Awareness
One of the most common and harmful types of mold, which has very aerodynamic spores and is easily disturbed by housekeeping and renovation, is _____________.
(Chapter 1)
Aspergillus
The _________ _______ ______ ______ Team is a group that decides what precautions are necessary to isolate the work area and protect patients.
(Chapter 2)
Infection Control Risk Assessment Team
A biological substance capable of transmitting disease is an _____ _____. These can be transmitted through water, blood, air, or can be transferred by surface contact. Examples include types of bacteria, viruses, molds.
(chapter 3)
infectious agent
[Daily Double]
_____ ______ trap small particles that could be transported from the work area to the patient-occupied area on the feet of workers or wheels of transport receptacles. (chapter 3)
Walk-off mats or sticky mats
Disturbances created by renovation and construction work can be minimized by using ______ ______, which are paths to travel designed to allow materials and personnel to move to or through an area with minimal disturbance to patients or facility staff.
(chapter 4)
designated routes
The Chain of Infection includes 6 links. If any one of these links is not present, then continuation of infection can be disrupted or prevented. What are the 6 links?
(Chapter 1)
Infectious Agent
Reservoir
Portal of Exit
Mode of Transmission
Portal of Entry
Susceptible Host
Steps 1, 2 and 3 of the ICRA Form deal with the project type, patient risk group and the Matrix which determines the ________________ of the work area. This tells workers which containment precautions are necessary during and after the project.
(Chapter 2)
classification
Mold needs 3 things to grow. They are:
(chapter 3)
Food, moisture, air/oxygen
Barrier types include: soft walls, hard walls, and ______ ______.
(chapter 3)
Portable Cube
If an unexpected hazard is discovered, the classification level can be _____.
For example, if a wall is opened and mold is discovered, the Class II project will likely be elevated to a Class III or Class IV, depending on the extent of the mold.
(Chapter 5)
Reclassified
Patients who are immunocompromised are especially vulnerable to ______________ ______________ ____________, which are infections or illnesses contracted in a health-care facility and secondary to the initial reason for health-care treatment.
(Chapter 1)
Healthcare-associated infections (aka hospital-associated infections or secondary infeactions)
The _______ _______ _________ ________ Team is responsible for identifying fire, safety, and security measures. This team identifies things like evacuation routes, placement of containment barriers, and routes for trash to be removed.
(Chapter 2)
Interim Life Safety Measures Team
[daily double]
____ _____ _____ is the difference in air pressure between two spaces under different pressures
(ex. the air in the hallway vs the negative air found in the work space).
(chapter 3)
air pressure differential
[Daily Double]
An ______ is a contained area that separates the work area from the clean, patient-occupied area. This provides an extra level of protection in highly sensitive areas.
(chapter 3)
Anteroom
There are no laws or OSHA regulations regarding how to safely work with mold removal. The ____ ____ _____ _____ is a widely accepted document that offers guidance when working around mold growth or while performing mold remediation.
(chapter 5)
New York City Guidelines
____________ ____________ ____________ is anything worn by a worker to prevent the transferring of contaminants from the worker to the patient.
Examples include: shoe covers, hair nets, surgical masks, latex gloves, disposable jumpsuits, scrubs and lab coats
(Chapter 1)
Patient Protective Apparel (PPA)
A _____ _____ _____ is required any time there is work that will, or may, generate heat, smoke, open flame, or sparks.
(Chapter 2)
hot work permit
_____ ______ is created when more air is pushed out of an enclosed space than can enter. This creates a space where contaminants are less likely to escape from the work space.
(chapter 3)
Negative air
A _________ filter is critical in preventing the transfer of airborne contaminants during construction or renovation. Within the machine, this filter will remove 99.97% of airborne particulates that are at or greater than .3 microns.
(chapter 3)
HEPA (high-efficiency particulate air)
[Daily Double]
_____ _____ is the act of collecting or counting airborne particulates. This may be done when there is a suspicion of the presence of a hazardous material, such as mold or asbestos.
Air Sampling
Regulatory Agencies:
The CDC sets the rules for health-care facilities.
The _______ ________ enforces the rules set by the CDC.
The Centers for Medicare and Medicaid Services funds the health care facility after accreditation.
(Chapter 1)
Joint Commission (TJC)
_______________ is the process of dividing a structure into separate sections with elements such as fire-resistant walls, floors, and fire doors in order to restrict the spread of fire, smoke, and toxic gases.
(Chapter 2)
Compartmentalization or compartmentation
When the _____ machine is running, either negative air is being created by exhausting the air, or the air is being circulated and scrubbed clean by it.
This machine should NEVER be turned off or removed from the work area as contaminants would then be able to migrate. (chapter 3)
HEPA (High-Efficiency Particulate Arrest)
Not just any plastic can be used for a soft wall system or for encapsulating equipment that is transported through the health-care facility.
It is to be 4-6 millimeter, ______ _______ polyethylene sheeting.
(chapter 3)
fire-resistant
It is not enough to simply remove or clean the mold or material contaminated with mold because mold can grow back within _____ to ____ hours. If the source or cause is not corrected or eliminated, the mold will simply grow back.
(Chapter 5)
24 to 48 hours