Asepsis Flashcards

1
Q

how long should you wash your hands?

A

15-20 seconds

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2
Q

examples of forms of droplet transmission

A

Exhaling, coughing, sneezing, talking, suctioning, oral care, spitting

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3
Q

examples of forms of airborne transmission

A

Via air conditioning or heating systems, sweeping, shaking bed linens- carried on air currents

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4
Q

Exogenous healthcare-related infection

A

Pathogen acquired from healthcare environment

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5
Q

Iatrogenic

A

Direct result of diagnostic or therapeutic procedure (IV line infection, bladder infection after catheterization)
*this is a subclass of exogenous

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6
Q

Endogenous healthcare-related infection

A

Normal flora multiply and cause infection as a result of treatment

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7
Q

5 phases in the course of infection

A

*Incubation
*Prodromal
*Illness
*Decline
*Convalescence

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8
Q

the body’s secondary defenses

A

biochemical processes activated by chemicals that pathogens release
*phagocytosis by WBC’s
*complement cascade
*inflammatory response
*fever

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9
Q

tertiary body defenses

A

ACTIVE: when the body makes the antibodies or T cells
PASSIVE: Receive antibodies from an outside source ( immunizations/ mother’s milk)
SPECIFIC: Immune cells recognize and destroy pathogens they have encountered before-

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10
Q

tertiary body defenses: humoral vs cell-mediated

A

HUMORAL: B-cell production of antibodies (in response to an antigen)
CELL-MEDIATED: Direct destruction of infected cells by T cells or phagocytes ( doesn’t use antibodies/ immunoglobulins)
T cells stimulate B-cells and other T-cells

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11
Q

IgM

A

-First antibody produced when an antigen is encountered
-Largest antibody

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12
Q

IgG

A

-Only one to cross placenta
-most common

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13
Q

IgE

A

responsible for allergic response

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14
Q

IgA

A

found in mucus membranes around body openings and in the intestines

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15
Q

IgD

A

forms on the surface of B cells

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16
Q

natural active immunity

A

Body produces own antibodies after exposure to pathogen

17
Q

artificial active immunity

A

Vaccine ( weakened or dead pathogen) administered and body produces antibodies or T-cells in response
Longest lasting- may even last lifetime

18
Q

natural passive immunity

A

Natural antibodies passed from one source to another- through placenta or mother’s milk

19
Q

artificial passive immunity

A

Receive serum that has the antibodies already produced in it to the pathogen exposed to

20
Q

Tier I precautions

A

*standard precautions
*Applies to all blood, body fluids, excretions and secretions except sweat, non-intact skin and mucous membranes
*gown, gloves, mask, eyewear as needed

21
Q

Tier II precautions

A

*contact precautions
*Used for clients known/suspected to have serious illnesses transmitted by direct client contact or by contact with items in their environment or secretions
*gown and gloves
*dedicated equipment for that patient
*double bag linens and mark

22
Q

Tier II droplet precautions

A

*gown, gloves, surgical mask, eyewear
*These are conditions that can be spread through close respiratory or mucous membrane contact with respiratory secretions- droplets will travel 3 – 6 feet through the air
*double bag linen and mark

23
Q

Tier II airborne precautions

A

*infections that spread a long distance (small particles stay suspended in the air)
*Dispose of supplies used in the room
*Should be in a single room with special air handling capacity (negative air flow) or at least a private room with the door closed
*Double-bag and mark linen
*Patient needs to wear mask if leaving the room for procedure
*gown, gloves, N95 respirator

24
Q

Protective Environment/ Reverse Isolation

A

*Used to protect the patient from any microorganisms carried by ppl
*Private room with Positive Airflow- HEPA filter with at least 12 air exchanges/hour
*No carpeting in room
*Wet-dusting daily
*No flowers or plants
*no standing water in room
*Nurse is not assigned to another patient with an active infection
*gown, gloves and mask to protect the patient

25
Q

donning PPE

A
  1. gown
  2. mask
  3. face shield/goggles
  4. gloves
26
Q

doffing PPE

A
  1. gloves
  2. gown
  3. goggles
  4. mask/face shield