Patient Care From Here to There
What is the first thing to do prior to entering any patient's room?
Perform Hand Hygiene
What 2 things must every coworker do prior to entering a patient's room when the patient is on airborne precautions?
Perform hand hygiene and don proper PPE
What should be posted on all procedure room doors? (You may use items on the table)
Airborne Precautions Signs
What items on the table are used to transport a patient back to their care area while protecting others from airborne pathogen exposure?
A surgical mask or towel to cover their airway, nose and mouth or a hepa filter equipped bag-valve mask for ventilated patients.
Your patient has Chicken Pox. Use the tools on the table to select the sign on the table that should be posted on the patient's door?
Airborne Precautions
Using the items on the table, which of these are required for the healthcare worker to wear when patient is on airborne precautions? Bonus question- what items may also be used but are not present at this station?
N 95 mask, gown, gloves, eye protection
Bonus-PAPR or Respirator
Name 2 ways to minimize the opening and closing of the procedure room door when patient is in the room.
Only open for receipt of supplies, have a designated coworker ready to bring extra supplies to room door, minimize change of staff, and reduce staff in room to only those needed for the procedure,.
What PPE should be worn by coworkers to clean a procedural room after the patient exits the room?
Follow guidelines. Room should remain closed to allow for airhandler, hepa filter and UV light to "clean" the air for designated amount of time. Then gloves and eye protection should be worn to clean the room with appropriate cleaners.
Using items on the table, itedentify which should be used to transport a patient on airborne precautions to the procedural area?
Surgical mask or towel/blanket/sheet to cover patient's airway, nose and mouth. If the patient is intubated, a bag-valve mask with hepa filter must be used for transport.
Have a team member don PPE in the proper order
Mask, eyeware, gown, gloves
How long after patient is intubated must the door remain closed?
15 min for procedure rooms and 20 minutes for ORs
Name 3 illnesses that require airborne precautions.
Covid, measles, chicken pox, shingles, TB
What should hospital personnel do immediately after placing PPE on their patient?
Perform Hand hygiene.
What check should be performed each time an N-95 mask is worn?
Self-seal check.
Who should be in the room during intubation and extubation to decrease the risk of exposure to airborne pathogens?
Anesthesia and an RN, but limit anyone else not needed.
If a coworker is unsure of what precautions are necesary for a disease or illness, where could they find the information?
There is a policy title "Catalog of Infectious Agents and Diseases", go to Infection Prevention SharePoint Page, call Infection Prevention, or look at the chart IP provides.
Name the only place a patient on airborne precautions can recover after anesthesia/a procedure.
An appropriate isolation room, which is any negative pressure room, to include the OR.
Help your team member doff their contaminated PPE in the proper order
Pull gown at waist to break rear ties, grasp at shoulders and roll gown to fold in on itself, remove gloves with gown and without contaminating self, perform hand hygiene, remove eyeware and perform hand hygiene. Remove mask. Perform hand hygiene.
https://lms.healthcaresource.com/Learnmod/Parkview/Covid04042020/Doffing04022020.mp4 View this link for questions
When/where should the patient be extubated when on airborne precautions?
In the OR or another airborne isolation (negative pressure) room.
What type of hand hygiene must be performed when caring for a patient on airborne precautions...hand sanitizer or soap and water?
Hand sanitizer and soap/water if visibly soiled.