CDC Nursing Home Infection Prevention Exam
Study online at https://quizlet.com/_csuq17
1. CDS: Communicable disease service
2. CMS: Centers for Medicare and Medicaid Services
3. EVS: Environmental Services
4. HAIs: Healthcare-associated Infections
5. HCFs: Healthcare Facilities
6. LHD: Local Health Department
7. HOs: Health Officers
8. REHs: Registered Environmental Health Specialists
9. REP: Regional Epidemiology Program
10. VPDP: Vaccine Preventable Disease Program
11. IZDP: Infectious and Zoonotic Disease Program
12. AR: Antimicrobial Resistance
13. CEOHS: Consumer, Environemtnal, and Occupational Health Services (made up of Environmental and Occupa-
tional Health Surveillance, Food and Safety Public Protection, and Environmental and Occupational Health Assessment)
14. HFSFO: Health Facility Survey and Field Operations
15. CDRSS: Communicable Disease and Reporting Surveillance System
16. NHSN: Natioal Healthcare Safety Network
17. QAA: Quality Assessment and Assurance (Committee) - environmental services, clinical leadership, rehabilitation,
services, pharmacy, laboratory, facility management, administration and nursing data
18. RCA: Root, Cause, Analysis - comprehesive review of an infection event or practice failure to determine all potential
factors leading to occurrence (find out what happened, why it happened)
19. CAUTI: Catheter-associated Urinary Tract Infection
20. NIOSH: National Institute for Occupational Safety and Health
21. AIIR: Airborne Infection Isolation Room
22. CLABSI: Central-line Associated Bloodstream Infection
23. How many Americans does the 15,600 CMS provide to each year?: 3 million
Americans
24. Why are nursing homes susceptible to infection?: Age of residents, invasive devices,
medications, functional impairment, communal living, group activities, and comorbid conditions (chronic diseases)
25. What are the IPC Core Activities?: Developing policies and procedures, identifying, recording,
correcting, IPC incidents, infection surveillance, investigating and reporting communicable diseases, conducting annual
review, and establishment of antibiotic stewardship programs
, CDC Nursing Home Infection Prevention Exam
Study online at https://quizlet.com/_csuq17
26. Policy and procedure template: Includes title, definition, purpose, rationale, date of last revision,
date policy took effect, name and signature of person or committee responsible
27. IPC Risk Assessment Matrix: Capacity to detect readiness to prevent - the higher the score, the higher
the risk (0= not likely to occur, 3+ very likely to occur) How likely is this to occur? What is the harm from the event and
impact of care? What is the risk level?
28. How often should an IPC risk assessment matrix be performed?: At least annually
29. Role of Infectionist Preventionist: Epidemiology, surveillance, common infectious diseases,
pathogen transmission, diagnosis of infectious diseases. antimicrovbials, and treatment
30. Resident-related Infections: UTI, pneumonia, skin/ soft tissue infections (SSTIs)
31. Device-related infections: CAUTIs, CLABSIs
32. Outbreak-related infections: Viral respiratory, viral gastroenteritis, scabies,
33. Culture Based Diagnostic Testing: Takes time to grow the organism - normally uses a swab to
collect cells from inside the mouth or nose/ uses a swab to collect pus from a wound
34. Nucleic Acid Amplification: Detects the genetic material and has faster results - uses a swab to collect
cells from inside of the nasal cavity
35. QIN-QIO Program: Quality Improvement Organization - provides consultation services to nursing homes
at no cost and works with them on prevention projects
36. QAPI: Quality Assurance and Performance Improvement - uses data-driven systems approach of QAPI to record
incidents (design and scope, governance and leadership, systematic analysis, performance improvement projects,
feedback data systems and monitoring)
37. QA of the QAPI: Specification of standards (indwelling urinary catheters)
38. PI of the QAPI: Continuous srudy of processes to prevent or decrease the likelihood of practice failures or
harms during care
39. Performance Improvement Activities: Strengthen practices or helo address an IPC activity -
prioritize high-risk, high-volume, or problem-prone areas, review the annual facility IPC risk assessment, review IPC
surveillance
40. Surveillance: The ongoing, systematic collection, analysis, interpretation, and dissemination of data
41. Process Measures of Surveillance: Hand hygiene, PPE, safe injection practices, IPC practices during
point of care blood testing, documenting duration and indication of new antibiotics
42. Outcomes Measures of Surveillance: Detects outbreaks, monitor staff adherence (identifies risk
assessments and improvement opportunities)
, CDC Nursing Home Infection Prevention Exam
Study online at https://quizlet.com/_csuq17
43. Comprehensive Surveillance: Tracking every infection event (may reduce opportunities for analyzing
