QUIZ 1
Sunday, August 4, 2019 10:45 PM
•
• Can develop during client's stay or manifest after discharge (48 hours)
• TOP THREE HAI
i. UTI most common ( frequent cause of gram negative septicemia)
ii. Surgical site infection
iii. Pneumonia
• Clostridium difficile result of antibiotic therapy
• Prevalent in hospital surgical and medical ICU
• Endogenous: microorganism comes from the client themselves
• Exogenous: microorganism from the hospital or hospital personnel
• Iatrogenic infection: direct result of diagnostic/ therapeutic procedure
• Prevention:
i. Handwashing
ii. Immunizations
iii. Prevent airborne droplets from spreading
iv. Precautions when handling potentially contaminated materials
• (know gel rub, routine handwashing, surgical asepsis). Know when to perform, how to
perform, why, know ATI recommendations
• Three essential components of handwashing
i. Soap
ii. Running water
iii. Friction
• Wash for at least 15 seconds to remove transient flora
• Wash for up to 2 minutes if more soiled
• 3 to 5 ml
• Hand hygiene must be performed
i. Before and after patient contact
ii. After removing gloves
iii. After contact with anything in patient room
• Handwashing
i. Hands visibly soiled
ii. After contact with bodily fluids
iii. Before eating
iv. After using restroom
• the use of precise practices to reduce number, growth, and spread of microorganisms
• Clean technique
• the use of precise practices to eliminate all microorganisms from an object or area and
prevent contamination
• Sterile technique
• (Know what types of PPE the nurse will use, what diseases require which specific
isolation, any special equipment that the healthcare provider needs to be fitted for, how to transport
the patient in isolation to another area of the hospital, how hand hygiene will be performed after
caring for the patient in isolation, food restrictions if they apply, positive/ negative air pressure,
sharing a room, etc. etc.
1.
• Applies to all body fluids except sweat, nonintact skin, and mucous membranes
• If wet, use gloves
• Hand hygiene before and after client contact
• Masks, eye protection, and face shields required when care might involve splashing or spraying
blood or body fluids
• Clean gloves used when at risk for contamination for nurse or patient
• Sturdy moisture resistant bag for soiled items
• Properly clean all equipment
• Bag soiled linen
2.
• Protect against droplet Measles, varicella, tuberculosis)
infection
• Private room
• Mask and respiratory
protective device
• N95 or HEPA if patient
is suspected of TB
, 12/8/21, 7:25 AM OneNote
• Negative pressure airflow at least 6 to 12 exchanges per hour
3.
• Droplets (streptococcal pharyngitis, PNA, Haemophilus influenzae type B,
scarlet fever, rubella, pertussis, mumps, mycoplasma PNA, mengingococcal PNA, sepsis,
and pneumonic plague)
• Travel
• Private room or patient with same infection
4.
• Protect within 3 feet of patient against patient and environmental contact infections
• Private room or patient with same infection
• Gloves and gowns
• Dispose dressing material in nonporous bag without touching outside of bag
5.
(ex: allogenic hematopoietic stem cell transplant)
• Private room
• Positive airflow 12 or more air exchanges per hour
• HEPA filtration for incoming air
• Mask for client when out of room