Processes

Question 1

Catheter tubing should be _________ the bladder, and the drainage bag should be __________ the bladder

Answer 1

Level with

Below

Question 2

Name three reasons to have a foley.

Answer 2

1) urinary retention or bladder obstruction
2) end of life care comfort measures
3) when strict immobilization is required for surgery
4) obtain accurate measure of urine output for very sick patients
5) perioperative use for some surgeries

Question 3

Name 5 of the 10 ways to prevent SSIs.

Answer 3

1) Parenteral antimicrobial ppx are timely. Do not administer additional doses after incision is closed
2) Non-parenteral antimicrobial ppx - do not apply powders or ointments to incision site
3) Glycemic control (<200mg/dL)
4) Normothermia
5) Oxygenation - normal pulmonary fx with a trach, must admin increased fraction of oxygen during surgery and after extubation
6) Antiseptic ppx - reduce microbes on skin. HH of surg team. Instruments cleaned/sterilized appropriately.
7) EOC - clean room. Min personnel
8) Abdominal wounds can be left open with wet dressing and closed 4-5 days after
9) Negative pressure wound therapy - to prevent soft tissue infections
10) Don’t withhold blood transfusions

Question 4

Surgical hand antisepsis should be done with: alcohol or CHG 2% / 4%?

Answer 4

CHG preferred because unlike alcohol it has residual antimicrobial affects.

Soap is also an appropriate alternative.

Question 5

Blooms taxonomy for teaching objectives - what are the three domains?

Answer 5

Cognitive (mental), affect (emotional), and psychomotor (physical skills)

Question 6

Blooms taxonomy for teaching objectives - subdomain hierarchy (6 levels)

Answer 6

Remembering
Understanding
Applying
Analyzing
Evaluating
Creating

Question 7

Armstrong Institute of John’s Hopkins - what are the 4 steps for translating evidence into practice

Answer 7

Engage
Educate
Execute
Evaluate

Question 8

IPCP strategic plan should be reviewed and revised using what “not-so-dumb” approach

Answer 8

SMART goals

Specific
Measurable
Attainable
Realistic/relevant
Time-based goals

Question 9

Name 4 of the 7 WHO core components of an IPCP

Answer 9

1) have a IPCP at the facility and national level
2) develop evidence based guidelines
3) provide IPC education for onboarding employees
4) perform HAI surveillance
5) multimodal strategies for implementing IPCP goals
6) monitor/audit staff and provide feedback
7) ensure staffing levels are adequate

Question 10

What is the 8 step process for completing a risk assessment?

Answer 10

1) create a team with key stakeholders
2) establish a timeline which will impact annual reviews
3) gather data and info
4) Data collection (qual into quan if possible)
5) engage and educate others about the risk assessment and how to use the template
6) perform risk assessment
7) Prioritize and ensure objectives are measurable.
8) dissemination of info.

Question 11

What are the 4 main components of a IPC action plan? Describe.

Answer 11

1) Priority/Objective
2) Plan/strategy - specific actions and control measures for achieve objective.
3) Evaluation - Determine if objective is met or not. E.g. Direct observation of process or procedures.
4) responsibility - for executing plan or conducting evaluation.

Question 12

What are the 4 steps in the process of implementation science.

Answer 12

1) Application: determine application of study results
2) Effectivness be efficiency: apply evidence-based guidelines to the interventions being considered in order to assess their effectiveness and efficiency
3) Implement: develop and implement policies/procedures to bring the study results into practice
4) Assess: assess impact at the population level