Safe, Effective Care Environment Flashcards

1
Q

What is Medical Asepsis?

A

Use of practice that REDUCES micro-organisms.
Think “clean technique”
In the MEDICAL field we are CLEAN to limit the spread of infection.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is Surgical Asepsis?

A

Use of practice that ELIMINATES ALL micro-organisms.
Think “sterile technique”
In SURGERY everything is STERILE.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Yessenia opened a sterile kit above her sterile field while wearing sterile gloves. She begins to move supplies within the kit around the field. Is she maintaining sterility?

A

Yes, Yessenia is perfect and understand that she is allowed to move things around within the sterile field as long as she is within the 1 inch border.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Toni is performing a procedure that requires sterile technique. Pam enters the room and asks Toni a question. Toni turns around and tells Pam to go away because she is busy being a good nurse. Is Toni being a good nurse?

A

No. Toni turned her back to address Pam, therefore turning her back to the sterile field. The field is no longer considered sterile.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Eddie is demonstrating to Esme how to perform a sterile procedure. He pours sterile water over a pair of sterile swabs that are laying on his sterile field within the 1 inch border. Is Eddie properly demonstrating sterile technique?

A

No. Any non-waterproof sterile wrapper or field becomes unsterile when it comes in contact with moisture.
In addition Eddie talking too much over his sterile field can also compromise sterility.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

True or False. Pam properly sets up a sterile field but notices her patient is no longer in the room. She removes her sterile gloves, disposes them properly, and locks the door so no one enters the room to disrupt her sterile set up. She returns with her patient and ensures they aren’t anywhere near her sterile set up. Is it still sterile?

A

False. Prolonged exposure to open air compromises sterility.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

True or False. Pathogens are bacteria that can cause infections.

A

FALSE. Pathogens are micro-organisms that can cause infection.
Pathogens can be a fungi, virus, parasite, or a bacteria.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the difference between Non-Specific and Specific Immunity?

A

Specific immunity is in response to something specific.
Ex: antibodies for a specific antigen
Non-Specific immunity is protection in place for anything.
Ex: Skin that is intact is a protective barrier against random germs we come across everyday.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is Native Immunity?

A

A non-specific immunity in which the body responds to any foreign organism.
Ex: Inflammatory response

Think NATIVE Americans fight against any Foreigner.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is Passive Immunity?

A

A nonspecific immunity in which antibodies are produced by an external source.
Ex: Skin is your first line of defense, Mucous membranes trap any bacteria, breastmilk has antibodies.

Think my PASSIVE immunity was PASSED down by my Mom to protect me from germs PASSING through. Your skin, your mucous membranes were made in your mom and she breast fed you.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is Adaptive Immunity?

A

A specific adaptive immunity in which the body makes antibodies IN RESPONSE to foreign organisms. The foreign organism is identified and now the body can react when it recognizes it again.

Think the body is ADAPTing to the germ.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is Active Immunity?

A

A specific immunity in which antibodies are produced in response to an antigen.

Think my body is ACTIVEly producing specific antibodies for this specific antigen.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is an Antigen?

A

An antigen is a foreign substance/organism that causes your body to have an immune response and make antibodies against it.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is a Causative Agent?

A

A bacteria, fungus, virus, parasite, etc, that results in infection.

Think what agent CAUSEd the infection.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is a Reservoir?

A

Ex: human, animal, food, organic matter, water, soil, insects, inanimate surfaces.

Think RESERVATION. The Fungus (causative agent) from Esme’s foot had a RESERVATION for him and all his friends to hang out in Esme’s shoe. Toni borrowed Esme’s shoes which were the Reservoir to the toe fungus she got.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a Portal of Exit? Define and List them.

A

The means for leaving the host.
ex: Eddie has herpes and the portal of exit is the Genitourinary tract.

Portals of Exit: Respiratory tract, gastrointestinal tract, genitourinary tract, skin/mucous membranes, blood, body fluids, transplacental.

17
Q

What is a Mode of Transmission?

A

How you get the infection.

18
Q

What are the 4 Modes of Transmission?

A

Contact
Droplet
Airborne
Vector Borne

19
Q

Give examples of Contact transmission

A
  • Direct physical contact (person to person)
  • Indirect physical contact (person to object to person)
  • Fecal-Oral Transmission
20
Q

Give examples of Droplet transmission

A

Sneezing
Coughing
Talking

Think DROPS of saliva

21
Q

Give examples of Airborne transmission

A

Sneezing and Coughing

22
Q

Give examples of Vector borne transmission

A

Animals or insects

Ex: ticks can transmit lyme disease
mosquitoes can transmit malaria and west nile

23
Q

Name the expected findings of Infection

A
Fever (duh)
Increased Respiratory and Pulse (in response to fever)
Fatigue
Enlarged Lymph Nodes
(to name a few)
24
Q

What labs can confirm infection?

A
  • WBC (greater than 10,000)
  • Presence of micro-organisms on a Culture
  • Elevated Erythrocyte Sedimentation Rate (ESR over 20mm/hr indicates an active inflammatory response or infection)
25
Q

Why is adequate fluid intake important in regards to infection?

A

Fluid can flush away a UTI

Fluid promotes adequate skin integrity, and this is your first line of defense. Skin breakdown can lead to infection.

26
Q

How does coughing, turning, and the incentive spirometer prevent infection in immobile patients?

A

If you are immobile bacteria can go into the lungs and since you aren’t exercising your lungs it sticks to your lungs and grows. If you are exercising your lungs you are promoting excretion of pulmonary secretions, clearance and cilia (“hairs” that help sweep microbes away) movement. This helps infection leave the lungs.

27
Q

Measles and Varicella require what type of Precaution?

A

Airborne Precautions

also Tuberculosis

28
Q

What type of room do you use for a patient in airborne isolation?

A

Negative Pressure Room

Think airborne diseases need a NEGATIVE room because they are bad.

29
Q

Pneumonia, Mumps, Rubella, Pertussis what isolation do you need?

A

Droplet

30
Q

Who needs a Negative air pressure room?

A

Patient with Airborne disease such as Measles, varicella, and TB

31
Q

Who needs a Positive Air pressure room?

A

Immunocompromised patients

Think we PROTECT with a POSITIVE PRESSURE room

32
Q

What Medication catergories do we need with Infection.

A

Antipyretics (for fever and discomfort)

Antimicrobials/Antibiotics (kill/inhibit growth)

33
Q

What Seizure Rescue Equipment should be kept at bedside?

A

Oxygen
Bed Rail padding
Suction Equipment
Oral Airway

34
Q

How loose should restraints be?

A

Only loose enough to fit 2 fingers

35
Q

How often do you assess skin on someone with restraints?

A

Usually every 2 hours