ISOLATIONS
This is the preferred method for hand hygiene after seeing a patient on Contact Plus Precautions.
What is soap and water?
This is the number one way to prevent the spread of nosocomial (hospital acquired) infections.
What is Hand Hygiene.
A preventable infection picked up in a hospital setting.
What is a nosocomial infection?
What is a healthcare associated infection?
AMS is
Antimicrobial (Antibiotic) Stewardship
This infectious disorder often requires that 2-3 antibiotics be given to the patient within 1-3 hours of recognition
What is sepsis?
The difference between modified contact and contact precautions are:
1. Gloves and gown are only required if prolonged close contact with the patient
2. Hx of MRSA and VRE within 1 year and MRSA nares
True of False: Gloves are a substitute for hand hygiene and you do not need to decontaminate your hands after wearing gloves?
What is False?
According to the CDC, secretions, excretions, GI tract, Respiratory tract, Urinary Tract, Non-intact skins are examples of which 2 elements of the "chain of infection"?
What is portals of exit and entry
Assuming NKDA, this is the preferred antibiotic of choice for the treatment of uncomplicated cystitis with confirmed ESBL-E sensitivity as per IDSA recommendations.
Bactrim
This consists of Blood Cultures, Lactic Acids, Antibiotics, Saline Bolus and Time.
What is Sepsis Bundle Treatment
Type of precautions used for a patient with active TB, chicken pox, or disseminated shingles?
What is airborne precautions?
A sani-wipe contact time refers to?
What is the time the item have to remain wet for the disinfectant to work properly?
65 y/o patient with COPD and lung cancer with port for chemo, presented with fever and increased shortness of breath.
Admitted and started on antibiotics and steroids. Had elevated wbc which got worse attributed to steroids.
4 days after admission had increasing abdominal pain and distention followed by hypotension, tachycardia and altered mental status.
No fever, WBC stays elevated. Among other workup should you order blood cultures?
Cephalosporins are not recommended for the treatment of this organism and its genus
What is Enteroccocus Faecalis?
What is Severe Sepsis?
MRSA is spread thru ____ and requires ______ precautions if anything other than MRSA nares positive.
What is contact and contact.
CDC recommends washing your hands with soap and water for at minimum ____ when hands are visibly dirty, before eating, after using the restroom, and after caring for people with infectious diarrhea.
What is 20 seconds.
Based on the IDSA guidelines, 3 ____ should be performed in persons suspected of having pulmonary TB?
What is AFB Smears?
65 year old female admitted for CAP with concerns for aspirations. Patient has NKDA, is normal functioning and no hospital admission in past 90 days and no MDR risk factors. This is an acceptable course of antibiotics.
What is A and C?
Sepsis with Lactic Acid ≥ 4
OR
Sepsis with PERSISTENT Hypotension
Septic Shock
True or False: Hand hygiene upon exit counts as hand hygiene upon entry as long as the healthcare worker does not touch anything in-between.
What is True?
The CDC recommends the collection of _ sputum specimens for rule out pulmonary TB _ to _ hrs apart with 1 specimen collected early morning.
What is 3 and 8 to 24 hours?
Pt has 2 of 2 blood cultures growing MRSE. This following is not a recommended option.
What is repeating blood cultures in the next 48-72 hours?
My patient has vitals that fall into the categories below:
SIRS (HR >90, RR>20, Temp <36 or >38.3, WBCs < 4 or >12)
+
Suspected or Confirmed Infection
What is Sepsis?