Infection Control
QuestionAnswered step-by-stepInfection Control Go to My ATI > Learn tab > Engage Fundamentals > Foundational Concepts of Nursing Practice > Infection Control and IsolationReview the material and answer the following questions. You can skim some of the material as you will also be reviewing the Skills Module 3.0 related to Infection Control. You have additional questions when reviewing that module as you will see below. Lessons – Chain of Infection and the Body’s Defenses What is the sequence of factors needed for infection to occur?1. Example2. Example3. Example4. Example5. Example6. Example What does vehicle transmission involve?1. What does vector-borne transmission involve?1. Skills – Applying PPE In what order to you don PPE?1.2. 3.4. Skills – Removing PPE In what order do you remove PPE?1.2.3.4. Go to My ATI > Apply tab > Skills Modules 3.0 > Infection ControlYou are required to complete the posttest for this module. See the directions under the D2L module ATI Modules for requirements and how to upload the results to the associated D2L dropbox Hand HygieneWatch the video on Hand Hygiene (you should do this even if you think you know how to perform hand hygiene)Review the associated checklist Effectiveness of Handwashing is related to?1.2.3. What is the most important measure for preventing the transmission of micro-organisms?1. Personal Protective EquipmentWatch the video on Gloves, Masks, Gowns, Eyewear and Face ShieldsReview the associated checklists Standard and Transmission-based Precautions When are standard precautions applied?1. What are the 4 infection prevention practices that apply to all clients?1.2.3.4. What are the three categories of transmission-based precautions?1.2.3. What does direct contact refer to?1. What does indirect care refer to?1. What personal protective equipment should you use for contact precautions?1.2. What are examples of infections that require contact precautions?1.2.3.4.5. When are droplet precautions used?1. What personal protective equipment should you use for droplet precautions?1. What are examples of infections that require droplet precautions?1.2. How long can influenza survive outside a host?1. When are airborne precautions used?1. What kind of isolation does it require?1. What personal protective equipment should you use for airborne precautions?1. What is an example of infections that requires airborne precautions?1. Complete the worksheet on isolation and infection practices. (15 points) The patient in this room has been diagnosed with C-diff. and has been incontinent of stool. The patient is place under _____________ precaution. _________________ What PPE should you don? _____________________________________ (0.25 pt each) The nurse identifies that further teaching is needed about standard precautions when a nursing assistant says, “Standard precautions apply when I… (0.5 pt)Clean body fluids that contain blood”Provide perineal care”Change soiled linens”Wipes away tears” The patient in this room has herpes lesions on their chest. The lesions are weeping, and you need to perform a dressing change. The patient is placed in ___________ precaution/isolation. What PPE should you don? _____________________(0.25 pt each) The nurse observing the nursing assistant removing soiled gloves notes a violation in aseptic technique as she… (0.5 pt)Grasps the outer surface of the left glove with gloved right hand.Discards the inverted right glove containing the left glove in an appropriate waste container.Uses the ungloved thumb of the left hand to grab the inside and outside of the right gloved hand. The patient needs VS every shift. To keep the B/P cuff from spreading germs, the most practical intervention is to: (0.5 pt)Place it in a protective bagKeep it in the patient’s roomSoak it in a germicidal solutionStore it in the dirty utility room The patient is a 59 y/o male patient admitted with community acquired pneumonia with the following lab values reported: (0.25 pt each)WBC 20,000Urine specific gravity 1.020Hgb. 14.5 g/dl What lab value(s) needs to be reported to the physician? _______________________The patient is placed in ______________ precautions/isolation for 48 hoursWhy does the patient have to be in isolation for 48 hours? ______________________ What PPE should you don? ___________________________________ You are caring for a 35 y/o female diagnosed with a GI Bleed. She is receiving chemotherapy for lung cancer and has a WBC of 1.5. The client needs to be placed in ____________precaution/isolation. What PPE should you don? __________________ Who should or should not care for the patient? ______________________ (0.25 pt each) Sacral area shows an area of full thickness skin loss including subcutaneous tissue. The area measures 5 cm x 6 cm with a small amount of yellow drainage and requires wound irrigation and a dressing change. VS= T 100* F, P 92, RR 22, B/P 130/68. Patient is incontinent of urine and stool. Past Medical History: MRSA positive, Type I diabetes, CVA with residual Left hemiparesis. Lab tests: (0.25 pt)WBC 18,000Hgb. 16The patient would be in placed in ________________ precaution/isolation.What lab value is of concern?What is one nursing priority for this patient? ______________ After the nurse completes the wound irrigation of the patient in contact precautions, she must remove his/her PPE. What should the nurse do first? (0.5 pt)Untie the gown at the waist Untie the gown at the neckRemove the glovesRemove the mask Standard precautions, like handwashing protect: (0.5 pt)healthcare personnel from infectious agentspatients from infectious agentsresidents from infectious agentsall of the above. Is it acceptable for a co-worker, patient, or resident to remind you to wash your hands? (0.5 pt)YesNo Lyme’s disease is transmitted by the deer tick. What is the method of transmission? (0.5 pt)vehiclevectorindirectdirect Johnny O’Hara, age 7, has salmonella from eating a contaminated hamburger. What is the route of transmission? (0.5 pt)dropletairbornevehiclevector Henry Johnson, age 50, has active TB. Which type of airborne precautions should be emphasized when caring for this patient? (0.5 pt)wearing a gownwearing gloveswearing a maskwearing a cap When removing barrier garments, which item should be removed first? (0.5 pt)glovescapgownmask For what type of patients should the nurse apply standard precautions? (0.5 pt)patients with infectious diseasespatients who are immunosuppressedpatients with bloodborne pathogensall patients If you are caring for a patient with a gastrointestinal infection, which type of precaution would be appropriate? (0.5 pt)airbornedropletcontactprotective Hand washing is the single most important aspect of infection control. (0.5 pt)truefalse As a health care worker what two bloodborne diseases pose the greatest threat? (0.5 pt)Hepatitis A and HIVHIV and syphilisHepatitis B and HIVHepatitis B and Malaria A nosocomial infection is one that… (0.5 pt)the patient has at the time of admission.is acquired in the community.a patient develops during hospitalization or within 2 weeks of dischargeaffects only the nose. Matching: Match the illness with the type of precaution required. (0.25 pt each) Illness Precaution____________ Vomiting and diarrhea A. Airborne PrecautionsPneumonia B. Droplet PrecautionsMeningitis C. Contact PrecautionsVaricella (chicken pox)Influenza1HerpesTuberculosisOpen draining wounds Number in order the steps for donning full personal protective equipment (1 pt)put on gownput on glovesperform hand hygieneput on a mask or respiratorput on eye protection Number in order the steps for removing full personal protective equipment (1 pt)remove the gownremove the glovesremove the mask or respiratorperform hand hygieneremove eye protection Health ScienceScienceNursingShare Question
