Hand Hygiene
“I just came out of an isolation room but did not touch the patient or bed. Do I need to complete hand hygiene?” Why?
Yes. When entering or exiting a patient's environment, it is required to complete hand hygiene.
“I am just going into the patient’s room on contact precautions just to hand the patient their phone that they cannot reach. Do I need to put on a gown?”
Yes. Regardless of the activity that is being completed in the patient's room, once you enter an isolation room, you need to wear all proper PPE.
What personal PPE is acceptable while working in RRMC?
None. You must only use approved RHS PPE.
I can use the patient's personal soaps and lotions on my total care patient? Yes/No Why?
No, per RHS policy. Only should use approved products. (bath in a bag, etc.)
Are there times when an alcohol-based hand rub is not the right choice?
Yes. Soap and water are necessary when hands are visibly soiled. Also when you have cared for a C-Diff patient.
Artificial nails that are kept short are acceptable?
No per RHS policy.
When caring for a patient with MRSA, what should the CNA wear when entering the room?
Gown and gloves
What PPE should be worn when entering a patient’s room who is on contact precautions? Droplet? Airborne?
Contact - gown, gloves
Droplet - mask
Airborne - respirator
How many times can a bedpan be used before disposal?
It is important for the patient's wound dressing to remain loose to receive fresh air? True or False?
False - Dressings should always remain intact to the area. The dressing should also stay clean and dry. If you notice redness, inflammation, a damp dressing, or the dressing falling off. Notify the nurse.
Are gloves a substitution for hand hygiene?
No. You must complete hand hygiene before and after gloves are used.
Name three types of isolation precautions.
Droplet
Contact
Contact/Enteric
Airborne
If a PUI or positive COVID patient needs to go for an X-ray, what is the process for transportation?
Place a mask on the patient with a clean sheet over the patient. The transporter will wear respirator, gown, and gloves.
How often is periurethral care completed?
Once a day and PRN with stool incontinence.
The patient has had all normal temperatures during their stay. When you take their temperature it is 101.8. What are your next actions?
Repeat temperature in 15 minutes. Was the patient drinking coffee?
How should hand hygiene be completed after caring for a C-diff patient?
Soap and water
What color bag should you place the linens in for a patient with bedbugs? What do you do with the patient’s belongings?
Yellow bag for linens. Double bag patient items in clear patient bags and goose neck tie the bag. Give to family members to take home.
How many times can an isolation gown be used before disposal?
Once. Obtain a new gown every time you enter the patient's room.
Can I perform the nasal and skin decolonization if the nurse asked me to do so?
Yes. CNAs are allowed to complete this on any patient who requires decolonization.
Should I be educating the patient on hand hygiene? Yes or no? If yes, what is your process?
Yes. Before eating, after using the restroom, before leaving the unit, when coming back from the unit. Saniwipes are available if the patient is not able to use soap and water in the bathroom.
Who can record hand hygiene observations on the intranet? Can you explain the process?
Everyone.
What cleaning product should be used in all C-Diff rooms?
Bleach
Once fitted for a respirator on hire, you do not need to be fit tested for any other brand. The size is always the same?
No. You need be fitted every time the respirator brand changes.
When can basins be used? Where can they be stored?
Basins should not be used regularly for bathing. They should only be used if patient's request them for self-care bathing. They should be disposed of after every use and not stored.
When washing your hands, when should the soap be added to your hands?
After wetting your hands.