Infection Prevention & Control - Hygiene Flashcards
1
Q
definition of INFECTION
A
- type of PUBLIC HEALTH ISSUE within the US & the world
- constantly EVOLVE - everchanging
- when a pathogen invades tissues & begins growing within a host
2
Q
what are some examples of INFECTIOUS DISEASES?
A
- INFLUENZA (FLU)
- COVID
- AIDS
- PNEUMONIA
- MEASLES
- STIs
3
Q
definition of HAIs
A
- stands for HEALTHCARE ASSOCIATED INFECTIONS
- results from INFECTION due to contact with HEALTH CARE PERSONNEL
- type of PATIENT SAFETY ISSUE
4
Q
how many typically in a hospital have at least one HAI?
A
- around 1 in 25 hospitalized patients
(CDC SURVEY)
5
Q
why is it so important to prevent HAIS?
A
- have to maintain and keep proper PATIENT SAFETY & HEALTH
- can have FINANCIAL ISSUES & LIABILITY
6
Q
definition of COMMUNICABLE DISEASE
A
IDs that are transmitted DIRECTLY from ONE PERSON TO ANOTHER
7
Q
what are the types of COMMUNICABLE DISEASES?
A
- SYMPTOMATIC
signs and symptoms present - ASYMPTOMATIC
signs and symptoms are not present
8
Q
what is the difference between INFECTION & COLONIZATION?
A
INFECTION:
where pathogen invades the tissue & begins GROWTH in host
COLONIZATION;
where we have GROWTH + PRESENCE of microorganism–BUT NO TISSUE INVASION or DAMAGE
9
Q
what is the CHAIN OF INFECTION?
A
- INFECTIOUS AGENT
- RESERVOIR
- PORTAL OF EXIT
- MODES OF TRANSMISSION
- PORTAL OF ENTRY
- SUSCEPTIBLE HOST
10
Q
what are some types of INFECTIOUS AGENTS/
A
- bacteria
- viruses
- fungi
- protozoa
11
Q
what are our RESERVOIRS?
A
- these are our “HOSTS” - typically the HUMAN HANDS
- FOOD
- OXYGEN [AEROBIC BACTERIA]
- WATER
- TEMPERATURE
- pH
- LIGHT
12
Q
what are our PORTALS OF EXITS?
A
- SKIN/MUCOUS MEMBRANES
- RESPIRATORY TRACT (cough, sneeze)
- URINARY TRACT (urine, feces)
- GASTROINTESTINAL TRACT (mouth, stomach, flora)
- REPRODUCTIVE TRACT
- BLOOD (HIV, HBV…)
13
Q
what are our MODES OF TRANSMISSION?
A
- most common; HANDS
- can be through CONTACT [direct or indirect]
- DROPLETS
- AIRBORNE
- VEHICLE (contaminated items)
- VECTORS
14
Q
what are our PORTALS OF ENTRY?
A
- the same as PORTALS OF EXIT
15
Q
how does one become a SUSCEPTIBLE HOST?
A
- through INVASIVE PROCEDURES;
surgeries, catheters (both DIRECT PORTALS OF ENTRY) - being IMMUNOCOMPROMISED;
AIDS, chemotherapy, autoimmune disorders, normal flora compromised
16
Q
definition of SUSCEPTIBILITY
A
- depends on a person’s degree of resistance to a pathogen
- affected by one’s own NATURAL DEFENSES against these microorganisms rather than the NUMBER of microorganisms
17
Q
How do we IDENTIFY INFECTIOUS ORGANISMS?
A
- use of SPECIMENS in BODY FLUID
- SPUTUM
- BLOOD
- DRAINAGE (urine)
18
Q
definition of RESERVOIR
A
a place where microorganisms survive, multiply, and await transfer to a susceptible host
19
Q
definition of STANDARD PRECAUTIONS
A
- precautions that are based and USED FOR EVERY PATIENT in order to DECREASE THE RISK OF TRANSMISSION
- involves HAND HYGIENE
- proper GLOVES
- wearing necessary PPE if involved with blood or body fluids
- safe COUGHING ETIQUETTE, & INJECTION PRACTICES
20
Q
what are the THREE TYPES of TRANSMISSION-BASED ISOLATION PRECAUTIONS?
A
- AIRBORNE
- DROPLET
- CONTACT
21
Q
describe AIRBORNE ISOLATION PRECAUTIONS
A
- used for VERY SMALL DROPLETS; often with use of N95 mask
- used for MEASLES, VARICELLA, & HERPES ZOSTER
- use of a PRIVATE ROOM with NEGAITVE-PRESSURE AIRFLOW + RESPIRATOR
22
Q
describe DROPLET ISOLATION PRECAUTIONS
A
- used for spread in terms of CLOSER PROXIMITY; can spread through m. membranes, nose, eyes, mouth
- used for FLU, PERTUSSIS, RSV
- use of PRIVATE ROOM/COHORT PATIENTS, RESPIRATOR
23
Q
describe CONTACT ISOLATION PRECAUTIONS
A
- used for risk of DIRECT or INDIRECT CONTACT
- used for MRSA, VRE, C. DIFF., SCABIES
- use of PRIVATE ROOM/COHORT, GLOVES, GOWNS
24
Q
can there be PSYCHOLOGICAL IMPLICATIONS to isolated patients?
