PPE Not AI One Flashcards

1
Q

PPE use in HC setting:Program Goal

A

Improve personal safety in the healthcare environment through appropriate use of PPE

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2
Q

PPE use in healthcare setting program objectives

A

Provide information on the selection and use of PPE in healthcare setting

Practice how to safely don and remove PPE

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3
Q

Personal protective equipment definition by OSHA

A

Specialized clothing or equipment worn by an employee for protection against infectious materials (OSHA)

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4
Q

Regulations and recommendations for PPE

OSHA issues, workplace health and safety regulations regarding PPE employers must

A

Provide appropriate PPE for employees

Ensure that PPE is disposed and reusable, PPE is cleaned, laundered, repaired and stored after use

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5
Q

OSHA also specifies

A

Circumstances for which PPE is indicated

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6
Q

CDC recommends

A

when, what, and how to use PPE

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7
Q

Types of PPE used in healthcare settings

A

Gloves
Gowns/aprons
Masks and respirators
Goggles
Face shields

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8
Q

Gloves & purpose ?

A

Protect the hands

Purpose – patient care, environmental services, and other

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9
Q

Gowns/aprons

A

Protect skin and or clothing

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10
Q

Masks and respirators

A

Protect mouth/nose

Respirators protect respiratory tract from airborne infectious agents

Example N– 95 masks

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11
Q

Face shield protect

A

Face mouth, nose, and eyes

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12
Q

Factors influencing PPE selection

A

Types of exposures anticipated
-splash/spray versus touch
-Category of isolation precautions

Durability and appropriateness for the task

Fit

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13
Q

Gloves

Material
Type
How many ?

A

Material – vinyl , latex, nitrile, other

Sterile or non-sterile

One or two pair

Single use or reusable

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14
Q

Dos & donts of glove use

4 Dos

A

Work from “clean to dirty”

Limit opportunities for “touch, contamination” protect yourself and others and the environment

Change gloves
-if torn when heavily soiled and even during use on same patient

Discard in appropriate receptacle

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15
Q

Dues and don’ts of glove use

3 don’ts

A

Don’t touch your face or adjust. PPE with contaminated gloves.

Don’t touch environmental surfaces, except as necessary during patient care

Never wash or reuse disposable gloves

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16
Q

Gowns or aprons
Purpose, material and type

A

Purpose – protect skin and or clothing

Material- natural or man-made reusable or disposable resistance to fluid penetration

Clean or sterile

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17
Q

Masks should

A

Fully covered nose and mouth and prevent fluid penetration

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18
Q

Goggles should…

_____Not a substitute for goggles

______ improve clarity

A

Fit snuggly over and around eyes
Personal glasses not a substitute for goggles
Anti-fog features improve clarity

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19
Q

Face shields should cover

A

Forehead extend below the chin and wraparound the side of face

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20
Q

What’s the purpose of respiratory protection?

A

Protect from inhalation of infectious aerosol example Mycobacterium tuberculosis

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21
Q

PPE types of respiratory protection

A

Particulate respirators

Half – or full – face elastomeric respirators

Powered air purifying respirator (PAPR)

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22
Q

Elements of a respiratory protection program

A

Medical evaluation

Fit testing

Training

Fit checking before use

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23
Q

Key points about PPE

A

DON before contact with the patient generally before entering the room

Use carefully don’t spread contamination

Remove & discard safely

Immediately perform handwashing

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24
Q

When should you remove and discard PPE? & respiratory ?

A

Either at the doorway or immediately outside the patient room and remove respirator outside room

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25
Q

What’s the sequence for donning PPE?

A

1 gown first

2 mask or respirator

3 goggles or face shield

4 gloves

Combination of PPE will affect sequence be practical

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26
Q

How to don a gown

A

Select appropriate type and size

Opening is in the back

Secure at neck and waist

27
Q

If gown is too small

A

Use two gowns gown, number one ties in the front gown, number two ties in the back

28
Q

How to DON a mask

A

Place overdose mouth and chin

Fit flexible, nose over nose bridge

Secure on head with ties or elastic

Adjust to fit

29
Q

How to dawn a particulate respirator

A

Select fit tested respirator

Placed over nose, mouth and chin

Fit flexible, nose, piece over nose bridge

Secure head with the elastic

Adjust to fit

Perform a fit check

30
Q

How do you perform a fit check?

A

Inhale – respirator should collapse

Exhale – check for leakage around face

31
Q

How to don , eye and face protection

A

Position goggles over eyes and secure to the head, using the earpieces and or headband

Position face shield over face and secure on brow with headband

32
Q

How to don gloves

A

DON gloves last

Select correct type and size

Insert hands into gloves

Extend gloves over isolation gown cuffs
(Over cuff)

33
Q

How to safely use PPE

A

Keep gloved hands away from face

Avoid touching or adjusting other PPE

Remove gloves if they become torn, perform hand hygiene before donning new gloves

Limit surface and items touched

34
Q

What are contaminated areas of PPE

A

Outside front

Areas of PPE that have or are likely to have been in contact with sites materials or environmental surfaces, or infectious organisms may reside

35
Q

What are clean areas of PPE?

