Beyond Gel In/Gel Out
This is done upon entering and exiting a patient room especially when providing direct patient care.
What hand hygiene or gel in/gel out?
Caused by the same virus as chickenpox, its fluid-filled blisters are contagious to those who have never been exposed to or vaccinated against chickenpox.
What is shingles or varicella zoster virus?
This mite causes an itchy rash. The mite does not jump or fly and is transmitted by prolonged skin to skin contact.
What is scabies?
Contact precautions of gown and gloves? (booties and hair covers are not necessary)
This is the #1 way to prevent the spread of infection.
What is hand hygiene?
This skin antisepsis should be applied daily as treatment for ALL patients beginning at the jawline to ensure neck cleaning, and wiping over dressings, lines, and drains to 6” out.
What is chlorhexidine gluconate (CHG)?
*Possible exceptions are neonates/pediatrics
This is when you are required to wash your hands with soap and water instead of hand sanitizer.
What is when your hands are visibly soiled?
Your patient is being admitted from a SNF or LTACH, these are MDRO screenings you should order.
What is VRE, MRSA and C. auris?
You notice your patient has an undiagnosed rash. Your best plan of action would be to do this immediately.
What is implement contact isolation and notify the primary MD, Epi RN or ID consult.
This type of PPE would be required to enter a patient's room who is on COVID isolation.
What is an N95 mask or PAPR, eye protection, gown, and gloves. The door must remain closed.
N95 or PAPR for any patient, regardless of COVID, requiring an aerosol generating procedure
This prevention measure is taken when a medication vial cap is popped off in an effort to comply with CDC’s Standard Precautions Injection Safety.
What is using an alcohol wipe to wipe off the top?
This is the recommended time for washing your hands with soap and water.
What is at least 15 seconds?
The test result for C-diff comes back with the following result: PCR positive; toxin negative. This indicates:
What is, the patient is colonized with C-diff? (requires Contact Isolation for the duration of stay)
Double bagging clothes and belongings are the best way to control these little critters.
What are lice/bed bugs?
This person may place an isolation order when a patient requires transmission-based precautions for droplet, contact, contact plus, or airborne isolation.
Who is RN or MD?
These are the best practices for preventing Catheter Associated Urinary Tract Infection (CAUTI). Name 5 of 8.
What are:
1. Aseptic insertion
2. Daily assessment of need
3. Prompt foley removal. (Consider alternatives like PureWick, condom cath, etc.)
4. Stat lock device in place
5. No kinks in drainage tubing
6. Keeping the drainage bag off the floor
7. Meatal cleaning every shift and after stool
8. Emptying of bag when 2/3 full
Hand hygiene can be harsh on your hands, due to increased hand-washing and gelling. This is one way you can help to protect your hands from irritation and skin breakdown.
What is hospital- approved hand lotion?
These labs must be collected if your patient is being ruled-out for TB.
What is 3 AFB Sputum samples collected at least 8 hours apart, 1 of these samples collected between 0400 and 0900?
A patient's visitor reports an insect or bug in the patient's room. This action is taken to help identify the insect or bug.
What is capturing the insect or bug, placing it in a specimen cup, and calling the EVS supervisor to identify. The specimen should be taken to the lab for identification. DO NOT SQUISH! *confirm with micro
This type of isolation requires a gown and gloves whenever you enter the patient room.
What is Contact Plus isolation?
This is done to ensure a skin contaminant is not treated as a true blood stream infection.
What is collecting blood cultures from two different sites?
You are educating your alert and oriented patient on infection prevention methods so they can participate in hand hygiene. These are 3 instances where the patient should wash their hands.
What are
1. Before & after eating
2. After using the bathroom
3. Before leaving his/her room
Epidemiology calls to let you know your TB infected patient has been reported to LA County TB Control (GOTCHED). The nurse must confirm this first before the patient is discharged.
What is approval for discharge from TB Control?
A Quantiferon Gold + test, does not rule in TB, it only identifies exposure, not "active infection".
A condition that is very contagious due to the high burden of mites.
What is crusted scabies?
**Contact Plus is required. Notify Epidemiology.
Your patient meets the COVID-19 Recovered Criteria. This person places the COVID-Recovered order.
Who is the primary or Infectious Disease physician caring for the patient?
These are the best nursing practices for preventing Central Line Associated Blood Stream Infections (CLABSI). Name 5.
What are:
1. Assess necessity/advocate for removal
2. Cap change with each blood draw
3. Line flush (all lumens not in use to be flushed regularly)
4. Aseptic technique (dressing change q7 days if transparent, 48 hours if gauze and PRN).
5. Bathe with CHG daily
6. Scrub the hub or use Curos cap
7. Inspect the site