CMS COVID-19 Nursing Home Staff Answers

Screening of health care personnel during a COVID-19 epidemic is crucial to decreasing (select all that apply):

Employee health care costs. Risk of transmission of infection to vulnerable residents. Concerns among residents related to COVID-19. Risk of infection for health care providers.

True or False: Dementia is a known risk factor for COVID-19.

False

True or False: The COVID-19 Infection Control Assessment and Response (ICAR) tool is used by the state survey agency to monitor compliance with infection control practices.

False

What is an example of process surveillance?

Isolation compliance.

Which of the following is not a good way to ease the transition if a resident with dementia must be moved due to COVID-19?

Keep the resident isolated in the new room in order to acclimate.

When interacting with residents while wearing personal protective equipment (PPE), what are some strategies to help communicate more effectively? (Select all that apply.)

Provide written information to substitute for speaking to the resident. Speak louder to help them hear you through your mask. Use hand gestures to help communicate messages.

What is the proper sequence for removing and storing a face mask for reuse if your facility is following the CDC optimization strategy for personal protective equipment (PPE)?

With clean hands, remove the face mask by the straps, which are considered clean. Fold your mask in half with the outer part of the mask folded in and store according to your facility and/or manufacturer guidance. Then perform hand hygiene.

Which is the correct location to discard personal protective equipment (PPE)?

A trash can inside resident's room near the exit.

Which of the following are recommended for caring for residents with confirmed COVID-19? Select all that apply.

Airborne precautions. Droplet precautions. Eye protection. Contact precautions.

1. To help prevent the spread of COVID-19 in a facility, strategies that could be deployed are:

All of the above.

Prioritizing the risk of an infection prevention (IP) issue is based on:

All of the above.

Why does the Centers for Disease Control and Prevention, or CDC, recommend using alcohol-based hand rub for hand hygiene during the COVID-19 pandemic? Pick the best answer.

All of the above.

What strategies can you use if a person with dementia refuses to be tested for COVID-19? (Select all that apply.)

Approach them at a different time of day. If possible, isolate the resident in their room and/or encourage mask-wearing until they agree to be tested. Check their plan of care for strategies to approach the resident. Consult with other staff for tips on how best to approach the resident. Approach them in a calm, caring manner.

When should nursing home personnel practice hand hygiene? Pick the best answer.

Before and after touching a resident or objects in the resident's environment when visibly soiled, after exposure to blood or bodily fluids, and before and after aseptic procedures.

Which statements below are true regarding washing and handling of linens? (Select all that apply.)

Bundles of linens should be sealed or taped. Separate areas should be designated for receiving and handling soiled linen and processing washed and clean linen. Storage areas should have doors that can be kept closed. Linens should be washed at temperatures between 158 and 170 degrees Fahrenheit.

Which of the statements below are true? (Select all that apply.)

Cleaning hands with soap and water removes germs and impurities to reduce risk of spreading infection. Surfaces should be cleaned before they are disinfected.

Where should you look to determine which pathogens a product is effective against and the necessary contact time?

EPA label.

Which statements below regarding cleaning a resident's room are true? (Select all that apply.)

For soft surfaces such as a rug or drapes, launder or clean according to manufacturer instructions, using the warmest water setting possible. Start with the least dirty surfaces, moving toward the most dirty.

What is the best course of action for transitioning a new patient (COVID-19 status unknown) from the hospital to the facility?

If the patient has no symptoms; continue monitoring and if symptoms arise, engage in proper protocols.

If a glucometer is shared between residents, what is the nurse's responsibility for preventing spread of infection?

The nurse should thoroughly clean and disinfect the glucometer using appropriate cleaning supplies as recommended by the manufacturer.

Which of the following is not true regarding a strong infection prevention and control program?

The program needs to be rebuilt if the infection preventionist leaves the facility.

Related to donning and doffing of personal protective equipment (PPE), select the best answer:

There is more than one acceptable way to put on and remove PPE. You should follow your facility's policy and procedure.

Which of the following is not a way to practice trauma-informed care?

Understand the nature of the trauma a resident experienced to avoid triggering them.

Consider a scenario where a resident tests positive, but never develops symptoms. How long should the resident remain in the COVID-19 positive care unit?

Until 10 days have passed.