A

Inside, outside back, ties on head and back

Areas of PPE that are not likely to have been in contact with infectious organisms

36
Q

What’s the sequence for removing PPE?

A

1 gloves
2 face shield or goggles
3 gown
4 mask or respirator

37
Q

Where to remove PPE

A

At doorway before leaving patient room or anteroom

Remove respirator outside room after door has been closed

Ensure hand hygiene facilities are available at the point needed example sink, or alcohol based hand rub

38
Q

How to remove gloves

A

Grasp outside edge near wrist

Peel away from hand, turning glove inside out

Hold an opposite gloved hand

Slide on glove finger under the wrist of the remaining glove

Peel off from inside creating a bag for both gloves

39
Q

Remove goggles or face shield

A

Grasp ear or headpieces with ungloved hands

Lift away from face

Place in designated receptacle for processing or disposal

40
Q

Removing isolation gown

A

Unfasten ties

Peel gown away from neck and shoulder

Contaminated outside toward the inside

Discard

41
Q

Removing a mask

A

Untie the bottom then top tie

Remove from face

Discard

42
Q

Removing a particular respirator

A

Lift the bottom elastic over your head first

Then lift off the top elastic

Discard

43
Q

When do you perform hand hygiene?

A

Immediately after removing PPE

If hands become visibly contaminated during PPE removal wash hands before continuing to remove PPE

44
Q

Standard precautions

A

Assumes blood and body fluid of any patient could be infectious

Recommends PPE and other infection control practices to prevent transmission

Decisions about PPE use determined by type of clinical interaction with patient

45
Q

PPE for standard precautions gloves

A

Use when touching blood body fluids, secretions, excretions, contaminated items, mucus membranes, and non-intact skin

46
Q

PPE for standard precautions
Gowns

Use during procedures and patients care activities when contact of

A

Clothing/exposed skin with blood/body, fluids, secretions, or excretions is anticipated

47
Q

PPE for standard precautions

Mask and goggles or face shield
Use during patient care activities like

A

Generates splashes or sprays of blood body, fluids, secretions, or excretions

48
Q

What type of PPE would you wear when giving a bed bath?

A

Generally none

Standard practice does not require PPE for giving a bed bath.

49
Q

What PPE is required when suctioning oral secretions?

A

Gloves and mask/goggles or a face shield - sometimes gown

PPE is essential due to the risk of exposure to bodily fluids.

50
Q

What type of PPE is required when transporting a patient in a wheelchair?

A

Generally none required

Standard procedures do not necessitate PPE for transporting patients in a wheelchair.

51
Q

What PPE should be worn when responding to an emergency where blood is spurting?

A

Gloves, fluid-resistant gown, mask/goggles or a face shield

This is crucial to protect against bloodborne pathogens.

52
Q

What type of PPE is recommended when drawing blood from a vein?

A

Gloves

Gloves are necessary to maintain hygiene and protect both the patient and healthcare worker.

53
Q

What PPE is required for cleaning an incontinent patient with diarrhea?

A

Gloves w/wo gown

The use of gloves and possibly a gown helps prevent contamination.

54
Q

What PPE is necessary when irrigating a wound?

A

Gloves, gown, mask/goggles or a face shield

These items protect the healthcare worker from exposure to fluids and contaminants.

55
Q

What type of PPE is needed for taking vital signs?

A

Gloves for certain body temperatures

Gloves may be needed depending on the patient’s condition and the type of vital signs being taken.

56
Q

What are the three types of Expanded Precautions?

A

Contact Precautions, Droplet Precautions, Airborne Infection Isolation

Expanded Precautions are measures taken to prevent the spread of infections in healthcare settings.

57
Q

What personal protective equipment (PPE) is used for Contact Precautions?

A

Gown and gloves

Contact Precautions are necessary when there is potential contact with the patient or their environment.

58
Q

When are gloves and gowns required in healthcare settings?

A

For contact with patient or environment of care

This includes contact with medical equipment and environmental surfaces.

59
Q

What PPE is required for Droplet Precautions?

A

Surgical masks

Surgical masks should be worn within 3 feet of the patient.

60
Q

What equipment is needed for Airborne Infection Isolation?

A

Particulate respirator and negative pressure isolation room

Airborne Infection Isolation is critical for preventing the spread of airborne pathogens.

61
Q

True or False: Surgical masks are required for all patients regardless of the type of precaution.

A

False

Surgical masks are specifically required for Droplet Precautions.

62
Q

Fill in the blank: _______ precautions are needed when there is potential contact with the patient or their environment.

A

Contact

These precautions help to minimize the risk of infection transmission.

63
Q

What is the purpose of negative pressure isolation rooms?

A

To prevent airborne pathogens from escaping

Negative pressure rooms help contain infectious agents within a designated area.

64
Q

Hand hygiene required for

A

Standard and expanded precautions

With soap and water or use alcohol based hand rub