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N143 !!!! > Module 1: Safety and infection prevention > Flashcards

Module 1: Safety and infection prevention Flashcards

1
Q

Explain the sequence for putting protection equipment on

A

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

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2
Q

What are some safety precautions for putting protection equipment on

A
  • avoid adjusting ppe once you enter the isolation area
  • avoid touching your face
  • minimize contact with environmental surfaces
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3
Q

Where should you remove your PPE?

A
  • at doorway or in anteroom

- unless its an isolation airborne room, remove mask after you leave & close door

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4
Q

Explain the sequence for taking off protective equipment

A

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

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5
Q

When are point of care risk assessments to be done?

A

all throughout shift

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6
Q

What does a point of care risk assessment assess?

A

infectious risk

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7
Q

What is the point of care risk assessment based off of?

A 
patient condition
clinical situation 
procedure 
judgement of situation 
agency policy
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8
Q

Who is ppe designed to protect?

A

The nurse

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9
Q

Who goes on contact precautions?

A

Usually vomit or diarrhea

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10
Q

Who goes on droplet precautions?

A

sneezing, coughing.. influenza

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11
Q

For droplet and contact precautions when should you put on you PPE

A

when within 2 meters of pt

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12
Q

What is the acronym to remember how to don PPE

A

GMG - gown, mask, gloves

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13
Q

what is the acronym to remember how to doff PPE

A

GGM - gloves, gown , mask

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14
Q

What does STABLE stand for

A 
S- Natural spine curve 
T- No twisting
A- Keep elbows in 
B- bend knees, large base 
L- use legs
E- evaluate load
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15
Q

what is the risk for a fall assessment based off

A
  • situation
  • agency equipment and policy
  • pt. condition
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16
Q

What is included in the prehandling safety check

A
  • 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)
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17
Q

when does a point of care risk assessment happen?

A

Prior to every interaction

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18
Q

What are control measures

A

based on evaluation of risk factors identified, its your action u take

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19
Q

What are risk factors effecting control measure

A
  • Age
  • Mobility
  • incontinence
  • immunity
  • what kind of setting
  • shared vs. unshared room
20
Q

what kind of questions should you ask when doing a PCRA

A
  • what contact
  • what task (sprays? splashes?)
  • incontinence? loose stool? using products?
  • willing + able to perform hand hygiene?
  • shared room?
  • their symptoms
21
Q

What is the 1st tier of isolation guidelines for?

A

all patients in all settings - THIS IS CALLED ROUTINE PRACTICES.

22
Q

When are routine practices used?

A

whenever a HCW could be exposed to: Blood, bodily fluid, secretion, non-intact skin, mucous membranes.

23
Q

what kind of ppe for routine practices

A

gloves, masks, eyewear, hand washing, cleaning, disposal

24
Q

what is tier 2 of isolation guidelines

A

these are isolation precautions for ppl who have pathogens

25
Q

How to protect normal defence mechanisms

A
  • bathing
  • lubrication
  • oral hygiene
  • fluid intake
  • immunization
26
Q

How to maintain the healing process

A
  • fluid and good diet
  • comfort and sleep
  • stress reduction techniques
27
Q

what pt’s should have a single room?

A

pt. who visibly soil the environment or hygiene cannot be maintained

28
Q

What are examples of airborne viruses

A

measles, chickenpox, TB, disseminated zoster

29
Q

what are some barrier protections for airborne precautions

A
  • private room (closed door)
  • neg pressure airflow
  • N95 must be worn & other PPE
30
Q

What are some examples of droplet viruses

A
  • Sneeze, talk, cough

- diphtheria, rubella, flu, mumps, pneumonia, sepsis

31
Q

What are some barrier protections for droplet precautions

A
  • private room or cohort
  • door closed (unless bed is 2+ meter from door)
  • mask + Gown + gloves
32
Q

Examples of contact precautions

A

CDIF, wound infection, gastro disease, skin

33
Q

barrier protections for contact precautions

A
  • open door
  • gowns & gloves
  • limit pt. leaving room
  • discard or clean items before leaving room
34
Q

when to use sterile gloves

A

mucous membranes, non-intact skin

35
Q

when to use non-sterile gloves

A

Blood, fluid, secretions, excretion, contamination

36
Q

what to do if pt is to heavy or immobile for 1 person

A

use a lift

37
Q

What are the parts of the safe handling functional assessment

A
  • Communication (needs, hearing, vision, any aids)
  • Cognitive status (recall instruction, judge capabilities)
  • emotional/behavioural stress (cooperative, stable)
  • medical status (limitation, pain, meds, attach)
  • functional assessment (grip, push, pull, bridge, 15s on side of bed, straighten & hold leg, bear body weight)
38
Q

when do u use a fracture pan

A

hip replacement,

39
Q

how high should you raise head when using bedpan

A

30 degree to 60 degrees

40
Q

what should you look for in characteristics of stool

A

colour, door, consistency, frequency, amount, shape

41
Q

what are the 3 things to think about when applying a sling

A
  • Comfort
  • Safety
  • privacy
42
Q

What is a positioning sling

A

total support for bed positioning

43
Q

what is a hammock sling

A

head support for transfers

44
Q

what is a universal sling

A

no head support, for transfers

45
Q

what is a hygiene sling

A

no head support, least trunk support, transfer or pericarp

N143 !!!! (4 decks)

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