Infection Control
Nurse orienting new person and gives instruction when they only wash hands for 10 seconds.
15 second and 2 min for very soiled hands
What are droplet precaution and how do we institute our safety as a nurse for droplet precaution.
A patient will be placed on droplet precautions when he or she has an infection with germs that can be spread to others by speaking, sneezing or coughing. Ex; pneumonia, influenza, whooping cough, bacterial meningitis. PPE; gown, gloves, and mask.
What is reservoir?
A place where the pathogen grows and may or may not multiply
What is portal of exit?
An exit route for pathogens to leave its host
A patient suspected or confirmed to have C diff, should be placed on.
Contact precautions, and a single room.
A client with an infectious disease that requires airborne precautions must be transported from his room to the radiology department. What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? (select all that apply)
Cover as much of the client's body as possible during transport. Use the same PPE during transport as the nurse would while caring for the client. Lie the surface of the wheelchair or stretcher with a clean sheet or bath blanket to protect the surface from direct client contact. Make sure the client wears a mask or particulate air filter respirator.
Where do you disposed a drainaged dressing?
Dispose of the dressing in a biohazardous waste container.
Standard requirements for changing soiled linen.
Gloves
Needle stick injury.
HIV, hepatitis B, and hepatitis C
What is the number one technique for interrupting the infection process.
Hand Hygiene
What are the infection links in order?
Infectious Agent Reservoir Portal of Exit Mode of Transmission Portal of Entry Susceptible Host
Your patient was admitted to the hospital 3 days ago with cardiac problems and now has bacterial pneumonia. This is an example of what type of infection?
Nosocomial/ health care-associated infection (HAI)
What is portal of entry?
Place where a pathogen enters the body
How do we prevent healthcare associated infections?
Prevention of transmission Hand hygiene Isolation precautions Decolonization Environmental cleaning
Method to destroys all pathogens and their spores?
Sterilization
The nurse explains a mode of transmission for a particular disease as a vector. The patient asks "what is a vector? She explains is
a living carrier.
Pt on airborne precautions that required to wear an N95 mask.
a. measles b. varicella (chickenpox) c. Tuberculosis (TB) d. COVID-19
What are standard preucations?
are meant to reduce the risk of transmission of bloodborne and other pathogens from both recognized and unrecognized sources. They are the basic level of infection control precautions which are to be used, as a minimum in the care of all patients.
Assess a pt with TB, greatest risk of exposure
before a dx is made.
A nurse is caring for a group of clients on a medical-surgical unit. Which of the following situations requires that the nurse wear gloves?
changing an ostomy pouch providing oral care emptying urine form an indwelling urine collection bag.
Hospital inservice on health care associated infections
focus on education on aseptic practices
Pt admitted with cardiac problems and 4 days later has bacterial pneumonia
health care associated infection.
Methods of infection include vehicle of transmission
health care workers hands, hospital equipment and instruments.
what is sensitivity testing?
isolated organism is tested for antibiotic resistance or susceptibility. disk diffusion susceptibility tests measure the ability of isolated bacteria to grow in presence of paper disks containing antibiotics it helps on what type of antibiotics to prescribe.
Nurse is teaching about hand hygiene and should include
make sure pts wash hands before they eat.
Nurse cares for pt on droplet precautions, what ppe is needed to pick up meal tray
mask
Health care associated infections preventions
performing proper hand hygiene before and after pt care.
Threat to health care worker is blood-contaminated sharps, discard used syringe in
puncture proof container.
Pt in contact isolation is at risk for
social isolation.
Staff observes other staff in regards to aseptic technique, what needs more instruction
staff touches the edges of the sterile field with sterile gloves.
Nurse has pt with multidrug-resistant wound infection of the lower extremity, what precautions used
standard and contact precautions.
Surgical asepsis
sterile technique.
What is the primary route of transmission in a health carelfacility?
the hands of the healthcare worker.
A patient who has been isolated for clostridium difficile asks you to explain what he should know about this organism. What is the most appropriate information to include in patient teaching? (select all that apply)
the organism is usually transmitted through the fecal-oral route. hands should always be cleaned with soap and water versus alcohol-based hand sanitizer. everyone coming into the room must be wearing glove and gowns.
The correct way to handle soiled linens in the room of a patient who is on contact precautions is for the nurse to?
wear a gown to protect the uniform and wear barrier gloves to roll the soiled sheets together and place them in the designated container.
