324 Infection Control Flashcards
what are the factors that influence infection prevention and control
age, sex, nutritional status, stress, disease process
standard precautions apply to
blood, blood products, all bodily fluids, secretions, excretions (expect sweat), non intact skin and mucous membranes
standard precautions
-HH before and after contact w/ patients, contact w/ bodily fluids and immediately after gloves are removed
-wash hands w/ soap&water if they are visibly soiled or contaminated w/ blood
-wash hands w/ soap & water if contact with spores (c.diff) if likely
-wear gloves when touching bodily fluids, non intact skin,ect
-PPE
-check with infection prevention and control about non private rooms
-discard all contaminated sharp instruments and needles in puncture resistant container
-respiratory hygiene and cough etiquette
airborne precautions: diseases
measles, chickenpox (varicella), disseminated herpes zoster, mycobacterium tuberculosis, rubeola
airborne precautions: barrier protection
N95 respirator mask or respiratory protection device, private room, negative pressure airflow
droplet precautions: diseases
influenza, adenovirus, group A streptococcus, nersseria meningitides, pertussis, rhinovirus, mycoplasma pneumoniae, pertussis, diphtheria, pneumonic plague, rubella, mumps, respiratory syncytial virus
droplet precautions: barrier protection
private room or cohort pts, mask or respiratory
contact precautions: diseases
MRSA or VRA, C.diff, shigella, major wound infections, herpes simplex, scabies, varicella zoster, respiratory syncytial virus
contact precautions: barrier protection
gown, gloves, private room or cohort patients
protective environment: diseases
stem cell transplants
protective environment: barrier protection
positive airflow , mask , gloves gown
Contact D precautions
wash hands with soap and water, gown, gloves, dedicated equipment
Infection Control and Prevention Department (IPAC)
team of MDs and RNs that help deal with health care associated infections that are contracted in the hospital setting (helps w/ monitoring MRSA or VRE)
biohazard safety
what to if you get a needle stick
purposes of health care records
interprofessional communication, legal record, justification for financial billing & reimbursement, aduiting/monitoring, education & research
electronic health record vs electronic medical record
EMR is from only the one specific visit, EHR is all visits (the EMR documents) put into one
the EHR needs to include
- provide a longitudinal or lifetime pt record by linking all pt data fr0m previous health care encounters
- contain a problem list w/ the number of occurrences associated with all past & current problems & the status of each problem
-use accepted standardized measures to evaluate and record health status and functional levels
-provide a method for documenting the clinical reasoning or rationale for diagnoses to allow clinical decision making to be tracked
-support confidentiality, privacy and audit trails
-provide continuous access to authorized users at any time
-support links to local or remote information resources such as databases within the agnecy
-support the use of decision analysis tools
-support direct entry of pt data by providers
-include mechanisms of measuring the cost and quality of care
-support existing and evolving clinical needs by being flexible and expandable
Do not use abbreviations
- U, U -> write unit
- IU -> international unit
- Q.D, QD, q.d., qd -> daily
- Q.O.D., QOD, q.o.d., qod -> every other day
- trailing zeros (X.0 mg) -> X mg
- lack ofleading zeros (.X mg) -> 0.X mg
-MS, MSO4, MgSO4 -> “morphine sulfate” or “magnesium sulfate”
guidelines for quality documentation
factual, accurate, current, organized, complete
documentation for phone calls w/ provider
when the call was made, the number called, who was called, who made the call, to whom information was given, what information was given, & what information was received
documentation for telephone or verbal orders
date & time, name of pt, the complete order, the name & credentials of the HCP giving the order, your name and credentials, “TORB” @ signature, HCP co signs within 24 hrs
TORB
telephone order read back
