Hand Hygiene
Does hand hygiene need to be preformed before putting gloves on?
Yes! Gloves do NOT replace the hand hygiene needed before patient contact and/or a clean or aseptic technique
Patients should be bathed with what soap everyday?
Chlorhexidine Gluconate (CHG)
What disinfectant should be used when cleaning Glucose machine?
Bleach
What type of isolation precautions are required for a patient with MRSA?
Contact - gown & gloves
What is an example of a high touch surface in a patients room?
tray table, phone, remotes, bed rails...
When should you offer to assist your patients with Hand Hygiene?
•Before eating or drinking
•After toileting—restroom use
•Contact with others, shaking hands, etc.
•Contact with equipment
•Coughing/sneezing/touching their faces
True or False, CHG should be dumped into a bag of water before being applied to a patient?
False, CHG should be applied directly to the skin.
What PPE is required for cleaning of equipment?
gloves
What type of PPE would you wear in a droplet/contact room?
Gown, gloves, & mask
How long does C. diff live on a surface?
5 months
How many seconds should you wash yours hands with soap and water?
20 seconds
What parts of the body are CGH not indicated for?
eyes and ears
What disinfectant should be used when cleaning cardiac leads?
Purple PDI, bleach if C. diff pt
What type of PPE is required for bed bugs?
None
What type of PPE is designated for Blood borne pathogens?
Blue gowns, goggles and mask with or without shield.... Do you know where you BBP PPE is located?
What organism(s) must you wash your hands with SOAP & WATER?
C. diff or Norovirus
What is the number one way to prevent Infections?
Hand hygiene
What is the contact time for the following:
Bleach
Hydrogen Peroxide
Purple PDI
Bleach - 3 MIN
Hydrogen Peroxide - 1MINS
Purple PDI - 2 MINS
What is the difference between the PPE worn in an airborne and droplet precaution room?
Droplet - surgical mask
Airborne- N95 or PAPR
What is the Difference between OSHA and Joint Commission?
OSHA stresses employee safety
Joint Commission (TJC) emphasizes patient safety and has developed standards to ensure safe and high quality health care
What are the 5 moments of care that staff must preform hand hygiene?
1) BEFORE touching a patient
2)BEFORE clean/aseptic procedure
3)AFTER body fluid exposure risks
4)AFTER touching a patient
5)AFTER touching patient surroundings
List a few ways to reduce CAUTI?
•Avoid spigot touching container when emptying urine.
•Always keep drainage bag and tubing lower than the bladder & keep drainage bags off the floor, place on a pad prn.
•Perform & document routine peritoneal/catheter care.
•Clean 4 inches of catheter w/ clean washcloth & soap.
•Teach/ remind self-care patients to perform cath care.
•Carefully clean patients with fecal incontinence & change gloves before and after performing cath care.
•Stabilize all catheters with Statlocks.
•Avoid Foleys by using condom caths, Incontinence pads, and bladder scanners.
•After Foley removal, ask about need to void q 2h.
•If patient is voiding don’t document urinary output under Foley.
What disinfectant should be used when cleaning blood pressure monitor?
Bleach
A patient in C.diff precautions just tested negative for C. diff. Can they be removed from Isolation precautions?
NO. If the patient has a positive C.diff test in the last 30 days of the negative, they would need to stay in precautions.
What do you do if you are exposed to a blood borne pathogen?
1)Wash/flush the area for at least 15 MINS
2)Notify your supervisor.
3)Report to Employee Health.
a)If “off hours and weekends,” report to the
b)Emergency Department (or equivalent at your facility).