Lab #2 Infection control in acute care

Question 1

What does ARO stand for

Answer 1

Antibiotic resistant organism

Question 2

What does MRSA stand for

Answer 2

Methaicillin Resistant Staphylococcus Aureus

Question 3

What does CPO stand for

Answer 3

Carbapenemase Producing Organism

Question 4

What does ESBL stand for

Answer 4

Extended Spectrum Beta Lactamase

Question 5

what does VRE stand for

Answer 5

Vancomycin Resistant Enterococcus

Question 6

What does AGMP stand for

Answer 6

Aerosol Generating Medical Procedure

Question 7

What does ABHR stand for

Answer 7

Alcohol Based Hand Rub

Question 8

What are the links in the chain of infection

Answer 8

Infectious Agent
Reservoir
Portal of Exit from reservoir
Mode of transmission
Portal of entry to host
Susceptible host

Question 9

What are the 4 moments for hand hygiene

Answer 9

Before initial contact with patient/environment
Before aseptic procedure
after bodily fluid exposure risk
after patient/environment contact

Question 10

what are the 5 things that routine precautions includes

Answer 10

Hand hygiene
Point of care risk assessment
Appropriate use of PPE
Cleaning equipment
Proper disposal of contaminated items

Question 11

What are some diseases that are airborne

Answer 11

Covid, Murs, Varicella, Measles, TB

Question 12

what PPE would be required for Airborne Precautions

Answer 12

N95 Mask or respirator

Question 13

What is the Assigned protection factor for for an N95 mask

Answer 13

10

Question 14

what procedures are aerosol generating

Answer 14

CPR
Intubation
Nebulized Medications
Positive pressure ventilation
Continuous positive airway pressure CPAP machines
High flow oxygen
tracheostomy

Question 15

place the steps of donning an N95 mask in order
Place top elastic on crown of head
Seal check
hand hygiene
hold mask in palm and adjust strap
place bottom elastic to back of neck
press metal nose seal with both hands
position mask over mouth and nose

Answer 15

Hand hygiene
Hold mask in palm and adjust strap
position mask over mouth and nose
place top elastic to crown of head
place bottom elastic to back of neck
press metal nose seal with both hands
seal check

Question 16

Place the steps of DOFFING an N95 in order
-grasp strap at crown and lift over head
-grasp neck strap and lift over head
-hand Hygiene
-do not let mask hit body while removing
-hand hygiene
-only grasp straps do not grasp mask

Answer 16

-Hand hygiene
-Grasp neck strap and lift over head
-Grasp strap at crown and lift over head
-only grasp the straps do not grasp the mask
-do not let mask hit your body while removing
-hand hygiene

Question 17

what is the PPE for droplet precautions

Answer 17

Mask and Eye protection

Question 18

how long does it take for proplets to settle in a room

Answer 18

can take up to 6 hours for droplets to settle

Question 19

what type of mask is used for droplet precautions

Answer 19

normal medical mask

Question 20

what infections can spread by droplet

Answer 20

Pneumonia
colds
Pertussis (whooping cough)
Rubella
Mumps

Question 21

What PPE is used for Contact precautions

Answer 21

gloves and gown

Question 22

what infections can spread by contact

Answer 22

Chicken pox
Pink eye
STD’s
Mono

Question 23

Which disease is Contact plus precautions used for

Answer 23

Used for CDiff

Question 24

What PPE is used for Contact plus

Answer 24

Gown and gloves

Question 25

is ABHR effective against CDiff

Answer 25

No only thing that is effective is washings hands with soap and water

Question 26

when do you use cytotoxic precautions

Answer 26

Handiling cytotoxic meds handling bodily fluids during a cytotoxic procedure or 48 hours after a cytotoxic procedure

Question 27

what is the PPE required for cytotoxic precautions

Answer 27

Moisture resistant gown doubled up nitrile gloves eye protection

Question 28

when would you only use routine precautions for someone who is on cytotoxic precautions

Answer 28

if you are not coming into contact with body fluids you only need to do routine precautions for someone that is on cytotoxic precautions

Question 29

what patient education could a nurse provide to a patient that is going home on cytotoxic precautions

Answer 29

if using a shared bathroom double flush the toilet close lid on toilet or cover with a blue pad don't share anything

Question 30

what is an ARO infection

Answer 30

when germs are in or on the body and making the patient symptomatic

Question 31

what is an ARO colonization

Answer 31

when ARO germs are present but there are no signs and. symptoms

Question 32

should a patient who is ARO positive where gloves or an isolation gown outside their room

Answer 32

NO but have to find out why????

Question 33

if a patient who is ARO positive does have to leave their room what are the 4 C's to remind them of

Answer 33

Clean hands clean clothes Contained wounds/body fluids Co-operative (pt has to be able to follow instructions)