Environment Of Care Flashcards

1
Q

Hepa filters remove what percent of particles

A

99.97

Use for protective environment or if ssi rate is high

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Negative pressure rooms need how many air exchanges?

A

12 per hour. 15 in or

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What temp should hot water be maintained at?

A

105 to 120 f

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What temp should cold water be below to prevent legionella growth?

A

68 f or lower

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The crp (construction and renovation policy) ensures:

A

Timely notification to the ip for early program planning efforts.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

———— provides a formal mechanism for evaluating and addressing potential infectious diseases risks created by construction.

A

Infection control risk assessment icra

Done in the pre-construction phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the best cleaning process?

A

Least to most contaminated
High surface down to low
Minimal dust disruption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Or rooms should be under ———— pressure

A

Positive. 2.5 pascals is the minimum. Also 15 air exchanges per hour with 3 fresh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What mycobacterium has been associated with waterborne outbreaks

A

Mycobacterium fortuitum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

HVAC main air intakes should be located…

A

At least 6 feet off the ground and 25 feet away from air exhaust outlets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which laundering process is most effective in removing microbes from soles linen

A

Washing in hot water 160f for a minimum of 25 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What animals are excluded from animal therapy program

A

Primates, reptiles, rodents, amphibians, hedgehogs. They pose higher risk of injury or infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Microbiological sampling is only indicated for

A

Water used in dialysis and hemodialysis fluid.

Also potentially during outbreaks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What method of air sampling is most useful to detect low numbers of spores in a highly filtered area

A

Sieve impactor samplers.

They sample a large volume of air in a short time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Examples of obligate intracellular parasitic bacteria

A

Cannot reproduce outside of host cell.

Chlamydia, typhus, Q fever, some mycobacterium.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Gram stains what part is the cell wall component?

A

Peptidoglycans

17
Q

Amoebic trophozoites (dysentery) testing

A

Needs fresh stool

18
Q

What specimen can remain at room temp if transport to lab is delayed?

A

CSF- should be transported immediately but if cannot can be at room temp and transported within an hour

19
Q

True or false: For all disinfectants the greater the number of microbes on an object or surface the greater the amount of time that’s needed for a disinfectant to have affective Cidal activity?

A

True

20
Q

What is an advantage of orthophthalaldehyde (opa) over glutraldehyde?

A

OPA does not require activation. Also it is stable over a range of pH values and does not irritate the eyes or nose nor have a strong odor.

21
Q

How should environmental services clean a Naturally acquired inhalational anthrax patient’s room?

A

Since there is no person-to-person transmission of anthrax and no environmental Contamination of the patient’s room they should use the standard terminal cleaning process.

22
Q

Which of the following air filtration methods has the highest efficiency compared to the others

Diffusion
Straining
Impingement
Interception

A

Diffusion

23
Q

What is the only agency that has regulatory authority over healthcare facility design, construction and renovation?

A

OSHA

24
Q

What element of the ICRA is conducted to reduce construction hazard risk

A

Mitigation.

It addresses patient placement, barrier standards, temp provisions for hvac and water disruption, demolition

25
Q

The ventilation of a decontamination area of sterile processing should be

A

Negative with at least 10 air exchanges per hour and all air exhausted to outside

26
Q

Bed bugs can live how long without feeding?

A

One year

27
Q

How long can c diff spores survive in the environment?

A

5 months

28
Q

What are potential sources of legionella

A

Cooling towers, ice machines, water faucets, fountains.

Not air conditioning dumbass