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PCRA
Influenza
RSV
TB
Routine Practices
100
the Point of Care Risk Assessment (PCRA) is a strategy used on every patient encounter and part of what group of Infection Control Strategies?
What are Routine Practices
100
What types of flu are there?
What are Influenza A and Influenza B?
100
How does RSV present?
What is a cough, runny nosy, fever, flu like symptoms?
100
What kind of precautions do you need for TB?
What is airborne?
100
not to be confused with routine precautions (what are they?), routine practices are ____ _ _________ to prevent transmission of microbes causing infection, and include the PCRA, source control, patient flow, hand hygiene program, and patient education
What is a set of strategies?
200
Going in to see a patient, what elements of risk would cause you to wear a gown, mask with shield, and gloves?
What are blood and body fluid exposure, or aerosol generating procedure
200
what specimen do we collect for detecting Influenza?
What is a viral nasopharyngeal swab?
200
The incubation period of RSV is 2-8 days. What also is 2- 8 days?
What is the period of communicability?
200
Airborne precautions are always accompanied by placement in this type of room
What is a negative pressure room?
200
a Routine Practices strategy where the health care worker assesses each patient for risk of exposing themselves or others to microbes.
What is the Point of Care Risk Assessment (PCRA)
300
you have a patient with a cough whose NP swab was negative so he was taken off droplet the day before. He needs ventolin by nebulizer. What PPE, if any, do you choose?
What is temporary droplet + contact precautions? need to wear a gown, mask, gloves...don't forget Hand Hygiene!
300
when you are obtaining a np swab sample, the patient refuses to let you apply the swab at the very back of the nares. Is this good enough?
No, because if the sample is not taken at the nasopharyngeal junction you may have a negative result that is actually positive
300
RSV stands for?
What is Respiratory Syncitial Virus?
300
PPE that you need for patients with suspected or confirmed TB?
What is a N95 mask?
300
The practice of separating Emergency patients walking in from the patients arriving by ambulance is an example of which routine practice strategy?
What is patient flow control?
400
you have a patient who needs a rectal enema (fleet). what does your PCRA indicate you need?
What are gown, mask with shield, and gloves.
400
A np swab just came back positive for Influenza A. they are on droplet precautions for at least 5 days, why?
What is the length of time Tamiflu is administered? If not treated with Tamiflu, keep patient on until symptoms improved greatly (1-7 days will cover the period of communicability for Influenza but some patients (immune suppressed) will be contagious longer
400
Specimen collected to test for RSV?
What is a np swab?
400
specimen collection to test for TB?
What are 3 AFBs sputum specimens, taken in the morning on 3 consecutive days.
400
placing patients with CDiff in a private room, and applying precautions, are examples of which routine practices?
What is source control?
500
in a four bed ward room, you have a patient on droplet for pneumonia and one with diarrhea. The patient with diarrhea has some dementia and cannot remember to not use the toilet in the room. There is no private room available. how can you reduce the risk of transmission between patients?
Ensure the patient on droplet is compliant with precautions. allow the patient with diarrhea to use the bathroom and give the other patients a commode at the beside. If they need a shower, arrange for a terminal clean before they shower. Monitor the stool pattern and cultures of the diarrhea patient to ensure prompt dc'ing of precautions
500
you have a patient with a leg wound. on day 3 they develop a cough and the np swab you send is positive for Influenza B. the next day, a patient in with a UTI in an adjacent room is now positive for influenza on day 5 of their stay. What is happening
What is an outbreak
500
you currently have an outbreak of RSV on the unit. The outbreak will not be declared over until 16 days past the most recent case presented.
What are two incubation periods?
500
PPE and precautions that you put a patient with measles, chicken pox, or disseminated shingles (more than one dermatome) wear/apply.
What is Airborne + Contact precautions, requiring a N95 mask, gloves, waterproof gown.
500
Patient education is an element of Routine Strategies. This is one of the strategies we teach to prevent droplet transmission.
What is respiratory-cough etiquette (cough/sneeze into elbow) and hand hygiene procedure?