Hand Hygiene
Transmission
Care Bundles
HAI's
MDRO's/Other
100
15-20 seconds
What is the recommended amount of time to wash your hands.
100
Hand hygiene.
What is the #1 way to prevent transmission and healthcare associated infections (HAI's).
100
Hand hygiene before insertion Maximum barrier (full sterile drape) for patient; Sterile gown, gloves, mask for provider and mask for anyone in the room; Optimal site selection - avoid femorals/subclavian preferred and document as part of the time out.
What is the central line insertion bundle.
100
True or False Each of us has the ability prevent an healthcare associated infection by using best practices.
What is true!
100
A gram positive organism that can cause serious skin and soft tissue infections as well as bloodstream, UTI, and pneumonia. May be community or healthcare acquired and can colonize the skin, throat, nose sometimes colon and requires contact isolation precautions.
What is MRSA
200
Before touching a patient Before clean/aseptic procedure After body fluid exposure After touching a patient After touching a patients surroundings
What are the 5 moments of hand hygiene (WHO).
200
Contact, Contact-Enteric, Droplet, and Airborne
What are transmission based precautions.
200
Hand hygiene first. Asceptic technique with insertion. Use securement device. Routine soap and water peri care. Keep bag below the level of the bladder, no loops. Get it out as soon as possible.
What is the catheter associated UTI (CAUTI) prevention bundle.
200
True or False Most healthcare associated infections are preventable.
What is true.
200
A gram positive organism that causes serious infections usually of wounds, blood, urine and surgical sites. People can be carriers of this bacteria in their colon. It is resistant to vancomycin. Can live on surfaces in the environment for months and requires contact isolation.
What is VRE
300
If hands are visibly soiled. Before eating. After using the restroom. After caring for a patient with C-difficile.
What is when soap and water hand hygiene is necessary.
300
Gown, gloves and faceshield (goggles and mask) if at risk for exposure to blood or body fluids.
What are standard precautions
300
Incoroporates the elements of (SCIP)- The right pre-op antibiotic within 1 hour of incision. No razors - use clippers. Blood glucose management POD 1 and 2 Get foley catheters out by POD 1 or 2 and remember a pre-operative bath!
What is the surgical site infection (SSI) prevention bundle.
300
Healthcare associated infections are publicly reportable and affect reimbursement.
What is true.
300
A gram negative resistant organism that can cause serious infections in patients and is capable of sharing it's resistant properties with other organisms. Some of these are resistant to all antibiotics currently available!! Requires contact isolation precautions!
What is ESBL or Extended Spectrum Beta Lactamase
400
Observations of hand hygiene practices without your knowing.
What is ghost monitoring or hand hygiene surveillance!
400
Hepatitis B, Influenza, Tdap.
What are vaccinations offered to employees to reduce the risk of transmission.
400
HOB elevation at least 30 degrees. Daily sedation vacation PUD prophylaxis. VTE prophylaxis and Oral care Q2-Q4 hours
What is the ventilator associated pneumonia (VAP) prevention bundle.
400
Encourage them to speak up when staff don't wash their hands. Educate about infection prevention practices including hand hygiene and personal hygiene. If applicable, educating regarding MDRO's.
What are ways we can make patients and families our HAI prevention partners.
400
Usually associated with antibiotic use. May be associated with PPI use. Has a spore state and a vegetative state. Soap and water for hand hygiene. Bleach used for environmental cleaning. Requires Contact-Enteric precautions!!
What is Clostridium difficile or C-diff.
500
Please take a moment to clean your hands first, we are doing our best to prevent infections.
What is an appropriate response when you see someone not washing their hands.
500
If you have this highly infectious gastrointestinal virus you must not return to work for at least 48 hours after symptom resolution to prevent transmitting to others.
What is Norovirus.
500
Wash hands before touching. 'Scrub the hub' with alcohol prior to EVERY access. Asceptic technique, including a mask for dressing changes. Keep clean/dry, date and time. Assess daily for s/s infection and DC ASAP!!!
What is the central line maintenance bundle.
500
Information about infection prevention and control policies and procedures, Influenza, MDRO's and more.
What is available on the EHC and Saint Josephs intranet and the units Infection Prevention notebook.
500
Initiate appropriate isolation (sign, supplies, sticker for chart cover). Notify physician and ensure order for isolation in powerchart (may use protocol). Educate patient/family and document in powerchart.
What is the responsiblity of the RN who is 1st notified a patient is MDRO or C-diff positive.
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