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Patient Care > Lesson 3 (Part 2) > Flashcards

Lesson 3 (Part 2) Flashcards

1
Q

How long should you rub your hands together with sanitizer?

A

15 seconds

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2
Q

How long should you rub your hands together with soap and water?

A

20-25 seconds

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3
Q

What is more sanitary, drying with paper towel or hand dryers?

A

Paper towel

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4
Q

Which type of hand washing is easier on your hands?

A

Sanitizing

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5
Q

When do you use sanitizers? (3)

A
  1. When hands are not visibly soiled
  2. When hands are not already wet
  3. If you are allergic
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6
Q

When do you use soap and water for hand washing? (3)

A
  1. When hands are visibly soiled
    - blood, bodily fluids or dirt
  2. Exposure to spore forming bacteria
  3. After using the restroom
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7
Q

What is the first line of defence for the body against organisms?

A

Intact skin

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8
Q

What can repetitive hand hygiene lead to?

A

Dry hands which cause cracks and irritations

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9
Q

How do you reduce the skins dryness and irritation? (4)

A
  1. Use warm, not hot, water
  2. Rinse thoroughly and pat hands dry instead of rubbing them with paper towels
  3. Use facility provided lotion frequently
    - as it doesn’t break down the ABHR
  4. Wear gloves when cleaning, gardening, in cold weather, etc.
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10
Q

What are factors impacting hand hygiene? (6)

A
  1. Skin condition
  2. Keep nails short and clean
  3. Remove rings and bracelets and watches
  4. Do not wear artificial nails
  5. Remove chipped nail polish
  6. Make sure that sleeves are pushed up and do not get wet
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11
Q

How do you prepare for a hand washing? (3)

A
  1. Remove all watches and rings
  2. Get paper towel ready
    - if there is no dispenser
  3. Position self so as to not touch the sink
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12
Q

How do you wash your hands? (7)

A
  1. Wet hands throughly
  2. Keep hands lower than the elbows so the water will drain from the clean area to the most contaminated areas
    - the further you are from your body the dirtier you are
  3. Apply soap
  4. Lather well using firm, circular motion
  5. Wash forearms, palms, back of hands and wrists for 20 seconds
  6. Wash sides of fingers, thumbs using the interlace methods and milking techniques
  7. Cleaning under fingernails and around hang nails area using thenar eminence to rub nails
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13
Q

Thenar eminence

A

The soft spot of your hand below your thumb

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14
Q

How do you rinse your hands? (2)

A
  1. Rinse starting at the upper forearms, allowing the water to run down over hands
  2. Turn hands over (palm side up) and repeat
  • remember to hold hands lower than your elbows
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15
Q

How do you dry your hands? (3)

A
  1. Do not shake excess water
  2. Use paper towel to dry thoroughly from fingertips to the elbows
  3. Turn off the taps with the paper towels
  • remember to stand away from the sink because it is contaminated
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16
Q

What are the hand washing/sanitizer techniques? (6)

A
  1. Apply a dime-sized amount of product into the palms of dry hands
  2. Rub product into hands for 15 seconds
  3. Repeat the same motions you do when washing with soap and water
  4. Continue rubbing until hands are dry
  5. Do not wipe any off
  6. Ensure hands are completely dry before performing another task
17
Q

What are the 2 different environment zones in a hospital?

A
  1. Patient zone

2. Healthcare zone

18
Q

Patient zone

A

Everything in immediate proximity to the patient

19
Q

Healthcare zone

A

Everything outside of the patient zone

20
Q

What are the 4 moments of hand hygiene?

A
  1. Before the initial patient/patient environment contact
  2. Before an aseptic procedure
  3. After body fluid exposure risk
  4. After patient/patient environment contact
21
Q

Aseptic

A

Clean procedure

22
Q

What are 3 examples of aseptic procedures?

A
  1. Endocavity enima
  2. Preparing medications
  3. Injections
23
Q

What is the most common mode of transmission of infectious organisms in a hospital setting?

A

Contaminated hands of healthcare patients

24
Q

Which hand hygiene indication protects your patients the most?

A

Before patient/patient environment contact

- the first hand hygiene moment

25
Q

AP

A

Additional precautions

26
Q

What are additional practices?

A

Infection prevention and control methods to be used in addition to the Routine Practices

27
Q

How do you know what additional practice to use?

A

Its based on the mode of infection transmission

28
Q

When do you start using an AP? (2)

A
  1. Must be initiated as soon as the patient exhibits symptoms that are suggestive of an infection
  2. Once AP practices are initiated, they are to always be used in addition to Routine Practices and must remain in place until there is no longer any risk of transmission
    - frequently assessed to see if they still need to take APs
29
Q

What are 6 examples of additional precautions?

A
  1. Special accommodations and signage
  2. Barrier equipment
    - PPE
  3. Dedicated equipment
  4. Additional cleaning
  5. Limited transport
    - dont want to move this patient around if we dont have to
  6. Communication of the patient’s isolation status
30
Q

Anteroom

A

Room right before the actual room so you can put on/take off PPEs

Patient Care (10 decks)

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