infection data and implementing prevention)
44. Targeted Surveillance: Focuses on high-risk/ high-consequence infection events more detailed, helpful
for large facilities
45. Steps for Surveillance: Assess the population, select outcome and process measures, use surveillance
definitions, collect data, calculate and analzye rates, apply risk stratification methodology, and report/ use surveillance
information
46. Calculating Infection Rate - Numerator: Number of infections occurring during timeframe
47. Calculating Infection Rate - Denominator: Number of days of risk each resident contributes
during time
48. Infection Rate Calculation: (Number of events/ number of resident-days at risk) x constant (K) =
infection rate
49. HAI Constant: K = 1,000
50. CDI Constant: K = 10,000
51. Calculating Performance Monitoring: Tracks adherence to IPC practices
(# of times practice is performed correctly/ total # of opportunities to perform practice) x 1,000 = percent adherence
52. Stratification: Process of dividing or classifying into categories to assist with interpretation findings
53. "Gold Standard" for Displaying Surveillance Trends: Infection and adherence rates are
typically displayed as line charts, an increase over the baseline should prompt an IP to investigate
54. Outbreak: Occurrence of more cases of a communicable disease than expected in a given area or among a
specific group of people over time
55. Human Metapnuemovirus: Causes outbreaks of respiratory illness among nursing home staff (signs
of respiratory infection) - isolation, droplet and contact precautions, enhanced environmental cleaning, cessation of
group activities, increased emphasis on identifying, and increased emphasis on hand hygiene
56. Triggers of an Outbreak: Increase over baseline infection rate, sudden cluster of infections on a unit or
during short period of time, single case of rare infection - the facility should take steos to diagnose and manage cases,
document steps of investigation, comply with fed. state, and local authority
57. Outbreak Investigation: Establish existence of outbreak, develop hypothesis and case definition, con-
duct case finding, implement IPC measures, determine outbreak resolution,
58. Threshold Rate Should...: Be high enough to incorporate natural variation and low enough to prompt
early action
Study online at https://quizlet.com/_csuq17
1. CDS: Communicable disease service
2. CMS: Centers for Medicare and Medicaid Services
3. EVS: Environmental Services
4. HAIs: Healthcare-associated Infections
5. HCFs: Healthcare Facilities
6. LHD: Local Health Department
7. HOs: Health Officers
8. REHs: Registered Environmental Health Specialists
9. REP: Regional Epidemiology Program
10. VPDP: Vaccine Preventable Disease Program
11. IZDP: Infectious and Zoonotic Disease Program
12. AR: Antimicrobial Resistance
13. CEOHS: Consumer, Environemtnal, and Occupational Health Services (made up of Environmental and Occupa-
tional Health Surveillance, Food and Safety Public Protection, and Environmental and Occupational Health Assessment)
14. HFSFO: Health Facility Survey and Field Operations
15. CDRSS: Communicable Disease and Reporting Surveillance System
16. NHSN: Natioal Healthcare Safety Network
17. QAA: Quality Assessment and Assurance (Committee) - environmental services, clinical leadership, rehabilitation,
services, pharmacy, laboratory, facility management, administration and nursing data
18. RCA: Root, Cause, Analysis - comprehesive review of an infection event or practice failure to determine all potential
factors leading to occurrence (find out what happened, why it happened)
19. CAUTI: Catheter-associated Urinary Tract Infection
20. NIOSH: National Institute for Occupational Safety and Health
21. AIIR: Airborne Infection Isolation Room
22. CLABSI: Central-line Associated Bloodstream Infection
23. How many Americans does the 15,600 CMS provide to each year?: 3 million
Americans
24. Why are nursing homes susceptible to infection?: Age of residents, invasive devices,
medications, functional impairment, communal living, group activities, and comorbid conditions (chronic diseases)
25. What are the IPC Core Activities?: Developing policies and procedures, identifying, recording,
correcting, IPC incidents, infection surveillance, investigating and reporting communicable diseases, conducting annual
review, and establishment of antibiotic stewardship programs
, CDC Nursing Home Infection Prevention Exam
Study online at https://quizlet.com/_csuq17
26. Policy and procedure template: Includes title, definition, purpose, rationale, date of last revision,
date policy took effect, name and signature of person or committee responsible
27. IPC Risk Assessment Matrix: Capacity to detect readiness to prevent - the higher the score, the higher
the risk (0= not likely to occur, 3+ very likely to occur) How likely is this to occur? What is the harm from the event and
impact of care? What is the risk level?
