HAIs
Pericare is performed how often?
Twice daily and as needed
How would I know if my patient needed to be in isolation?
Isolation sign outside of the room, EPIC, IP
PPE required for a patient on contact or special contact precautions
Gown and gloves
The single most effective way to prevent the spread of infection
Hand hygiene
If I need COVID resources, where do I go for help?
Wellspring- COVID pages/ Call IP
What is the contact time for Chloraprep?
If using on hairless skin, a minimum of 3 minutes to dry
Contact time for purple wipes
2 minutes
PPE required for a patient on airborne precautions
N95/Respirator
True or false: If my hands are visibly soiled, hand sanitizer should be used.
False- if hands are visibly soiled, use soap and water.
When should instruments/scopes be pre-cleaned?
As close to point of use as possible
What are some ways we try to prevent CLABSI
Curos caps, chloraprep site prep, scrubbing the hub, dressing changes, CHG Bathing, getting the lines out ASAP, etc.
Contact time for bleach wipes
3 minutes
PPE required for a patient on droplet and contact precautions
Gown, gloves, and mask- if COVID isolation or enhanced contact droplet- mask needs to be N95
True or false: If my patient has Cdiff and is on special contact isolation, I can use hand sanitizer to clean my hands upon exiting the patient room?
False- soap and water on exit
How do you contact infection prevention?
476-BUGS (2847). After hours/ on weekends pager 3820
What are some ways we try to prevent CAUTI
Pericare, checking for loops, emptying the bag before it gets too full, keeping the bag below the bladder, using the Statlock, removing ASAP, nurse driven protocol etc.
True or false: If my patient has C. diff and is on special contact isolation, I can use purple wipes to wipe patient equipment?
False- bleach wipes for C. diff
True or False: I should completely exit the patient room before I remove my contact precautions PPE (gown and gloves)
False-gown and gloves should be removed and discarded inside the room. Don’t forget your hand hygiene on the way out.
True or False: I need to wash my hands after I remove my gloves?
True
If I need to transport a soiled instrument/scope, describe the container.
Labeled, rigid, leakproof. Instruments go in the red biohazard containers. Still utilizing oasis containers for probes/scopes.
What are some ways that we try to prevent PVAP?
Mouthcare, Head of bed at 30 degrees, weaning trials/sedation vacation, subglottic suctioning, etc.
What are standard precautions or universal precautions?
It assumes any blood/body fluid could be infectious. Decisions about PPE use determined by clinical interaction with the patient. Intended to prevent the transmission of common infectious agents to personnel.
True or False: This is the correct sequence for donning PPE? Gown, mask or respirator, goggles or face shield, gloves
True- picture your hands above your head and don from the bottom up
If I am only entering a patient's room to speak to them, I do not need to perform hand hygiene
False- always be prepared for patient contact even when unplanned
If you scratched or punctured your skin with a used needle or instrument, or contact blood and/or body fluids to your non-intact skin or mucous membrane, immediately:
-Wash the area thoroughly with soap and water
-Notify your Manager/Supervisor/Person in Charge
-Go to the Emergency Department or proceed to Occupational Health Services as soon as possible – NO APPOINTMENT NECESSARY!
-Report the incident through MLH Self Service