C. diff
True or False: A positive C. diff result from a specimen collected on an inpatient's hospital day 3 is considered community-onset (CO).
What is True
True or False: If the CONDIV HCA Blood culture raven workflow is completed 100% accurately and terminates in a green box that directs the RN to collect and send the culture, we can safely assume that CLABSI criteria will not be met.
What is False
A patient develops an intra-abdominal abscess following a colon surgery. The infection is located beyond the fascial and muscle layers and involves the abdominal cavity. What type of SSI is this?
What is organ space?
What NHSN defined phrase is incorrectly used by CONDIV to describe community onset C. diff infections?
What is POA (present on admission)
What is the number one way to prevent hospital associated infections?
What is hand hygiene
Which of the following is considered a contraindication to testing an inpatient after hospital day 4 for C. diff?
Receiving lactulose
Planned discharge to SNF
Decreased appetite
Receiving a proton pump inhibitor
What is receiving lactulose
A primary BSI with E. coli is identified POA. Any additional positive blood cultures collected within the following _____ days following can be attributed to the POA infection, regardless of the subsequent organism(s) identified.
What is 14
To qualify as a Deep Incisional SSI, the infection must involve which layers of human tissue?
What is muscle/fascia?
How many hours of effective treatment needs to be completed prior to discontinuing contact precautions for an active MRSA infection (in addition to achieving source control)?
What is 72
According to the World Health Organization, how many defined moments for hand hygiene are there within a patient care area?
What is 5
Per HCA CONDIV process, there is a hard stop to test if the patient has had a toxin positive C. diff test within the last ____ days.
What is 30 days.
True or False: Staphylococcus capitis and Staphylococcus epidermidis are considered matching organisms because they are both types of Coagulase Negative Staphylococcus
What is false
The specific surveillance period required for an NHSN procedure involving BRST or HPRO if a Deep SSI is suspected
What is 90 days?
What organism do we implement contact precautions for that is not necessarily indicated or supported by CDC's Appendix A?
What is Stenotrophomonas maltophilia
A patient with a foley in place for 10 days has it removed on 4/10/26. Urine cultures are collected on 4/12/26 and grow >100k E. coli. You have not reviewed the chart yet, so this is the only information available to you.
Yes or No: Is there any possible scenario where this could result in a CAUTI?
What is yes
If there is a documented sx before 4/12/26 (i.e. CVA pain)
A patient does not meet ticket to test criteria due to having recently started tube feeds, but the ordering provider still has concerns about the change in stool consistency. What 2 pieces of information from the patient chart can be compared to help determine whether or not the change in stooling is d/t tube feeds alone?
Hint: The T2T directs you to evaluate this if answering "yes" to recently receiving tube feeds.
What is stool output volume and tube feed volume.
In lieu of site-specific cultures with a matching organism, name another element from the patient chart that can be used as evidence of secondary BSI.
What is:
Abscess or other evidence on gross or histo exam
Imaging definitive or equivocal for infection
Site-specific s/s as determined by NHSN
Etc.
A patient has a recognized pathogen identified from one or more blood cultures. There are no symptoms or signs required for the definition, and the organism is not considered a common commensal. Does this meet LCBI 1
yes
What is the maximum number of hospital-onset C. diff infections are we "allowed" to have in one calendar year at South Campus and still meet the 75th percentile SIR goal?
What is 4
To ambulate a contact plus patient in the hallway, you will use a minimum of ______ pair(s) of gloves following our ambulation process correctly.
Start from seeing the order on your computer to returning to the nurse's station after the patient has ambulated and been returned to their room.
Assume best case scenario (patient did not just have an incontinent episode of stool requiring clean up prior to ambulation, no specialty equipment needed for ambulation, etc.).
What is 2 pairs
1 pair to go into the room to prep the patient (clean gown & hand washing); doff & perform hand hygiene prior to exiting room & ambulation
1 pair upon returning to the patient room with patient after ambulation is complete; doff & perform hand hygiene prior to exiting room
For a CLABSI to occur, there must be both an eligible bloodstream infection AND an eligible central line. Which of the following is NOT an example that would meet one of these criteria?
CVC on a patient with 3 days of ECMO
Enterococcus faecalis isolated from one bottle
A PICC that has migrated from it's original central location
Chemo infusion through a port 3 days ago
What is CVC with ECMO
One of these clinical findings is EXCLUDED from being reported as a Superficial Incisional SSI, even if it occurs at the incision site within 30 days: Localized swelling, positive culture, purulent drainage, stitch abscess
What is stitch abscess?