Module 1: Safety and infection prevention Flashcards
Explain the sequence for putting protection equipment on
1) Clean hands
2) Gown
3) Mask (for droplet precautions) or respirator (for airborne precautions)
4) Goggles or eye shield (for droplet or respirator precautions)
5) Clean hands
6) Gloves
What are some safety precautions for putting protection equipment on
- avoid adjusting ppe once you enter the isolation area
- avoid touching your face
- minimize contact with environmental surfaces
Where should you remove your PPE?
- at doorway or in anteroom
- unless its an isolation airborne room, remove mask after you leave & close door
Explain the sequence for taking off protective equipment
1) Gloves (put in garbage)
2) clean hands
3) Gown
- front is contaminated
- don’t touch outside, undo ties
- roll off shoulders, turn inside out, throw out
4) Clean hands
5) Goggles/eyeshield (place in cleaning container)
6) clean hands
7) mask/respirator
8) clean hands
When are point of care risk assessments to be done?
all throughout shift
What does a point of care risk assessment assess?
infectious risk
What is the point of care risk assessment based off of?
patient condition clinical situation procedure judgement of situation agency policy
Who is ppe designed to protect?
The nurse
Who goes on contact precautions?
Usually vomit or diarrhea
Who goes on droplet precautions?
sneezing, coughing.. influenza
For droplet and contact precautions when should you put on you PPE
when within 2 meters of pt
What is the acronym to remember how to don PPE
GMG - gown, mask, gloves
what is the acronym to remember how to doff PPE
GGM - gloves, gown , mask
What does STABLE stand for
S- Natural spine curve T- No twisting A- Keep elbows in B- bend knees, large base L- use legs E- evaluate load
what is the risk for a fall assessment based off
- situation
- agency equipment and policy
- pt. condition
What is included in the prehandling safety check
- communicate with partner
- prepare environment and equipment
- locate the appropriate sized sling
- prepare to use stable
- prepare the pt. (Communication, equipment placement, position)
- determine if pt can follow instructions
- assess the pt’s: (hearing, medical condition, hand grip strength, ability to bridge, ability to roll side to side, ability to sit on side of bed, ability to bear weight)
when does a point of care risk assessment happen?
Prior to every interaction
What are control measures
based on evaluation of risk factors identified, its your action u take
What are risk factors effecting control measure
- Age
- Mobility
- incontinence
- immunity
- what kind of setting
- shared vs. unshared room
what kind of questions should you ask when doing a PCRA
- what contact
- what task (sprays? splashes?)
- incontinence? loose stool? using products?
- willing + able to perform hand hygiene?
- shared room?
- their symptoms
What is the 1st tier of isolation guidelines for?
all patients in all settings - THIS IS CALLED ROUTINE PRACTICES.
When are routine practices used?
whenever a HCW could be exposed to: Blood, bodily fluid, secretion, non-intact skin, mucous membranes.
what kind of ppe for routine practices
gloves, masks, eyewear, hand washing, cleaning, disposal
what is tier 2 of isolation guidelines
these are isolation precautions for ppl who have pathogens
