Transmission Precautions/PPE
True or False: Gloves are a substitute for hand hygiene and you do not need to decontaminate your hands after wearing gloves?
What is: False
If a patient has c'difficile, how do you decontaminate your hands?
What is: You must use soap and water, NOT alcohol hand sanitizer
What cleaning agent must be used if a patient has C'DIFF
What is : BLEACH
How often do I change a central line dressing?
What is: Every 7 days and prn
Name at least three types of patients that should receive daily CHG bathing.
What is: Patients with
Central lines
Patients admitted to critical care
Pre-surgical patients
A patient presents to the Emergency Department with a cough and fever. A ______________ should be placed on the patient and worn by the healthcare workers.
What is: A facemask. Facemasks help prevent transmission of respiratory illnesses.
True or false: I provided my patient with a cup of water and raised the head of the bed only. I do not need to perform hand hygiene when I exit the room because I did not touch the patient.
What is: False
Define Contact Time for disinfection wipes.
What is: The time a surface must remain wet to kill microorganisms
I use _____ to prep the skin with a scrub time of _____ seconds during a central line dressing change.
What is: CHG and 30 seconds
True or False: We should limit patient transport for anyone in isolation precautions.
What is: True
Your patient has an open and draining infected wound. You have cultured the wound. _______ precautions should be initiated while cultures are pending.
What is: Contact precautions.
While in a patient room, I witness another nurse walk in the room without performing hand hygiene. ______ is the code word I should use to remind them to clean their hands.
What is: Floyd Five
You need to use the bladder scanner on your patient. When should it be cleaned and disinfected?
What is: Before and after use
Explain the acute urinary retention algorithm.
What is: Patient retaining 500 mls or is symptomatic-perform in and out catheterization. Wait 4-6 hours- if no void- repeat bladder scan (after disinfecting) and in and out catheterization.
True or False: Dust carries harmful bacteria, mold and spores that can harm my patients.
What is: True
Scabbed over shingles requires _____ precautions.
Active localized shingles requires _____ precautions.
Disseminated shingles (Herpes Zoster) requires ____ precaution.
What is: Standard, Contact and Contact/Airborne precautions.
Your patient needs a Foley catheter. Name the four hand hygiene opportunities surrounding Foley catheter insertion.
What is:
Entering the room
After perineal care
Before donning sterile gloves
Upon completion of procedure
The doctor has just finished using sterile instruments for a procedure on my patient. How should I transfer the dirty instruments to the dirty utility room?
What is: Place all instruments in a puncture proof biohazard labeled container.
True or False: I must have a providers order to remove a Foley catheter that no longer meets indication?
What is: False. BH Floyd has a nurse driven removal protocol.
My patient has an infected wound and is in contact precautions. What do I do before PT walks them in the hallway?
What is: Ensure the wound is covered dressed appropriately and the patient has on a clean gown prior to leaving the room.
Prior to entering an Airborne Isolation room I must perform a _____ _____ with my N-95 respirator.
What is: Seal check
True or False: I just entered my patients room to hang a new IV medication. I performed hand hygiene and put on clean gloves. I found the patient in EPIC and scanned the medication and patients armband. I don't need to perform hand hygiene before hanging the new medication because I did it when I entered the room.
What is: False - You should always perform hand hygiene between dirty and clean tasks.
My patient can get a blood stream infection if I do not scrub the hub for ____ seconds with alcohol before accessing the line.
What is: 15 seconds
Why do we use Bio-patches around our central line insertion sites?
What is: Bio-patches are impregnated with CHG which kills and prevents the growth of bacteria up to seven days.
If the skin is not adequately cleansed before drawing blood cultures, bacteria on the skin will be injected into the bottle, producing a false-positive. To prevent this I should always use _____ prep on the site for a FULL ___ seconds and allow the site to completely ____ before performing venipuncture.
What is:
CHG
30
dry