The Basics
Additional Precautions
Outbreak Management
Mystery
100
What is the #1 way to stop disease transmission?
Hand Hygiene!
100
What are the 3 types of additional precautions?
Airborne
Droplet
Contact
100
Thelma Nella (82F) has a new onset of cough, sore throat, and runny nose. What additional precautions would you put into place?
Droplet-Contact
100
True or False: When your hands are visibly soiled, it is best to use ABHR and water.
FALSE: Always use soap and water when hands are visibly soiled.
200
Name 4 moments of hand hygiene?
- Before initial patient/patient environment contact
- Before aseptic procedure
- After body fluid exposure risk
- After patient / patient environment contact
200
What type of mask is required for airborne precautions?
A fit-tested N95 respirator
200
Thelma Nella (82F) has a new onset of cough, sore throat, and runny nose. What tests would you complete and what requisition form would you use?
Respiratory Virus & COVID-19
PHO General Test Requisition
200
True or False: After applying gloves, you should use ABHR to ensure your gloves are clean.
FALSE: Do not use ABHR on gloves. If your gloves become soiled, change them!
300
When would you perform a personal risk assessment?
- Before any client interaction
- Before interacting with client’s environment
300
What PPE is required for Contact-Droplet additional precautions?
Gown
Gloves
Masks
Eye protection
300
Thelma Nella (82F) still has a cough, sore throat, and runny nose. Her RAT came back negative. Thelma’s roommate, Anne Thrax (88F), has now has developed a cough and fever. Could you declare a confirmed respiratory outbreak?
No. A confirmed outbreak is defined as
Two or more patient/resident cases of test-confirmed acute respiratory infections (ARI) with symptom onset within 48 hours and an epidemiological link (e.g. same unit/floor/service area) suggestive of transmission within the setting
OR
Three or more patient/resident cases of ARI with symptom onset within 48 hours and an epidemiological link suggestive of transmission within the setting.
Could be a suspect outbreak as it is defined as
Two patient/resident cases of ARI with symptom onset within 48 hours with an epidemiological link (e.g. same unit/floor/service area) suggestive of transmission in the setting.
300
What is the difference between routine precautions and standard precautions?
Routine practices are the standard. They are used with all individuals. Ex: hand hygiene and cleaning
Additional precautions (airborne, droplet, or contact precautions) are used for patients who are at higher risk of transmitting a specific infection.
400
What are the 3 things to consider when completing a personal risk assessment?
- Task (What do you need to do and what risks will be exposed to?)
- Status (What is the client’s mental and physical status?)
- Environment (What resources and risks are you dealing with?)
400
What is the correct order to don AND doff PPE?
Don - hand hygiene, gown, mask, eye protection, gloves.
Doff - gloves, gown, hand hygiene, eye protection, mask, hand hygiene
400
If you suspect a respiratory outbreak, is it reportable and who would you report it to?
Yes, suspected respiratory ARI outbreaks are reportable!
Contact the TBDHU Infectious Disease Public Health Nurse assigned to you or Thunder Bay Answering service (if after 430pm or weekends) or the IPAC Hub (based on the facility).
400
Name 2 AROs (Antibiotic Resistant Organisms).
Methicillin Resistant Staphylococcus aureus
Vancomycin Resistant Enterococci
Extended-Spectrum Beta-Lactamase
Carbapenemase-producing Enterobacteriaceae
Candida auris
500
What are the 6 links in the chain of infection?
Infectious Agent
Reservoir
Portal of Exit
Mode of Transmission
Portal of Entry
Susceptible Host
500
You need to stock a PPE station for a patient on Contact-Droplet Additional Precautions. What supplies would you include?
Hand sanitizer, cleaning/disinfecting wipes, masks, gowns, gloves, eye protection, proper signage, garbage
500
A suspect respiratory outbreak has been declared. What are 3 examples of IPAC and outbreak measures you would put into place? (i.e. outbreak signage at entrances)
There are so many! Here are some examples:
Place symptomatic residents in private rooms if able.
Encourage hand hygiene practices and have alcohol-based hand rub available.
Do not share equipment between residents if possible OR thoroughly clean and disinfect between use.
Cohort residents and staff whenever possible
Provide education to staff on routine practices, additional precautions, environmental cleaning and disinfection.
Increase frequency of cleaning and disinfection of high touch surfaces.
500
Name 3 ways you can break the chain of infection.
There are lots! Examples include
Hand hygiene, proper PPE use, proper environmental cleaning, vaccinations, staying home when sick.