I test for if my patient has received healthcare outside of Canada within the last year?
CPE (Carbapenemase-Producing Enterobacteriaceae)
True or False
I should do HH before preparing medications for a patient?
True this is considered an aseptic procedure. Moment 3
My patient has developed a fever, cough and sore throat.
Should I place my patient on droplet/contact precautions, send a quadplex as per medical directive ED-00031 and notify IPAC?