A
YES, can feel LONELY, DEPRESSED, or have ANXIETY
- be aware & address the issue; reassurance & being transparent/keeping them company
25
definition of ASEPSIS
the absence of pathogenic (disease-producing) microorganisms
- what is NEEDED within ISOLATION ENVIRONMENT
26
what is ASEPTIC TECHNIQUE/what are the TWO TYPES OF ASEPSIS?
- procedures that reduce the risk of infection
- have TWO TYPES;
- MEDICAL ASEPSIS
- SURGICAL ASEPSIS
- prevents the contamination of an open wound, maintains sterile field for surgery or procedural intervention
27
what are the TWO TYPES OF HAIS?
- EXOGENOUS;
- comes from microorganisms FOUND OUTSIDE of the patient
- ex. *Salmonella, Aspergillus* etc..
- ENDOGENOUS;
- comes from the patient’s own FLORA that begins to change and OVERGROW
- seen often from broad-spectrum antibiotics
28
what is considered during ISOLATION ENVIRONMENTS?
- proper use of PPE; gown, masks, goggles, gloves
- specimen collection; use of GLOVES & STERILE EQUIPMENT
- not overfilling trash
29
what are the FIVE MOMENTS FOR HAND HYGIENE?
1. BEFORE TOUCHING PATIENT
2. BEFORE CLEAN/ASEPTIC TECHNIQUE
3. AFTER BODY FLUID EXPOSURE
4. AFTER TOUCHING PATIENT
5. AFTER TOUCHING PATIENT SURROUNDINGS
30
what are the FOUR INFECTIOUS STAGES?
1. INCUBATION PERIOD
- pathogen enters; first symptoms
2. PRODROMAL STAGE
- nonspecific - specific symptoms
- pathogen multiplication
3. ILLNESS STAGE
- more specific symptoms
4. CONVALESCENCE
- declining of symptoms & infection
31
where in hospitals can patients acquire HAIS?
- after INVASIVE SURGERIES
- ANTIBIOTIC ADMIN
- MULTI-DRUG RESISTANT ORGANISMS
- breaks with INFECTION PREVENTION/CONTROL
- patients with MULTIPLE ILLNESSES
32
difference between BACTERIOSTASIS & BACTERICIDAL?
- BACTERIOSTASIS:
- prevents growth and reproduction of bacteria
- BACTERICIDAL:
- temperature or chemical that destroys bacteria
33
definition of HYGIENE
- the CLEANING & GROOMING ACTIVITIES that maintain CLEANLINESS & APPERANCE
34
why is PERSONAL HYGIENE so important?
- impacts and influences one's COMFORT, SAFETY, & WELL-BEING
- has various factors involved
35
what must one do as a nurse while helping a patient with PERSONAL HYGIENE?
- LISTEN AND COMMUNICATE
- use CLUSTER CARE and integrate other activities
- ENSURE PRIVACY + RESPECT
36
what are the FACTORS THAT INFLUENCE HYGIENE? (6)
SOCIAL PRACTICES:
- people use diff. types of products and use them at diff. frequencies
PERSONAL PREFERENCES:
- people have their own pref. when doing hygiene; ex. shower or bathe
BODY IMAGES - SUBJECTIVE
CULTURAL VARIABLES
HEALTH BENEFITS & MOTIVATION
37
what parts of the body should we focus on-- hygiene wise?
SKIN;
important for protection, secretion etc...
FEET, HANDS, & NAILS;
proper attention to prevent INFECTION, ODOR, or INJURY
ORAL CAVITY;
have saliva to dissolve food
HAIR;
attention to its GROWTH, patterns for health status
EYES, EARS, & NOSE
can be sensitive structures
38
do we also have to careful regards to different physical conditions during hygiene?
YES
conditions such as having a CAST, ARTHRITIS, STROKE PATIENTS, or COPD
- have more difficulty with hygiene / need more meticulous attention
39
what are some HYGIENE NURSING INTERVENTIONS?
- PROMOTION OF COMFORT
- BE ADAPTIVE through your HEALTH PROMOTION;
- TEACH PATIENT AND INSTRUCT PERSONAL BATHING
40
what are some SAFETY GUIDELINES for personal hygiene of the patient?
- test the temp. of water
- move from CLEANEST to LESS CLEAN
- use CLEAN GLOVES
- IDENTIFY PATIENT
