Hand Hygiene
What is the 1st moment of hand hygiene
Before patient contact.
What is the correct order to don PPE?
Gown, mask/respirator, goggles/face shield, gloves.
The type of precautions in which gown and gloves are required if contact with the patient or patient environment is likely.
Contact Precautions.
True or False: Alcohol-based hand rub is less effective than soap and water.
False.
True or False: The 4 Moments of Hand Hygiene do not apply in settings where a patient is on isolation precautions.
False: The "four moments of hand hygiene" apply in all settings.
What is the preferred method of hand hygiene?
Alcohol Based Hand Rub (ABHR).
What is the correct order to doff PPE?
Gloves, gown, goggles/face shield, mask.
The type of mask required for Airborne and Airborne/Contact Precautions
N95 respirator.
True or False: You do not need to clean your vitals cart between patients unless they are on precautions.
False: Thorough cleaning is required followed by disinfection or sterilization as appropriate for all patients regardless of precautions.
What is the term for infections acquired while receiving care in a healthcare setting?
Healthcare-associated infections (HAIs).
An example of an indirect transmission of microorganisms is:
Spread from contaminated environmental surfaces.
When removing PPE, why is it important to remove gloves first?
Gloves are the most contaminated and pose the highest risk of transmission.
True or False: A surgical mask is sufficient facial protection for droplet precautions.
False: eyewear protection is also required.
What is the minimum time to rub hands with alcohol-based hand rub?
20 seconds.
Which of the following is the most effective method for preventing the spread of healthcare-associated infections (HAIs)?
A) Wearing an N95 mask
B) Proper hand hygiene
C) Wearing gloves
D) Cleaning surfaces with disinfectants
B) Proper hand hygiene.
When is it not recommended to use alcohol based hand rub (ABHR)?
When hands are visibly soiled and for infections involving spores (like C. difficile) or enteric viruses (like norovirus and rotavirus), soap and water is the preferred method for hand hygiene because the spores are not effectively removed by alcohol-based sanitizers.
Why is the mask or respirator removed last?
To minimize exposure to the healthcare provider.
What are the 3 main routes that organisms transmit through?
Contact, Droplet and Airborne.
True or False: You must wear gloves when preparing medication in the med room.
False: You will perform a PCRA and decide if gloves are required on a case-by-case basis.
If a nurse accidentally touches their face (eyes, nose, mouth) while wearing gloves, what should they do next?
They should immediately remove their gloves, perform hand hygiene, and don a new pair of gloves before continuing any care activities.
Name all 4 moments of hand hygiene in the correct order
1. Before Patient Contact 2. Before an Aseptic Task 3. After Body Fluid Exposure Risk 4. After Patient Contact.
During the doffing process, how should you safely remove a contaminated gown?
To safely remove a contaminated gown and minimize aerosolization, the gown should be untied or unfastened without snapping or shaking it, then carefully folded or rolled inward with the contaminated side folded inside to contain pathogens.
A patient is admitted with norovirus. What type of signage is required?
Contact + Precautions- orange sign. (clean hands with soap + water, dedicated toileting facilities required, sporicidal agent to clean supplies and env. services to clean room twice daily with a sporicidal agent.)
Why is overuse of gloves discouraged?
It leads to decreased hand hygiene compliance and may increase cross-contamination.
Name two common multidrug-resistant organisms that IPAC focuses on controlling.
MRSA and VRE (Vancomycin-resistant Enterococci).