220-asepsis Flashcards

1
Q

infection

A

disease that results from a pathogen in or on the body

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2
Q

HAI

A

Hospital associated infection that developed during the stay

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3
Q

Top offenders for HAI

A

UTI
surgical site infection
bloodstream infection

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4
Q

Nosocomial infection

A

Mistake made during procedure that leads to another procedure which can lead to HAI

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5
Q

Bloodborne pathogens

A

Pathogens that live in the blood and are transmitted though blood.

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6
Q

Medicare and medicaid no pay list (action to reduce HAI)

A

Catheter associated urinary tract infection
vascular catheter infection
surgical site infection

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7
Q

risk factors for nosocomial infections

A

use of invade medical Devices
antibiotic resistance organisms develop in hospital
poor compliance with hang washing & standard, precaution and transmission precautions

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8
Q

Infectious agents can be

A

bacterial- most significant in hospital
virus- smallest of all microorganisms
fungi- plant like organisms present in air soil and water

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9
Q

chain of infection

A

micro organisms
Revisor/source
port of exit
mode of transmission
port of entry
Susceptible host

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10
Q

how to break the chain of infection

A

hand hygiene, gloves and precautions

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11
Q

factors that affect susceptibility

A

white blood cells-being low
patients with splenectomy
age, neonates and older more susceptible
immunization, natural or acquired
fatigue-have a decreased immune response
Nutritional staus-poor nutrition, poor immunity
drug therapy-steriods and chemotherapy suppress immune system
stress- mores tree, poor immune system
use of invasive or indwelling medical Devices- makes port of entry easy for pathogens

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12
Q

body’s first line of defense

A

intact skin and mucous membranes

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13
Q

incubation period

A

Organisms growing and multiplying

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14
Q

prodromal stage

A

person is most infectious w/vauge and nonspecific signs

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15
Q

full stage illness

A

presence of specific signs and symptoms

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16
Q

Convalescent period

A

recovery from infection

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17
Q

local infection

A

Swelling
heat at site
redness
pain

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18
Q

systemic infection

A

elevated temperature (not in elders, you will see confusion and mental state deteriorate)
increased pulse and respiration
enlarge lymph nodes
lethargy
anorexia

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19
Q

elevated WBC

A

more then 10,000

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20
Q

Neutrophils

A

immature bands happen with acute infections

21
Q

lymphocytes

A

happen with chronic bacterial (TB) and viral infections

22
Q

Eosinophils

A

happen in parasitic and fungus infections and allergic reactions

23
Q

C-reactive protein

A

is nonspecific and indicates inflammation
culture is created to determine the presence and how to treat

24
Q

MDRO

A

multi drug resistant organisms

25
Q

CAUTI

A

catheter associated UTI

26
Q

VAP

A

ventilator associated pneumonia

27
Q

CLABSI

A

central line associated bloodstream infection

28
Q

What are common blood borne pathogens

A

hep b
hep c
HIV

29
Q

how are blood borne pathogens transmitted

A

needle stick
cuts from contaminated sharps
mucous membranes transmissions
perinatal transmission
aerosol transmission

30
Q

standard precautions used to prevent blood borne pathogens

A

treat all blood and bodily fluids as if they are infected
treat potential contaminated materials as if they are infectious
have an essential role in preventing transmission

31
Q

what are standard precautions

A

wash hands
wear gloves
wear mask
wear gown
dispose of sharps
safe work practice (not recapping needles, respiratory hygiene)
engineering controls (needless IV, safety lancets)

32
Q

when to wash hands

A

wash in and out of rooms
before direct contact
after direct contact
after contact with bodily fluid
before putting on gloves
after removing gloves
before procedure
after touching patient surroundings

use soap and water if hands are visible soiled, and after c. diff exposure

33
Q

Donning

A

putting PPE on

34
Q

Doffing

A

taking PPE off

35
Q

watch the videos of PPE on and off

A

watch the videos of PPE on and off

36
Q

glove guidelines

A

wash hands before and after gloves
take dirty gloves off inside patient room
change gloves between tasks on same patient
do not do any charting with gloves

37
Q

n95

A

protect you from small particles in the air that may cause virus and pathogens. filters inhaled air and each person is fitted for a mask

38
Q

PPE masks

A

protect you from spreading large droplets from the nose or mouth.
protects from splashes
filters exhaled air

39
Q

PAPR

A

powered air purifier respirators

40
Q

What to do if exposed

A

Immediately clean the area
eyes, cuts, scrapes, punctures, mouth

after cleaning report exposure to faculty.

41
Q

transmission precautions

A

used in addition to standard precautions

42
Q

contact

A

gown
gloves

c DIFF, MRSA

43
Q

droplet

A

mask- regular
gloves

Influenza, pertussis

44
Q

airborne

A

gown
mask-N95 respirator
gloves

covid, TB, measles, chickenpox

45
Q

airborne disease requires

A

negative pressure room

46
Q

medical aseptic

A

clean technique
hand washing
PPE(non sterile)

47
Q

surgical asepsis

A

operating room, labor and delivery areas
interventional radiology
cardiac catherization
anytime you are penetrating skin, blood draws, injections, IV’s
sterile dressings, central line dressings, urinary catheter insertion

48
Q

principles. of surgical asepsis

A

Allow only a sterile object to touch another sterile object
Avoid talking, coughing, reaching over a sterile field
Do not turn your back on a sterile field
Consider any object contaminated if you have any doubt
Date and time solutions to expire in 24 hours
Pour fluids with the label in the palm of your hand
Without sterile gloves handle outer 1 inch of sterile drapes