Mycobacterium Tuberculosis (TB)
The type of isolation precautions for suspected or confirmed TB
What are airborne precautions?
The type of isolation precautions for suspected or confirmed C. difficile infection?
What is Contact Precautions Plus?
The type of isolation Precautions for suspected or confirmed measles?
What is Airborne Precautions?
This type of PPE is not a substitute for hand hygiene.
What are gloves?
Written directions provided by the manufacturer or distributer of a product that contain the necessary information for the safe and effective use of the product.
What are Manufacturer's Instruction for Use (MIFUs)?
This aerosol generating procedure should always be performed in an isolation negative air pressure room. AFBs are routinely ordered. The patient will remain on Airborne Precautions until the discontinuation criteria for suspected or confirmed TB have been met.
What is Bronchoscopy
____________ or ____________ stools are the preferred specimen for C. difficile infection testing. The stool specimen should conform to the shape of the specimen container.
What are watery or loose or diarrhea stools?
The Airborne Precautions room (negative air pressure room) door must remain _________ except for entry and exit.
What is closed?
Wear gloves when needed for ___________ Precautions (when you anticipate that you will come in contact with blood or other infectious materials, mucous membranes, non-intact skin, potentially contaminated skin, or contaminated equipment), AND Isolation Precautions.
What is Standard?
MIFUs provide a step-by-step guide on how to use products and equipment and how they should be __________.
What is cleaned and/or disinfected?
The following criteria describes when Airborne Precautions can be _________________ for suspected TB disease of the lungs, airway or larynx.
1. When infectious TB is considered unlikely and either another diagnosis is made that explains the clinical syndrome; OR
2. the patient has 3 consecutive negative AFB sputum smear results. Each of the 3 sputum specimens should be collected in 8-24 hour intervals, and a least one specimen should be an early morning specimen because respiratory secretions pool overnight.
What is discontinued or stopped?
Patients who test positive for C. difficile may have Contact Precautions Plus discontinued if the patient meets ALL of the following criteria:
1. The patient has not had a diarrhea or loose stool for ___________ hours, AND
2. the patient is continent of stool, AND
3. the patient performs hand hygiene with soap and water (handwashing).
What is 72 hours?
Remove the fit-tested N-95 respirator (mask) or PAPR _________ exiting the patient room and the door is closed.
What is after?
A: Gloves should be __________ and hands cleaned before exiting a patients room.
What is removed?
The ______________ surveyors could ask healthcare personnel for MIFUs on any equipment, cleaning products, or devices they use.
What is The Joint Commission?
The name of laboratory test to test for TB. This test involves a smear and culture of the specimen.
What is an Acid Fast Bacillus (AFB) smear and culture?
A: ____________ or ____________ stools are the preferred specimen for C. difficile infection testing. The stool specimen should conform to the shape of the specimen container.
Q: What are watery or loose or diarrhea stools?
Steve's suspected measles symptoms were rapidly identified by the ED charge nurse and he is escorted immediately to ED Room 4 while wearing an _________ mask.
What is an procedure (earloop) mask or surgical mask?
Gloves should be changed and hands cleaned when moving from care on one patient to another patient. Gloves should not be worn in ___________.
What are hallways?
MIFUs will always override organizational _______.
What are policies?
The amount of time (minutes) before the isolation negative air pressure room is used for another patient that will allow enough time for the removal of airborne contaminants (germs).
What is 40 minutes?
Healthcare Facility-Onset (HO) are defined as LabID Event specimens collected more than ____ days after admission to the facility .
What is more than three days (on or after day 4)?
Immediately report any suspected case of measles to _______________ Public Health or the Colorado Department of Public Health and Environment (CDPHE). Do not wait until laboratory results are available before reporting suspect measles cases.
What is Mesa County?
If gloves become damaged or if gloves become soiled with blood/body fluids after a task, ________ gloves and _______ hands.
What is remove gloves and clean hands?
The term for the amount of time the surface must stay wet with disinfectant.
What are wet/dwell/contact times?