324 Infection Control

Question 1

what are the factors that influence infection prevention and control

Answer 1

age, sex, nutritional status, stress, disease process

Question 2

standard precautions apply to

Answer 2

blood, blood products, all bodily fluids, secretions, excretions (expect sweat), non intact skin and mucous membranes

Question 3

standard precautions

Answer 3

-HH before and after contact w/ patients, contact w/ bodily fluids and immediately after gloves are removed
-wash hands w/ soap&water if they are visibly soiled or contaminated w/ blood
-wash hands w/ soap & water if contact with spores (c.diff) if likely
-wear gloves when touching bodily fluids, non intact skin,ect
-PPE
-check with infection prevention and control about non private rooms
-discard all contaminated sharp instruments and needles in puncture resistant container
-respiratory hygiene and cough etiquette

Question 4

airborne precautions: diseases

Answer 4

measles, chickenpox (varicella), disseminated herpes zoster, mycobacterium tuberculosis, rubeola

Question 5

airborne precautions: barrier protection

Answer 5

N95 respirator mask or respiratory protection device, private room, negative pressure airflow

Question 6

droplet precautions: diseases

Answer 6

influenza, adenovirus, group A streptococcus, nersseria meningitides, pertussis, rhinovirus, mycoplasma pneumoniae, pertussis, diphtheria, pneumonic plague, rubella, mumps, respiratory syncytial virus

Question 7

droplet precautions: barrier protection

Answer 7

private room or cohort pts, mask or respiratory

Question 8

contact precautions: diseases

Answer 8

MRSA or VRA, C.diff, shigella, major wound infections, herpes simplex, scabies, varicella zoster, respiratory syncytial virus

Question 9

contact precautions: barrier protection

Answer 9

gown, gloves, private room or cohort patients

Question 10

protective environment: diseases

Answer 10

stem cell transplants

Question 11

protective environment: barrier protection

Answer 11

positive airflow , mask , gloves gown

Question 12

Contact D precautions

Answer 12

wash hands with soap and water, gown, gloves, dedicated equipment

Question 13

Infection Control and Prevention Department (IPAC)

Answer 13

team of MDs and RNs that help deal with health care associated infections that are contracted in the hospital setting (helps w/ monitoring MRSA or VRE)

Question 14

biohazard safety

Question 15

what to if you get a needle stick

Question 16

purposes of health care records

Answer 16

interprofessional communication, legal record, justification for financial billing & reimbursement, aduiting/monitoring, education & research

Question 17

electronic health record vs electronic medical record

Answer 17

EMR is from only the one specific visit, EHR is all visits (the EMR documents) put into one

Question 18

the EHR needs to include

Answer 18

• provide a longitudinal or lifetime pt record by linking all pt data fr0m previous health care encounters
• contain a problem list w/ the number of occurrences associated with all past & current problems & the status of each problem
  -use accepted standardized measures to evaluate and record health status and functional levels
  -provide a method for documenting the clinical reasoning or rationale for diagnoses to allow clinical decision making to be tracked
  -support confidentiality, privacy and audit trails
  -provide continuous access to authorized users at any time
  -support links to local or remote information resources such as databases within the agnecy
  -support the use of decision analysis tools
  -support direct entry of pt data by providers
  -include mechanisms of measuring the cost and quality of care
  -support existing and evolving clinical needs by being flexible and expandable

Question 19

Do not use abbreviations

Answer 19

• U, U -> write unit
• IU -> international unit
• Q.D, QD, q.d., qd -> daily
• Q.O.D., QOD, q.o.d., qod -> every other day
• trailing zeros (X.0 mg) -> X mg
• lack ofleading zeros (.X mg) -> 0.X mg
  -MS, MSO4, MgSO4 -> “morphine sulfate” or “magnesium sulfate”

Question 20

guidelines for quality documentation

Answer 20

factual, accurate, current, organized, complete

Question 21

documentation for phone calls w/ provider

Answer 21

when the call was made, the number called, who was called, who made the call, to whom information was given, what information was given, & what information was received

Question 22

documentation for telephone or verbal orders

Answer 22

date & time, name of pt, the complete order, the name & credentials of the HCP giving the order, your name and credentials, “TORB” @ signature, HCP co signs within 24 hrs

Question 23

TORB

Answer 23

telephone order read back