Prof Issues/Infection Control Flashcards
____ is most important method of infection prevention
Hand washing
___ are not a substitute for hand hygiene
Gloves
____ are most common source of bloodstream infection
Central lines
CDC says ____ is preferred skin prep
Chlorohexidine
Alcohol based products are (2)
Flammable
Require dry time
What is SCIP?
Surgical Care Improvement Project
SCIP (surgical care improvement project) protocol: (3)
Abx admin and timing
Glycemic control
Temperature
Contact organisms
MRSA
VRE
Cdiff
Droplet organisms
Flu
RSV
COVID
Airborne organisms
TB
SARS
Contact prevention
Gloves and gown
Droplet prevention
Gown, gloves and surgical mask
Airborne prevention
Gown, gloves, n95, negative pressure room
What is most common side effect of prophylactic abx?
Pseudomembranous colitis (c diff)
Allergic reactions are most commonly caused by which abx?
Beta-lactam
PCN/Cephalosporin cross reactivity is ___
Rare
PCN reaction is likely if ____ mediated
IgE
How should we administer vancomycin to avoid side effects?
Slowly
Which med(s) are contraindicated in pregnancy? (4)
Chloramphenicol
Erythromycin
Fluroquinolones
Tetracyclines
Permission for something to happen/agreement to do something
Consent
Responsible by law, legally answerable.
In medical field: written defamation of someone’s practice or character
Liable
Action or crime of making false statements
Slander
State of keeping secret or private
In nursing, provider has duty to maintain pt information as private unless medically necessary
Confidentiality
Witness sworn out of court testimony
Deposition
Threat of immediate battery and creation of apprehension in victim
Assault
Willful offensive touching of another without consent
Battery
Negligence committed by professional person
Malpractice
Concept of “reasonable practitioner” would have or should have behaved in a particular instance
Negligence
Decision making capacity, person’s ability to make and communicate decision to consent to medical tx
Competence
Physical, mental, emotional, social or behavioral condition that is recognized by experts that substantially prevents a person from participating in care decisions
Incapacitated
“Things speak for itself”
Res ipsa loquitor
Act of charity, mercy and kindness
In medicine: best of their ability provider is to provide these things to their pt
Beneficence
Non-harming or inflicting the least amount of harm
In medicine: “do no harm”
Non-maleficence
6 elements of informed consent:
Competence
Decision making capacity
Disclosure of info
Understanding
Voluntary consent
Documentation
What kind of consent is obtained in an emergency?
Implied consent
Informed consent for anesthesia should include discussion of which TWO topics?
Risks and benefits to each type of appropriate anesthetic
Patient’s preference, questions, fears
What must an anesthesia provider do in order to obtain consent from an OB patient who has received a dose of Meperidine?
Determine pt has sufficient capacity
Does DNR apply in the OR?
No
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?
Standard 4 on informed consent and related anesthesia services
