PPE
Which of the following are NOT part of standard precautions?
a) Wash hands or siztizer
b) Use PPE appropriate for exposure
c) Respiratory hygiene and cough etiquitte
d) Clean and disinfect patient rooms and equipment
e) All of the above
f0 None of the above
Answer: F
All of the options listed and part of standard precautions and should be completed for every patient every time.
True or False: Healthcare providers may need to wash their hands as many as 100 times per 12 hour shift.
True
What does MDRO stand for?
Multidrug Resistant Organism
What is contact or dwell time?
The amount of time disinfectant need to remain on a surface without being wiped away or dried to effectively kill germs.
What criteria must be met to justify a urine culture to be performed?
Mcgreers
What PPE is required for enhanced barrier precautions?
BONUS- 50 points- Which conditions/patients require EBP?
Gown and Gloves
Bonus- Catheters, chronic wounds, ostomy, trach, feeding tubes, targeted MDROs, any appliance that causes an opening to the body. (exception- peripheral lines)
You are about to place an IV into the arm of a patient. What is your first step?
a) Wash hands
b) Disinfect skin
c) Don PPE
d) Use hand sanitizer
Both A and D are correct.
Proper hand hygiene should be preformed before any other step.
Which patients are most at risk for MDRO?
Hint- there are 3 answers
Patients on ventilators
Patients with open wounds
Patients with indwelling devices
Whose job is it to clean and disinfect?
It is everyones job!
How often should a catheter be cleaned?
What order should you put on the following PPE? Gloves, Gown, Mask, Faceshield
Gown, Mask, Faceshield, Gloves
Give three examples of when to wash your hands rather than use hand sanitizer.
You must get all three correct to receive points.
1. When hands are visibly soiled
2. after caring for a patient with known or suspected infectious diarrhea.
3. After care of a known or suspected exposure to spores (c-diff)
Which EPA list has products approved to manage c-diff?
List K
How often should shared medical devices be disinfected?
Between each patient and when visibly soiled.
What are the three steps you should do after a needlestick?
Wash site with soap and water
Report incident to supervisor
Immediately seek medical treatment
How do you identify which residents are on transmission based precautions and which residents are on EBP?
TBP- Signage and cart outside door
EBP- Orange "egg" by name and caddy placed on back of door.
Define Hand Hygiene
Hand hygiene refers to properly washing your hands with soap and water or using alcohol-based hand sanitizer.
Who should be involved in antibotic stewardship?
a)Nursing
b) Providers
c) Residents/patients
d) Family members
e) All of the above
e) All of the above
True or False: You can dispose of liquid nutritional supplements in a patient's sink?
There are two reservoirs for germs, what are they
Body and enviromental
What are the differences between contact precautions and EBP?
Contact precautions require PPE at any entry to patient room or contact.
EBP require the use of gown and gloves only during high contact cares and do not restrict patients to their rooms.
Related to using gloves, When should you use hand sanitizer or wash your hands?
Before you reach into the glove box, before donning gloves, and after removing gloves.
Name the targeted MDRO's
Hint- There are 4.
Candida Auris
Carbapenum-resitant Acinetobacter
Carbapenum-resistant Enterbacterales
Carbapenem-resistant Pseudomonas
How do you know which disinfectant is appropriate for use on medical equipment?
Check the product label and manufacturer's instruction
How many surfaces on average do nurses touch in a 12 hour shift?
912