Hand Hygiene & PPE
What are the 5 moments of hand hygiene?
1. Use of soap and water or alcohol-based sanitizer before pt contact
2. Before aseptic tasks
3.After body fluid exposure risk
4. After pt contact
5. After contact with pt surroundings, even if gloves were worn
DOUBLE JEOPARDY!
Perform the standard sequence for putting on PPE.
1. Hand hygiene
2. Gown
3. Mask
4. Eye Pro
5. Gloves
How long should antibiotics be given for open fractures?
Only 24 hours, re-dose with each debridement
What prophylaxis is given after suicide bomber blast injuries?
Verify Hep B immunity, give HBIG and vaccine if incomplete/unknown
What is the first step after a blood splash to the eyes?
Immediate irrigation, source testing, and follow post-exposure protocols
Can personal eyeglasses be used as eye protection?
No – use goggles or face shields
Which infection requires immediate contact precautions?
Clostridium difficile
How long should antibiotics be given for a penetrating brain injury?
5 days or until CSF leak is closed, whichever is longer
In a contaminated wound with unknown tetanus history, what is given?
Tdap + TIG (500 units)
How soon should HIV post-exposure prophylaxis be started after high-risk exposure?
BONUS- For how long?
Within 1–2 hours, no later than 72 hours.
28 days
When should gowns always be used?
When anticipating contact with blood, body fluids, open wounds, or mucous membranes
What daily intervention reduces MRSA and VRE in ICU patients?
Daily chlorhexidine (CHG) bathing
DOUBLE JEOPARDY!
Perform the correct sequence for taking off PPE!
1. Gloves
2. Gown
3. Hand hygeine
4. Eye Pro
5. Mask
6. Hand Hygiene
What is the risk of HIV transmission after blast injuries with bone fragments? High or Low?
Very low, but consult infectious disease if in a high prevalence area
DOUBLE JEOPARDY!!
Correctly perform putting on sterile gloves
Name two situations where masks protect the patient instead of the provider.
During sterile procedures such as surgery or line placement
U.S. personnel with ________ presenting with ________ should be assumed to have community-associated Methicillin- Resistant Staphylococcus Aureus (MRSA)
Skin and soft tissue infections presenting with abscesses or furuncles
What risk comes from prolonged prophylactic antibiotic courses?
Increased MDRO colonization/infection without improved outcomes
In what situations should Hepatitis C testing be performed after injury?
After penetrating blast injuries, test at time of injury, 2, 4, and 6 months
Where should you avoid using chlorhexidine antiseptic body cleaning wipes and solutions?
Avoid facial area, open wounds, and areas of 2nd and 3rd degree burned skin.