Infection Control

Question 1

Pain management for lap chole

Answer 1

TAP Block

Question 2

Infection Control

Answer 2

ONE patient
ONE needle
ONE syringe
ONE single-dose vial
ONE TIME

Question 3

Artificial fingernails

Answer 3

No artificial nails
Rings are a source of contamination
Fomites–>contaminated objects that spread pathogens.

Question 4

Universal standard precautions

Answer 4

Hand hygiene before and after
Gloves for any patient contact
eye shields
Facemasks

Question 5

VAP care bundle

Answer 5

NEHCIAA
Noninvasive ventilation
Extubate ASAP
Head of bed 15 deg
Inline sublgottic suction
cuff 20cm H20
Avoid naso-endotracheal
Avoid H2 blockers, PPIs 2nd to aerodigestive bacteria

Question 6

Regional Anesthesia for reducing skin flora

Answer 6

0.5% chlorhexidine + 70% alcohol skin prep

Question 7

Do not use Chlorhexidine and alcohol for

Answer 7

lumbar puncture associated with higher concentration and neurotoxicity

Question 8

Masks during neuraxial blocks: documented

Answer 8

meningitis outbreaks in parturients

Question 9

Double glove remove outer

Answer 9

to adjust gas after intubation and instrumentation

Question 10

Superior to providine-iodine in reducing skin flora

Answer 10

0.5% Chlorhexidine and 70% alcohol skin prpr

Question 11

When to remove epidural catheters

Answer 11

Remove within 48 hours, decrease infection risk

Question 12

Disconnected catheter

static fluid

Answer 12

has moved>5 in, remove catheter
STatic fluids soaked catheter in providine iodine x 3 min
Maintain steriel field, let dry
Cut catheter with sterile instrument 10 inches from end, with sterile connector.

Question 13

A line insertion first step

Answer 13

First cleanse and infiltrate site with LA

Question 14

A-line choose seit

Answer 14

SNF
Subclavian>neck> femoral .
Full sterile barrier: Gown, gloves cap and mask
Wide draping

Question 15

Central line dressing,

Answer 15

Clear transparent adhesie
Avoid ointment except for dialysis
ScRuB ThE hub

Question 16

Ampule and aseptic

Answer 16

Cleanse ampule with alcohol before cracking

Question 17

DO not do this with IV bag

Answer 17

draw any fluid out of patient bag, use individually wrapped saline

Question 18

Players in the safe injection practices issue

Answer 18

Patients Vulnerable high expectations
Providers endless education and blame
Administrators pressure to cut costs
Drug manufacturers: shortage

Question 19

Why do outbreak continue?

Answer 19

SDVs sizes are too large
SDS use for multiple patient
Pharmacies unable to prepare drugs under hood

Question 20

Only SDV only

Answer 20

one time for one patient

Question 21

Disinfection and sterilizaton

Answer 21

Remove visible contaminants first

Question 22

Infection laryngoscope

Answer 22

Keep store laryngoscope blades covered NOT OPEN in drawer

Question 23

Keep material for next case in

Answer 23

clean place, confined and covered

Question 24

Anesthesia machine cleaning

Answer 24

Clean between cases with EPA approve low or intermediat disinfectant

Question 25

Heat moisture exchangers

Answer 25

may not have filters to prevent infection

Question 26

Reprocessed LMAs difficult to

Answer 26

Remove all protein

Question 27

Items labeled singl use

Answer 27

when reused impose liability on the individual and institution for proper function

Question 28

PPE

Answer 28

Eye protection
Gowns
Gloves
Masks, Hats
OR Scrubs

Question 29

Needles

Answer 29

Double gloving decreases risk of needle stick injuries

No recapping