Enhanced Barrier or
Contact Precautions
This precaution requires staff to put on PPE before entering the individual’s room.
What are Contact Precautions?
High-contact care activities have been demonstrated to result in the transfer of _____________ to the hands and clothing of healthcare personnel, even if blood and bodily fluid exposure is not anticipated.
What are multidrug-resistant organisms or MDROs?
Job-specific education and training with competency verification by knowledge-based testing and direct observation of techniques.
What is competency-based training or competency assessment?
This essential step occurs before disinfection and involves removing visible dirt, dust, spills, and organic material like blood from surfaces.
What is cleaning?
This simple practice is the first line of defense against germs and combats the spread of disease.
What is Hand hygiene?
This precaution allows entry to the room but requires staff to don PPE for all high-contact care activities for an individual colonized with a multidrug-resistant organism.
What are Enhanced Barrier Precautions?
This treatment is an indication for Enhanced Barrier Precautions. It is for chronic skin openings requiring a dressing and the use of a gown and gloves.
What is wound care?
This type of healthcare setting is the only setting where Enhanced Barrier Precautions are currently recommended.
What are nursing homes?
The length of time a surface must remain wet to effectively kill germs.
What is contact time?
The minimum expected amount of time spent lathering your hands during handwashing.
What is 20 seconds?
This precaution is not time-limited and is intended for the duration of a stay in a nursing home.
What are Enhanced Barrier Precautions?
Effective implementation of Enhanced Barrier Precautions requires staff training and the availability of these three things at the point of care.
What are gloves, gowns, and alcohol-based hand rub (or hand hygiene resources)?
This pathogen, known for liquid stools, requires Contact Precautions upon suspicion and the use of an EPA-registered disinfectant from List K. Not the implementation of Enhanced Barrier Precautions.
What is C. difficile?
Equipment used for more than one individual, such as lifts, pulse oximeters, and gait belts, should be thoroughly _________ and _________ after each use with a hospital-grade disinfectant effective against the pathogen(s) of concern.
What is cleaned and disinfected?
The three areas that are most often missed when using alcohol-based hand rub.
What are the thumbs, fingertips, and in between the fingers?
This precaution recommends a private room and dedicated equipment and limits movement throughout the facility to medically necessary care.
What are Contact Precautions?
This surgically created opening in an organ to the outside of the body is commonly mistaken as an indication for Enhanced Barrier Precautions.
What is an ostomy?
This is the duration of Enhanced Barrier Precautions for an individual with a history of Candida auris colonization or infection.
What is the entire length of their stay?
A technique used to minimize cross-contamination and define a systematic order for the cleaning process of the healthcare environment. One example is working high to low, the other is this.
What is clean to dirty?
While hand hygiene should be practiced before using PPE, this form of PPE is often used in place of hand hygiene.
What are gloves?
This precaution does not restrict individuals to their room and is usually a long-term intervention.
What are Enhanced Barrier Precautions?
Medical devices that provide a direct pathway for pathogens in the environment to enter the body and cause infection. Examples include central vascular catheters, indwelling urinary catheters, feeding tubes, and tracheostomy tubes.
What is an indwelling medical device or indwelling device?
Enhanced Barrier Precautions apply when Contact Precautions do not otherwise apply to individuals with either of these four circumstances:
What are (1) wound, (2) indwelling medical device, (3) MDRO colonization, or (4) MDRO infection?
Routine cleaning occurs while an individual is admitted to the healthcare facility, whereas this type of cleaning occurs upon discharge, transfer, at routine intervals, or upon discontinuation of transmission-based precautions.
What is terminal cleaning (or historically referred to as carbolization – the practice of disinfecting with carbolic acid)?
True or False: There are restrictions on how many times you can apply alcohol-based hand rub.
What is false?