Week 7 - Anesthesia Infection Control

Question 1

What is the One Campaign?

Answer 1

Safe Practices for Needle and Syringe Use:

ONE Patient
ONE Needle
ONE Syringe
ONE Single-dose vial
ONE Time

Question 2

What are PERSONAL infection preventative measures?

Answer 2

• Hand Hygiene
• Fingernails, artificial nails, and jewelry
• Prevention and tx of occupational exposure
• Transmission based precautions
• Post exposure prophylaxis
• Prevention of VAP
• Regional Anesthesia
• Epidural Catheters
• Safe Injection Practices
• Arterial Catheters and pressure monitoring devices
• Central line insertion
• Periop Abx therapy (SCIP)
• Site infection prevention

Question 3

What are PROCEDURAL infection preventative measures?

Answer 3

• Approaches to Disinfection and Sterilization
• Anesthesia machine surfaces / other environmental surfaces
• Anesthesia machine system
• Heat and moisture exchangers, anesthesia circuits and filters
• Ancillary instruments
• Single use items (disposable products and reuse)

Question 4

What are ENVIRONMENTAL infection preventative measure

Answer 4

• Housekeeping Practices
• Laundry
• Personal Protective Equipment
• Containment, labeling and disposal of biohazard waste

Question 5

What PPE is needed for:

• Contact
• Droplet
• Airborne
• Spongiform

Answer 5

Contact: surgical gown any direct contact

Droplet: face mask within 6-10ft

Airborne: N95 respiratory 5u filter

Spongiform: prion destruction measures

Question 6

What are the Surgical Care Improvement Project measures to prevent SSIs?

Answer 6

• Preop antibiotic within one hour prior to incision, 2 hours for Vancomycin and fluroquinolones
• Proper hair removal methods use clippers
• Blood glucose <200
• Maintain normothermia >36

Question 7

What are the infection risk spaulding classes?

Answer 7

Critical Items = contact sterile body tissues – sterilize, keep sterile (vascular catheters)

Semi-Critical = contact mucous membrane – high level disinfection/sterilization (L-Scope Blades)

Non-Critical = contact intact skin – must be cleaned between patients

Question 8

Which technique has been shown to effectively reduce the risk of cross contamination?

Answer 8

Double gloving

Question 9

Which is a major infection control initiative that can have significant impact, but is widely under performed?

Answer 9

Hand washing