N314 Healthcare associated infections

what are the 5 most common sites of healthcare associated infections - 1. catheter associated UTI 2. central line bloodstream infection 3. surgical site infection 4. C diff 5. ventilator associated pneumonia True or False: The nurse should always don personal protective equipment in the patient's room. True False - F - nurse should always don PPE outside of the room One important type of personal protective equipment is a respirator. Which statement is FALSE about a respirator? A. A respirator is to be worn at all times when a patient is in droplet precautions. B. It is important to be fitted for a respirator annually by your employer. C. After donning a respirator, the nurse must perform a seal check. D. After providing patient care, the nurse will remove the respirator outside the patient's room. - A - should only be worn in airborne precautions; surgical mask is required for droplet When removing PPE it is important to know what areas of the PPE are considered "clean" vs "contaminated". Select ALL the areas on PPE that are considered "clean": A. Ties on the gown B. Outside of the mask C. Sleeves of the gown D. Back of the gown E. Inside of the gloves F. Straps on the goggles - A, D, I, F Referring back to question 4, in what order would you doff (remove) the PPE? A. Gloves then mask B. Goggles then mask C. Gloves, goggles, gown, then mask D. Gloves, mask, googles, then gown - C - remove gloves first because they are the most contaminated A patient requires nasotracheal suction. The patient is receiving medical treatment for Mycoplasma Pneumonia. Select the PPE you would wear for this procedure: A. Gloves and mask B. Gloves, gown, goggles, and mask C. Goggles and mask D. Gloves and goggles - B - pneumonia is droplet precaution so need gloves and mask; due to the nature of the procedure, need goggles and gown After providing care to a patient with chicken pox, you remove your PPE. Which statement is TRUE about PPE removal? A. After removing PPE, it is best to perform hand hygiene with hand sanitizer when the hands are visibly soiled. B. It is best practice to remove all personal protective equipment in the patient's room. C. When removing PPE, the respirator should be removed outside the patient's room. D. All the statements are true. - C True or False: The correct sequence of donning PPE is the following: gloves, mask/respirator, goggles/face shield, gown True False - F - correct sequence is gown, mask/respirator, goggles, gloves ______ is the most common hospital acquired infection - catheter associated UTI define standard precautions - an infection control method of assuming that all patients are infected with a blood-borne pathogen; the use of 5 practices to prevent direct contact with these fluids/blood to stop transmission of infectious agents what are the 5 practices of standard precautions - 1. hand hygiene 2. use of personal protective equipment 3. safe injection practice 4. safe handling of potentially contaminated surfaces or equipment 5. respiratory hygiene (ex. sneeze into elbow) T/F you can't reuse the needle but you can reuse the syringe - F - cannot reuse EITHER the syringe or the needle because once it has been injected into the Pt it is contamined T/F alcohol based rub is more effective than soap and water - T in what 3 scenarios can you NOT USE alcohol based rub - 1. C diff 2. Norovirus 3. unexplained diarrhea T/F you can use alcohol based rub after your hands are contaminated with blood and bodily fluids - F in what 3 situations would you use gloves? - 1. contact with blood or other bodily fluid 2. touching mucous membranes or non-intact skin 3. touching contaminated objects or surfaces when should you use gowns and mask/goggles/face shield? - when Pt care activities are likely to generate splashes; to protect your conjunctiva from viruses (ex. Hep B, Hep C, HIV) when should you remove your respirator? - outside the patient's room after the door is closed when should you remove your gloves or gown/face shield? - remove in the doorway of the Pt's room what type of PPE would you wear? giving a bed bath - none what type of PPE would you wear? suctioning oral secretions - gloves, gown, mask/goggles what type of PPE would you wear? transporting a patient in a wheelchair - none