PPE & Precautions
Type of isolation a patient with confirmed or suspected C. Diff infection is placed in
What is special contact isolation
T/F - it is ok to use the hand sanitizer upon exiting a special contact room
What is false
T/F - The patient can't take oral medications, it is ok to change the PO medications for treatment of C. Diff to IV because there is no reason not to
What is false - PO medications are an integral part of the treatment plan for C. Diff infections
Dietary should take what precautions for patients in special contact isolation
What is deliver meals with styrofoam trays. (Serve all meals on disposable plates, cups, silver ware and trays)
**Dietary personnel do not enter isolation rooms**
Following the ___ loose/watery stool in 24 hours the nurse may initiate the protocol for CDI testing.
What is the third
PPE required when caring for a patient with known or suspected CDI (Clostridium difficile infection)
What is gown & gloves?
T/F - Your patient just had the first loose stool since admission and you think it smells "c-diffy", it is ok to test per protocol because you used your nursing judgment.
What is NO! FALSE!
_____ is the single most important intervention in preventing the spread of C. Diff
What is hand-washing
Housekeepers should take what precaution and use what product when cleaning a special contact room.
What is gown, gloves, mask, and bleach.
Before deciding to initiate the nurse driven protocol for C. Diff testing, it is important to determine if the patient has received ____, ____, or ____
What is stool softeners, gastric motility agents, or laxatives.
T/F - a yellow isolation gown and gloves should be worn by staff while transporting a patient in special contact isolation to a different department
What is False
T/F - You can't hear anything in those silly Fisher-Price stethoscopes so it is ok to use your own in a special contact room
What is FALSE!
Two common medications used to treat C. Diff
What is Vancomycin and Flagyl
Laundry and trash need to be ______ before leaving the room
What is double bagged
The action a nurse should take after determining the patient meets criteria for the nurse driven CDI testing protocol
What is place patient in special contact precautions
(sign on the door, order in EPIC, and select special contact isolation "initiated" under daily cares/hygiene tab in EPIC)
After placing a patient in special contact isolation, the nurse should place a ___ on the door
What is special contact isolation sign
T/F - It is ok to grab something from the hallway after entering a special contact isolation room as long as you haven't touched anything
What is False - You need to take off gown and gloves, wash hands with soap and water, grab what you forgot and the don proper PPE again.
Risk of recurrent C. Diff infections is up to __%, and the risk increases with each subsequent infection
What is 20%
Approved cleaning agent that will kill C diff spores
What are bleach wipes
After collection of the stool sample, the sample should be transported to lab as soon as possible because storage at room temperature ____ the sensitivity of some tests due to toxin inactivation.
What is decreases
Use of bleach is important in cleaning of a special contact isolation equipment because a spore can live on a hard surface for up to ___ months
What is 5 months
T/F - Current or recent antibiotic usage is one of the leading risk factors associated with C. Diff infections
What is True
Three important things to remember when transporting a patient off the unit who is in special contact precautions
What is wipe the bed down with bleach, place patient in clean gown, and notify receiving department of isolation precautions prior to transport
Contact (wet) time for bleach wipes
What is 4 minutes
The nurse should take what action if a patient is having loose stools after the 3rd day of admission
What is contact the doctor to discuss whether C. Diff testing is warranted for that patient.
**Must have an order if not within first 3 days**