Hand Hygiene
What is the preferred method of hand hygiene for situations such as:
when hands are visibly soiled, after known or suspected exposure to Clostridiodes difficile, facility is experiencing an outbreak, after know or suspected exposure to residents with infectious diarrhea during norovirus outbreak, after personal use of the restroom, and before handling or eating food
What is handwashing using soap and water as the preferred method
Source control measures including hand hygiene, maintaining physical distance from individuals with respiratory infections, education of staff, residents and visitors, and visual alerts with instructions to residents and visitors
What are elements of respiratory hygiene and cough etiquette?
Must be a CNA to take the CMA course
What is an AL care giver?
Appendix B, Mini-mental assessment, elopement assessment, mobility assessment
What assessments are done during care plan discovery/pre-move in?
Ranges of percentage of alcohol concentration for ABHR are most effective?
60-95%
Wearing a facemask during symptoms of respiratory infection, covering the mouth and nose with a tissue when coughing or sneezing, coughing into the elbow or upper arm instead of hands, discarding used tissues in the nearest waste container, and performing hand hygiene after contact with respiratory secretions or contaminated objects
What are source control measures?
Is done by LEC when a new resident moves in
What is the "Getting to Know Me" and social history form?
PPOC
What document must every resident have prior to Move In?
Two methods of hand hygiene
ABHR and Handwashing
Pneumococcal conjugate (Prevnar 13) and Pneumococcal polysaccharide vaccine (Pneumovax 23)
are two types of pneumococcal vaccines that are administered at what intervals?
What is at least one year interval recommended for all adults 65 or older.
Must be a safety device when administering medications to residents
What are safety needles and lancet?
Initial, upon admission, 30 days and quarterly or sooner if significant change occurs.
What is assessment/NSP?
Before touching a resident, before clean or aseptic procedure, after body fluid exposure risk, after touching a resident, and after touching a residents' surrounding
what is the WHO 5 moments of hand hygiene
Receiving pneumococcal vaccine, incorporating daily oral hygiene into resident care, and positioning residents upright when assisting them with meals
What are strategies for reducing the risk of bacterial pneumonia?
Does not need to be a CNA
What is a proxy care giver in PCH?
General orientation and job specific orientation
What training must every new hire receive?
A nurse assistant is about to perform perineal care on an incontinent resident who wears briefs. His supplies have already been gathered and placed on the clean bedside table.
He enters the room, dons non-sterile gloves, removes and discards the resident's soiled brief, and cleans the resident's perineum. He changes his gloves and applies a clean brief. He discards his gloves. His bare hands are not visibly soiled. He leaves the room.
How many times did the nurse assistant need to perform hand hygiene in this scenario?
What is 3 times:
before donning the gloves, after removing the first pair of gloves / after moving from dirty task to a clean task, after removing the second pair of gloves/after touching a resident
A person with M. tuberculosis in the body, but does not have signs or symptoms of TB disease and cannot spread the infection to other people.
It occurs when the immune response of a newly infected person develops a wall around the TB, called a granuloma that contains the bacteria and prevents its growth.
What is latent TB infection (LTBI)?
Done monthly on rotating shifts
What are elopement drills and fire drills?
A meeting to discuss food/menu concerns/issues/requests/compliments
What is Monthly Food Committee Meeting?