28. How often should an IPC risk assessment matrix be performed?: At least annually
29. Role of Infectionist Preventionist: Epidemiology, surveillance, common infectious diseases,
pathogen transmission, diagnosis of infectious diseases. antimicrovbials, and treatment
30. Resident-related Infections: UTI, pneumonia, skin/ soft tissue infections (SSTIs)
31. Device-related infections: CAUTIs, CLABSIs
32. Outbreak-related infections: Viral respiratory, viral gastroenteritis, scabies,
33. Culture Based Diagnostic Testing: Takes time to grow the organism - normally uses a swab to
collect cells from inside the mouth or nose/ uses a swab to collect pus from a wound
34. Nucleic Acid Amplification: Detects the genetic material and has faster results - uses a swab to collect
cells from inside of the nasal cavity
35. QIN-QIO Program: Quality Improvement Organization - provides consultation services to nursing homes
at no cost and works with them on prevention projects
36. QAPI: Quality Assurance and Performance Improvement - uses data-driven systems approach of QAPI to record
incidents (design and scope, governance and leadership, systematic analysis, performance improvement projects,
feedback data systems and monitoring)
37. QA of the QAPI: Specification of standards (indwelling urinary catheters)
38. PI of the QAPI: Continuous srudy of processes to prevent or decrease the likelihood of practice failures or
harms during care
39. Performance Improvement Activities: Strengthen practices or helo address an IPC activity -
prioritize high-risk, high-volume, or problem-prone areas, review the annual facility IPC risk assessment, review IPC
surveillance
40. Surveillance: The ongoing, systematic collection, analysis, interpretation, and dissemination of data
41. Process Measures of Surveillance: Hand hygiene, PPE, safe injection practices, IPC practices during
point of care blood testing, documenting duration and indication of new antibiotics
42. Outcomes Measures of Surveillance: Detects outbreaks, monitor staff adherence (identifies risk
assessments and improvement opportunities)
, CDC Nursing Home Infection Prevention Exam
Study online at https://quizlet.com/_csuq17
43. Comprehensive Surveillance: Tracking every infection event (may reduce opportunities for analyzing
infection data and implementing prevention)
44. Targeted Surveillance: Focuses on high-risk/ high-consequence infection events more detailed, helpful
for large facilities
45. Steps for Surveillance: Assess the population, select outcome and process measures, use surveillance
definitions, collect data, calculate and analzye rates, apply risk stratification methodology, and report/ use surveillance
information
46. Calculating Infection Rate - Numerator: Number of infections occurring during timeframe
47. Calculating Infection Rate - Denominator: Number of days of risk each resident contributes
during time
48. Infection Rate Calculation: (Number of events/ number of resident-days at risk) x constant (K) =
infection rate
49. HAI Constant: K = 1,000
50. CDI Constant: K = 10,000
51. Calculating Performance Monitoring: Tracks adherence to IPC practices
(# of times practice is performed correctly/ total # of opportunities to perform practice) x 1,000 = percent adherence
52. Stratification: Process of dividing or classifying into categories to assist with interpretation findings
53. "Gold Standard" for Displaying Surveillance Trends: Infection and adherence rates are
typically displayed as line charts, an increase over the baseline should prompt an IP to investigate
54. Outbreak: Occurrence of more cases of a communicable disease than expected in a given area or among a
specific group of people over time
55. Human Metapnuemovirus: Causes outbreaks of respiratory illness among nursing home staff (signs
of respiratory infection) - isolation, droplet and contact precautions, enhanced environmental cleaning, cessation of
group activities, increased emphasis on identifying, and increased emphasis on hand hygiene
56. Triggers of an Outbreak: Increase over baseline infection rate, sudden cluster of infections on a unit or
during short period of time, single case of rare infection - the facility should take steos to diagnose and manage cases,
document steps of investigation, comply with fed. state, and local authority
57. Outbreak Investigation: Establish existence of outbreak, develop hypothesis and case definition, con-
duct case finding, implement IPC measures, determine outbreak resolution,
58. Threshold Rate Should...: Be high enough to incorporate natural variation and low enough to prompt
early action
