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Flashcards in Infection Control Deck (17)
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1

The AANA position statement, 2.13, stresses a strong position on which practice?

one time use for needles and syringes

2

The AANA campaign "Only One Time" includes which of the following concepts?

ALL: one patient, one syringe, one needle, one single-dose vial

3

what is the major force driving change in infection control policy?

regulatory agencies

4

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

5

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

6

infection control is what type of risk management requirement?

ethical

7

what is the single most important personal infection control preventive measure the CRNA can do in the clinical setting?

handwashing

8

what are universal (standard) precautions?

-hand hygiene before and after pt. contact
-gloves for any pt. contact; change after each contact
-protective eye shields
-protective facemasks

9

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

10

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)

11

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)

12

what is the best site for least risk of infection with CVLs?

subclavian
*SC

13

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

14

describe critical items in infection risk

-contact sterile body tissues
-must sterilize, keep sterile
ex: vascular catheters

15

describe semi-critical infection risk items

-contact mucous membrane
-require high level disinfection/sterilization
ex: laryngoscope blades

16

describe non-critical infection risk items

-only contact skin
-must be cleaned between patients
ex: laryngoscope handles, oral/nasal airway; stylets/bougies, LMAs

17

how must laryngoscopes be stored?

*3 Cs
-clean
-covered
-confined