Prof Issues/Infection Control

Question 1

____ is most important method of infection prevention

Answer 1

Hand washing

Question 2

___ are not a substitute for hand hygiene

Answer 2

Gloves

Question 3

____ are most common source of bloodstream infection

Answer 3

Central lines

Question 4

CDC says ____ is preferred skin prep

Answer 4

Chlorohexidine

Question 5

Alcohol based products are (2)

Answer 5

Flammable
Require dry time

Question 6

What is SCIP?

Answer 6

Surgical Care Improvement Project

Question 7

SCIP (surgical care improvement project) protocol: (3)

Answer 7

Abx admin and timing
Glycemic control
Temperature

Question 8

Contact organisms

Answer 8

MRSA
VRE
Cdiff

Question 9

Droplet organisms

Answer 9

Flu
RSV
COVID

Question 10

Airborne organisms

Answer 10

TB
SARS

Question 11

Contact prevention

Answer 11

Gloves and gown

Question 12

Droplet prevention

Answer 12

Gown, gloves and surgical mask

Question 13

Airborne prevention

Answer 13

Gown, gloves, n95, negative pressure room

Question 14

What is most common side effect of prophylactic abx?

Answer 14

Pseudomembranous colitis (c diff)

Question 15

Allergic reactions are most commonly caused by which abx?

Answer 15

Beta-lactam

Question 16

PCN/Cephalosporin cross reactivity is ___

Answer 16

Rare

Question 17

PCN reaction is likely if ____ mediated

Answer 17

IgE

Question 18

How should we administer vancomycin to avoid side effects?

Answer 18

Slowly

Question 19

Which med(s) are contraindicated in pregnancy? (4)

Answer 19

Chloramphenicol
Erythromycin
Fluroquinolones
Tetracyclines

Question 20

Permission for something to happen/agreement to do something

Answer 20

Consent

Question 21

Responsible by law, legally answerable.
In medical field: written defamation of someone’s practice or character

Answer 21

Liable

Question 22

Action or crime of making false statements

Answer 22

Slander

Question 23

State of keeping secret or private
In nursing, provider has duty to maintain pt information as private unless medically necessary

Answer 23

Confidentiality

Question 24

Witness sworn out of court testimony

Answer 24

Deposition

Question 25

Threat of immediate battery and creation of apprehension in victim

Answer 25

Assault

Question 26

Willful offensive touching of another without consent

Answer 26

Battery

Question 27

Negligence committed by professional person

Answer 27

Malpractice

Question 28

Concept of "reasonable practitioner" would have or should have behaved in a particular instance

Answer 28

Negligence

Question 29

Decision making capacity, person's ability to make and communicate decision to consent to medical tx

Answer 29

Competence

Question 30

Physical, mental, emotional, social or behavioral condition that is recognized by experts that substantially prevents a person from participating in care decisions

Answer 30

Incapacitated

Question 31

"Things speak for itself"

Answer 31

Res ipsa loquitor

Question 32

Act of charity, mercy and kindness In medicine: best of their ability provider is to provide these things to their pt

Answer 32

Beneficence

Question 33

Non-harming or inflicting the least amount of harm In medicine: "do no harm"

Answer 33

Non-maleficence

Question 34

6 elements of informed consent:

Answer 34

Competence Decision making capacity Disclosure of info Understanding Voluntary consent Documentation

Question 35

What kind of consent is obtained in an emergency?

Answer 35

Implied consent

Question 36

Informed consent for anesthesia should include discussion of which TWO topics?

Answer 36

Risks and benefits to each type of appropriate anesthetic Patient's preference, questions, fears

Question 37

What must an anesthesia provider do in order to obtain consent from an OB patient who has received a dose of Meperidine?

Answer 37

Determine pt has sufficient capacity

Question 38

Does DNR apply in the OR?

Answer 38

No

Question 39

A terminal cancer pt with a DNR presents for a port-a-cath placement. Which standard of nurse anesthesia practice has the most immediate relevance to the anesthetists preoperative activities?

Answer 39

Standard 4 on informed consent and related anesthesia services