True or False: An open cup of coffee is allowed, and encouraged, at your desk when you are charting.
FALSE. No eating or drinking in clinical areas.
100
The three types of Transmission Based Precautions used here at PHCMC
Contact, droplet, airborne
100
This is the number one way to prevent the spread of healthcare-associated (HAI)
Hand Hygiene
100
True or False: All admissions are screened for MRSA here at PHCMC.
FALSE. If they have a history of MRSA, they do not need to be rescreened.
100
Two of the bundles we practice here at PHCMC.
CAUTI, VAP, CLABSI, SSI
200
True or False: Computer keyboards and telephones have more germs on them than public toilets.
TRUE.
200
What PPE must be worn to enter a patients room in "Contact" Precautions?
Gown and gloves
200
The length of time you must lather your hands with soap
15-20 seconds
200
Three MDRO’s for which patients are often isolated for at PHCMC.
MRSA, VRE, ACB, ESBL, CRE (Cdiff)
200
Three out of the five elements of the VAP bundle.
-Elevation of the head of the bed
-Daily "Sedation Wake Up" and Assessment for Readiness to Extubate
-Peptic Ulcer Disease Prophylaxis
-Deep Venous Thrombosis Prophylaxis
-CHG oral rinse q 12hrs
What PPE must be worn to enter a patients room in "Droplet" precautions:
A mask
300
Two types of artificial nails not allowed for direct caregivers at PHCMC.
Gel and shellac nails
300
Three reasons why a patient with MRSA is placed into Contact Isolation.
Central line, tubes/drains, open wounds, infection
300
Three out of the five elements of the CLABSI bundle.
- Hand hygiene
- Maximal sterile barriers
- Chlorhexidine skin antisepsis
- Optimal catheter site selection, with avoidance of the femoral vein for central venous access in adult patients
- Daily review of line necessity with prompt removal of unnecessary lines
400
Two resources for Infection Prevention patient education materials.
CDC FAQ’s, Micromedix, Internet
400
Three elements of Standard Precautions
Hand hygiene, PPE with potential exposure, respiratory etiquette, cleaning equipment, employee health
400
Name two instances when you cannot use alcohol based hand sanitizer to clean your hands?
When visibly contaminated or when caring for a patient with Cdiff
400
True or False – A patient with a history of an MDRI is always placed on isolation here at PHCMC.
FALSE.
400
Three infection prevention strategies to teach a patient before undergoing surgery or placement of a central line
- Hand hygiene
- Make sure that healthcare provider cleans their hands before examining/touching you
- Make sure that no one tries to shave your surgical area (clippers should be used instead)
- If the bandage comes off or becomes wet or dirty, tell your nurse or doctor immediately.
- Inform your nurse or doctor if the area around your catheter is sore or red.
- Do not let family and friends who visit touch the catheter or the tubing.
- Make sure family and friends clean their hands with soap and water or an alcohol-based hand rub before and after visiting you.
500
The process for transporting a patient on Contact Isolation to Radiology
1. Transporter performs hand hygiene
2. Transporter applies PPE to assist patient to gurney
3. Wheels patient to doorway
4. Removes PPE and performs hand hygiene
5. Places clean sheet over patient
6. Uses disinfectant wipe to clean siderails
7. Performs hand hygiene
500
The correct technique for donning and doffing PPE
(Demonstration)
500
Our current compliance rate for hand hygiene here at PHCMC.
– 93% ( + or – 1%)
500
The amount of time a patient with Cdiff is kept on isolation.
Until there are no more symptoms, eg. Loose or diarrhea stools. Not based on a new Cdiff culture.
500
Three reasons for continuing use of a foley catheter
- Complex Critical Patient I & O
- Neurogenic bladder
- Urinary obstruction
- Urinary retention
- Palliative Care/Comfort Care
- Perineal wounds affected by incontinence
- Stage 3 or 4 sacralcoccyx decub
- Appropriate surgical procedures