HAIs and Equipment Flashcards

1
Q

describe alkaline cleaning products

A

they dissolve protein and fat but are corrosive

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2
Q

what should reports on results of monitoring include?

A

Daily BI testing for steam sterilization.

BI testing of every load for EO and other gaseous chemical sterilants.

BI testing of every load with implants.

Number of positive BI results and what actions were taken.

How many times implants were released before BI results were known.

How often IUSS was performed.

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3
Q

what are some no touch methods of environmental surface cleaning?

A

-uv light
-hydrogen peroxide
-copper

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4
Q

describe copper surface technology

A

interrupt the cellular metabolic activity of microorganisms and inhibit growth. Copper-infused surfaces can inhibit bacterial growth on environmental surfaces and decrease the accumulated bioburden over time in occupied patient rooms.

continuous disinfection

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5
Q

in general patients settings how should flowers and plants be handled?

A

Limiting flower and plant care to staff with no direct patient contact.

Advising healthcare staff to wear gloves when handling plants.

Washing hands after handling plants.

Changing vase water every two days and discharging the water into a sink outside the immediate patient environment.

Cleaning and disinfecting vases after use.

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6
Q

describe rules for racking in food storage areas

A

-6 inches above floor with slats for air flow
-at least 2 inches from outside walls
-shelving that allows bottom floor and walls to be cleaned

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7
Q

what are the 5 stages of the vaccine cold chain?

A

Vaccine manufacturing

Vaccine distribution

Vaccine delivery to provider

Vaccine storage at provider

Vaccine administration

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8
Q

What is the difference between a centralized and decentralized HVAC system

A

A centralized HVAC system uses an air-handling unit, usually on the roof or in a mechanical room, to move air throughout the facility using ducts.

A decentralized HVAC system typically uses individual fan-coil units to bring air in from outside of the facility and mix it with recirculated air inside the room.

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9
Q

describe ACH

A

The total number in patient rooms should be 6 ACH.
Operating rooms require a minimum 3 ACH and a total of 15 ACH,
while an airborne infection isolation room (AIIR), such as for bronchoscopy, requires a minimum 2 ACH and a total of 12 ACH.

Peak efficiency for particle removal in an AIIR occurs between 12 and 15 ACH.

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10
Q

describe air pressure balancing

A

describes the pressure relationships with respect to the surrounding area or corridor. These relationships can be positive (excess air supply in the room), negative (air drawn into the room), or neutral.

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11
Q

describe ASHRAE’s system for rating filters based on the size of microns you fitler

A

This measure of minimum efficiency reporting values (MERV) uses a scale of 1 through 16. The MERV system rates filter effectiveness using the percentage of efficiency for three ranges of particulate sizes: .30 to 1.0 microns, 1.0 to 3.0 microns, and 3.0 to 10.0 microns. Filters have higher efficiencies when filtering out larger particles

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12
Q

give example of MERV rates for filtering particles 1.0 to 3.0 size

A

MERV 8—20%

MERV 13—85%

MERV 15—90%

MERV 16—95%

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13
Q

what is the recommended temp and humidity for rooms?

A

68-75F and 30-60% humidity

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14
Q

True or false. Hospital potable water must have < 1 coliform colonies per 100 mL of water

A

true

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15
Q

ASHRAE recommends cold water be stored below ___, hot water above __ and recirculate at___

A

68F; 140F; 124F

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16
Q

Which organisms are related to warming blood products and water baths?

A

pseudomonas and acinetobacter

17
Q

True or false. Sampling programs with more than 30% positivity rates have been associated with clinical disease

A

true

18
Q

the laundry process produces textiles that are

A

hygenically clean

19
Q

are chrlorine rinses required for all laundry items?

A

No because detergents can produce hygienically clean products

20
Q

does a record of laundry water temps need to be kept?

A

No

21
Q

are ozone cleaning systems effective for processing laundry?

A

Yes

22
Q

what are some examples of metals and chemicals used for antimicrobial textiles?

A

gold, silver, copper, titanium, triclosan, chitosan, chitooligosaccharides, quaternary ammonium compounds, and zeolite-containing compounds

23
Q

How is the antimicrobial effect achieved?

A

by chemically treating the fabric or finished product or by incorporating the substances directly into the fibers during the weaving proces

24
Q

what might effect how effective an antimicrobial textile is?

A

effectiveness ranges from days to weeks

Factors that may affect antimicrobial activity include the properties of the microorganism, the intrinsic moisture content of the fabric, the length of the contact time, the method of treatment application, the type of fabric, and the number of times washed following treatment

25
Q

do laundry detergents have to state that they are antimicrobial?

A

No

26
Q

is bleaching required for all laundry?

A

No

27
Q

A combination AIIR/PE room must include an anteroom in the design, so there must be two devices

A

one to measure the pressure differential between the room and the anteroom and another to measure the pressure differential between the anteroom and the corridor.

28
Q

define commissioning

A

a process that verifies delivery of new construction according to contract specifications

Commissioning for ventilation equipment requires identifying acceptance criteria that permit the verification of critical ventilation specifications for air balance and filtration before the owner accepts “delivery.”