Workplace/Infection Control

Question 1

Buckets of Risk

Answer 1

Task bucket
Self bucket
Context bucket

Question 2

Task Bucket

Answer 2

What are you trying to do?

Question 3

Self Bucket

Answer 3

Capabilities to perform task

Question 4

Context bucket

Answer 4

Environment’s effect

Question 5

Multi-Facet Approach to Injury Reduction

Answer 5

Ergonomic
Engineering controls
Standardized protocols
Algorithms

Question 6

Ergonomic Assessment

Answer 6

“Proper” way to do it
Ensuring task/provider fit to prevent injury
Redesign task or environment of care to minimize risk

Question 7

Engineering Controls

Answer 7

Change task to make it as safe as possible

Question 8

Standardized Protocols

Answer 8

Set policies

Question 9

Algorithms

Answer 9

Determine what is most compatible for specific patient/circumstances

Question 10

Outsourcing Strategy

Answer 10

Seeing additional help

Shifting workload

Question 11

Preventative Strategy

Answer 11

Aid and equipment to east stress
Pauses and changes in posture
Warm up period

Question 12

Reactive Strategies

Answer 12

Substituting rx modality

Change in technique

Question 13

Healthcare-Associated Infections

Answer 13

Acquired during admission in HC setting

No evidence that infections were present or incubating at time of admission

Question 14

Factors Leading to Infections

Answer 14

Hand Hygiene is #1
Patient
Technology
Health care workers
Hospital

Question 15

Patient (Leading to Infection)

Answer 15

Severity of illness
Immune statur
Length of stay
Prior colonization

Question 16

Technology (Leading to Infection)

Answer 16

Invasive procedures
Indwelling devices
Antibiotic use and prophylaxis

Question 17

HCW (Leading to Infection)

Answer 17

Hand hygiene

Aseptic/surgical technique

Question 18

Hospital (Leading to Infection)

Answer 18

Ventilation/water system
Staffing ratios
Equipment sterilization
Layout

Question 19

ICU Infections

Answer 19

Highest risk of acquisition partially due to invasive devices
Highest ratio of invasive devices
Contaminated hands of HCWs transfer organisms
Normal respiratory and GI flora replaced within hours of admission by nosocomial pathogens

Question 20

Standard Precautions

Answer 20

Assume very patient is contagious

Represents minimum measure that apply to all patient care

Question 21

Standard Precautions inclue

Answer 21

Hand hygiene
PPE
Respiratory hygiene/cough etiquette
Safe injection practice
Safe handling of contaminated equipment surfaces

Question 22

Blood Borne Pathogens

Answer 22

HIV

Hep B and C

Question 23

Blood Borne Transmission

Answer 23

Depends on severity of injury, quantity of fluid and number of viral particles in body fluid

Question 24

Airborne Precautions

Answer 24

Special room ventilation with negative airflow

Wear Powered Air Purifying Respirator and surgical mask our of room

Question 25

TB Signs

Answer 25

Productive, prolonged cough
Fever
Chills
Chest pain
Appetite loss
Coughing blood

Question 26

Droplet Precautions

Answer 26

Generate large particles when patient coughs, sneezes, speaks or is suctioned
Required PPE - mask and gloves

Question 27

Contact Precautions

Answer 27

PPE - gloves and gowns

Question 28

Airborne Examples

Answer 28

TB
Chickenpox
Measles
SARS

Question 29

Droplet Examples

Answer 29

Influenza
Mumps
Meningococcal
Whooping cough

Question 30

Contact Examples

Answer 30

Antibiotic resistance such as VRE and MRSA
Infectious diarrhea
RSV
Lice