CNOR D5 Infection Prevention and Control Flashcards

(33 cards)

1
Q

What are the three zones based on surgical attire?

A

Restricted, semi-restricted, non-restricted

AORN Guidelines Design and Maintenance

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2
Q

What are examples of environmental factors in a surgical setting?

A
  • Noise
  • Temperature
  • Humidity
  • Positive pressure
  • Traffic

Berry & Kohn’s Operating Room Technique

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3
Q

What is the purpose of positive pressure in operating rooms?

A

To prevent airborne contaminants from entering the surgical area

AORN Guidelines Design and Maintenance

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4
Q

What should be included in proper surgical attire for restricted areas?

A
  • Clean scrubs
  • Head covering
  • Beard covering
  • Mask in presence of opened sterile supplies

AORN Guidelines Surgical Attire

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5
Q

Fill in the blank:

The area where street clothes are permitted is known as the _______ zone.

A

unrestricted

AORN Guidelines Design and Maintenance

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6
Q

What is the recommended action for cleaning between surgical cases?

A

Clean/disinfect from cleanest to dirtiest, top to bottom

AORN Guidelines Environmental Cleaning

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7
Q

What is the minimum air changes per hour (ACH) recommended for operating rooms?

A

20 ACH

AORN Guidelines Design and Maintenance

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8
Q

What is the role of HVAC in a surgical environment?

A

To decrease patient/staff exposure to environmental contaminants

AORN Guidelines Design and Maintenance

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9
Q

What type of air pressure is used to contain airborne pathogens?

A

Negative pressure

AORN Guidelines Design and Maintenance

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10
Q

What should be done immediately after a spill occurs in a surgical area?

A

Clean as soon as possible and apply disinfectant to the spill

AORN Guidelines Environmental Cleaning

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11
Q

What are the best practices for traffic control in surgical areas?

A
  • Keep doors closed
  • Maintain proper ACH
  • Limit introduction of microorganisms
  • Schedule breaks during least disruptive times

AORN Guidelines Design and Maintenance

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12
Q

What is the purpose of terminal cleaning?

A

To ensure operating/procedure rooms are thoroughly cleaned at the end of each day they are used

AORN Guidelines Environmental Cleaning

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13
Q

What should be done with items that would release blood or infectious material?

A

Place them in a red bag or leakproof container

AORN Guidelines Environmental Cleaning

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14
Q

What is the recommended dilution of sodium hypochlorite for spills less than 10 mL?

A

1:100 dilution prior to cleaning

AORN Guidelines Environmental Cleaning

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15
Q

What types of surfaces must be cleaned and disinfected after patient use?

A
  • Floors
  • Patient care items
  • High-touch areas

AORN Guidelines Environmental Cleaning

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16
Q

What should be done with communication devices not required for surgical procedures?

A

Turn off or place in a monitored location outside of the procedure room

AORN Guidelines Environmental Cleaning

17
Q

What are the two types of air pressure used in surgical settings?

A
  • Positive pressure
  • Negative pressure

AORN Guidelines Design and Maintenance

18
Q

Fill in the blank:

The _______ zone includes areas like operating rooms and clean core rooms.

A

restricted

AORN Guidelines Design and Maintenance

19
Q

What is the recommended cleaning strategy for high-touch areas in surgical rooms?

A

Clean and disinfect them after each patient use

AORN Guidelines Environmental Cleaning

20
Q

What is the significance of laminar airflow in surgical environments?

A

It provides unidirectional airflow to minimize contamination during high-risk procedures

AORN Guidelines Design and Maintenance

21
Q

What should be done if HVAC parameters are not maintained?

A

Report errors ASAP and follow facility policy

AORN Guidelines Design and Maintenance

22
Q

What is the optimal frequency of terminal cleaning?

A

Unknown

AORN Guidelines Environmental Cleaning

23
Q

How often should floors and horizontal surfaces be cleaned according to AAMI?

A

Daily

AORN Guidelines Environmental Cleaning

24
Q

What does CMS check for in relation to terminal cleaning?

A

Evidence of terminal cleaning done on a daily basis

AORN Guidelines Environmental Cleaning

25
What areas are included in extra cleaning/disinfecting after the last case?
* All exposed surfaces * Sterile processing areas * Pre- and postop patient care areas ## Footnote AORN Guidelines Environmental Cleaning
26
What should be followed for areas not terminally cleaned?
An established cleaning schedule ## Footnote AORN Guidelines Environmental Cleaning
27
What are some special cleaning considerations for enhanced environmental cleaning?
* Reserved for MDROs, prions, spores * Clean and disinfect high-touch areas * Use standard + gown/gloves ## Footnote AORN Guidelines Environmental Cleaning
28
What is the recommended disinfectant for high-risk tissue?
1:5 to 1:10 dilution sodium hypochlorite or sodium hydroxide ## Footnote AORN Guidelines Environmental Cleaning
29
What is required for room access during tuberculosis cleaning?
Restrict access until air exchange can clean 99% of airborne particles ## Footnote AORN Guidelines Environmental Cleaning
30
How many air exchanges per hour are needed to remove 99% of airborne particles?
15 air exchanges per hour ## Footnote AORN Guidelines Environmental Cleaning
31
What must be worn if entering a room before complete air exchange for tuberculosis exposure?
N-95 respirator ## Footnote AORN Guidelines Environmental Cleaning
32
What should be done after a flooding event?
Terminal clean after event ## Footnote AORN Guidelines Environmental Cleaning
33
Is it necessary to close a room after an infected procedure?
Not necessary ## Footnote AORN Guidelines Environmental Cleaning