RLE: Hand Hygiene

Question 1

important in every setting, including hospitals.
It is considered one of the most effective infection control measures.

Answer 1

hand hygiene

Question 2

it provides a good opportunity for the nurse to take a moment to breathe and prepare for the next client encounter.

Answer 2

hand hygiene

Question 3

purpose of hand hygiene:
reduce (4)

Answer 3

• number of microorganisms on hands
• risk of transmission of microorganisms to clients
• risk of cross contamination among clients
• reduce risk of transmission of infectious organisms to oneself

Question 4

Signs and symptoms indicating the presence of an infection:
(2)

Answer 4

localized signs and systemic indications

Question 5

swelling, redness, pain or tenderness with palpation or movement, palpable heat at site, loss of function of affected body part, presence of exudate

Answer 5

localized signs

Question 6

fever, increased pulse and respiratory rates, lack of energy, anorexia, enlarged lymph nodes

Answer 6

systemic indications

Question 7

exudates

Answer 7

pus

Question 8

equipment for hand washing

Answer 8

soap
warm running water
paper towels

Question 9

why use warm water for hand washing

Answer 9

Warm water removes less of the protective oil of the skin than hot water.

Question 10

There are five common types of faucet controls:

Answer 10

• hand-operated handles
• knee levers
• elbow control
• foot pedals
• infrared control

Question 11

faucet: Move these with the knee to regulate flow and temperature.

Answer 11

knee levers

Question 12

faucet: Press these with the foot to regulate flow and temperature.

Answer 12

foot pedals

Question 13

faucet: Move these with the elbows instead of the hands.

Answer 13

elbow controls

Question 14

faucet: Motion in front of the sensor causes water to start and stop flowing automatically

Answer 14

infrared control

Question 15

Dry hands and arms thoroughly with a paper towel without scrubbing. Rationale:

Answer 15

Moist skin becomes chapped readily as does dry skin that is rubbed vigorously; chapping produces lesions.

Question 16

Drying from ??? to ??? area avoids contamination. Drying hands prevents chapping and roughed skin.

Answer 16

cleanest (fingertips) ;
least clean (forearm)

Question 17

Wet the hands and forearms under the running water, letting it run from the fingertips to the elbows so that the hands become cleaner than the elbows.

Answer 17

handwashing before performing sterile skills

Question 18

commonly called as a surgical hand scrub

Answer 18

surgical hand antisepsis

Question 19

to remove as many microorganisms from the hands as possible before the sterile procedure

Answer 19

surgical hand antisepsis

Question 20

Are gloves that are free from all microorganisms.
They are required for any invasive procedure and when contact

Answer 20

sterile gloves

Question 21

with any sterile site, ??? or ??? is expected (PIDAC, 2012).

Answer 21

tissue, or body cavity

Question 22

Help prevent surgical site infections and reduce the risk of exposure to blood and body fluid pathogens for the health care worker

Answer 22

sterile gloves

Question 23

purposes of sterile gloves:
- To enable the nurse to handle or touch ??? objects freely without ??? them.
- To prevent ??? of potentially infective organisms from the nurse’s hands to clients at high risk for ???.

Answer 23

• sterile; contaminating
• transmission; infection

Question 24

2 methods of gloving

Answer 24

open glove technique
closed glove technique

Question 25

Performed after medical handwashing For procedures outside the Operating Room (OR)

Answer 25

open method

Question 26

Performed after surgical scrubbing Only for surgical procedures

Answer 26

closed method

Question 27

closed method: Working from within the ???

Answer 27

cuffs of the surgical gown

Question 28

closed method: The hands never touch the outside of the ???

Answer 28

gown or gloves

Question 29

Open the package of sterile gloves. Place the package of gloves on a clean, dry surface.  Rationale:

Answer 29

Any moisture on the surface could contaminate the gloves.

Question 30

Discarded gloves must be dropped directly to the ???

Answer 30

INFECTIOUS WASTE BIN

Question 31

chain of infection: (6)

Answer 31

agent reservoir portal of exit mode of transmission portal of entry susceptible host

Question 32

chain of infection: virus, bacteria, fungi, parasites

Answer 32

agent

Question 33

chain of infection: where the agent can preserve or live

Answer 33

reservoir (people)

Question 34

chain of infection: how the agent is transferred

Answer 34

portal of exit/entry (ex. mouth)

Question 35

chain of infection: bodily fluids, contact

Answer 35

mode of transmission

Question 36

chain of infection: elderly, children, immunocompromised people

Answer 36

susceptible host

Question 37

if using bar soap, is it necessary to avoid touching the container of the soap?

Answer 37

yes

Question 38

hand rub duration

Answer 38

20-30 second

Question 39

hand wash duration

Answer 39

40-60 seconds

Question 40

5 moments of hand hygiene

Answer 40

1. before touching a patient 2. before a procedure 3. after a procedure/body fluid exposure risk 4. after touching a patient 5. after touching a patient's surroundings