CIC Certification Exam Solved 100% Correct

Risk Index Scores - ANSWER-A score 1-3 to predict the risk of acquiring an SSI. Sum of: ASA 3-5 A contaminated or dirty wound classification An operation lasting longer than than the desired time ASA Scores - ANSWER-1. Normal healthy patient 2. Patient with mild systemic disease 3. Patient with severe systemic disease 4. Patient with severe systemic disease that is a constant threat to life 5. Moribund patient who is not expected to survive without the operation 6. Patient declared brain-dead whose organs are being removed for donor purposes ASA 1 - ANSWER-A 21 year old, well conditioned male athlete undergoing elective groin hernia repair . ASA 2 - ANSWER-A 46 year old woman with mild but controlled hypertension undergoing a laparoscopic cholecystectomy. ASA 3 - ANSWER-A 53 year old man with insulin dependent diabetes and coronary artery disease undergoing elective aortofemoral bypass ASA 4 - ANSWER-A 62 year old woman on chronic renal hemodialysis undergoing emergency laparotomy for perforative diverticulitis ASA 5 - ANSWER-A 58 year old man with morbid obesity, type 2 diabetes, and shock undergoing extensive debridement for Streptococcal necrotizing fasciitis Hep B Vaccine for HCP - ANSWER-If no documentation of complete vaccine series, or if not up to date blood test indicating immunity: Offer the 3 dose series (1st now, 2nd in 1 month, 3rd 5 months after 2nd) Offer anti-HBs serologic tested1 to 2 months after 3rd dose. 85-95% efficacy MMR Vaccine for HCP - ANSWER-Born in 1957 or later and have not had the MMR vaccine, HCP without up to date blood test indicating immunity, should receive 2 doses of MMR, 4 weeks apart. Documentation of provider diagnosed disease is not considered acceptable evidence of immunity. Lab confirmation of disease is acceptable presumptive evidence. Varicella Vaccine for HCP - ANSWER-Without written documentation confirming 2 doses of vaccine, lab evidence of immunity, or lab confirmation of disease; or diagnosis of history of varicella disease by healthcare provider; or diagnosis or history of herpes zoster by healthcare provider are considered nonimmune and should receive 2 doses of varicella vaccine administered 4-8 weeks apart.