Flashcards in Infection Control Deck (17)
The AANA position statement, 2.13, stresses a strong position on which practice?
one time use for needles and syringes
The AANA campaign "Only One Time" includes which of the following concepts?
ALL: one patient, one syringe, one needle, one single-dose vial
what is the major force driving change in infection control policy?
which concepts are included in the USP Pharmacopeia Chapter 797 rules adopted by anesthesia?
-label, date, time, initial all vials opened and syringes filled
-drug preparation must be done immediately before use
-drugs not used within 1 hour must be discarded
in the fall of 2007, the HCV cluster outbreak in patients in a Nevada endoscopy center led to what charges for 2 CRNAs and one MD?
2nd degree murder
infection control is what type of risk management requirement?
what is the single most important personal infection control preventive measure the CRNA can do in the clinical setting?
what are universal (standard) precautions?
-hand hygiene before and after pt. contact
-gloves for any pt. contact; change after each contact
-protective eye shields
what are transmission based precautions?
-added to standard precautions
-contact: surgical gown for any direct contact (VRE, Cdiff)
-droplet: face mask within 6-10 ft. (influenza, pertussis)
-airborne: N95 respirator 5 micro filter (TB, measles, varicella)
-spongiform: prion destruction measures i.e. extreme temp, disposable equipment use incinerated after case
what is proper regional anesthesia asepsis?
-chlorhexidine (> or = .5%) + alcohol (70%) superior to povidone-iodine in reducing skin flora
*iodine cant be used for lumbar puncture d/t possible neurotoxicity
-masks during neuraxial blocks (meningitis spread)
describe proper asepsis for central line and art line insertion
art line: prep and drape; sterile gloves; sterile field; sterile catheter
CVL: full sterile barrier- gowns, gloves, cap, mask, sterile sleeve (PA catheters and ultrasound probes)
what is the best site for least risk of infection with CVLs?
what are measures to prevent surgical related infections?
-pre-op antibiotic within one hour prior to incision; 2 hours for Vancomycin and fluroquinolones
-proper hair removal using clippers (no razors d/t nicks)
-blood glucose less than 200 mg/dL
-normothermia, greater than 36 degrees C
describe critical items in infection risk
-contact sterile body tissues
-must sterilize, keep sterile
ex: vascular catheters
describe semi-critical infection risk items
-contact mucous membrane
-require high level disinfection/sterilization
ex: laryngoscope blades
describe non-critical infection risk items
-only contact skin
-must be cleaned between patients
ex: laryngoscope handles, oral/nasal airway; stylets/bougies, LMAs