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CMC 2 > Wk 2 PPE > Flashcards

Wk 2 PPE Flashcards

1
Q

6 links in chain of infection

A
  1. infectious agent
  2. reservoir -blood, wounds, urine, throat, stool, sputum
  3. portal of exit - incision, nose, mouth, eyes, catheter
  4. susceptible host (you, patient)
  5. portal of entry (natural body openings, human-made openings)
  6. transmission
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2
Q

4 routes of transmission

A
  1. direct contact
  2. indirect contact (surfaces)
  3. droplet - cough, sneezes
  4. airborne -shared airspace
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3
Q

What is included in standard precautions?

A
  1. gown
  2. mask
  3. gloves
  4. hand hygiene
  5. safe injection practices
  6. respiratory etiquette
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4
Q

Contact precautions include…?

A
  1. clean hands
  2. gown
  3. gloves
  4. dedicated equipment (or disinfect b/w use)
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5
Q

Droplet precautions include…?

A
  1. clean hands
  2. gown for direct contact w/ patient or environment
  3. gloves
  4. mask and eye protection
  5. N95/PAPR/CAPR for aerosolizing procedures for suspected/confirmed respiratory viral illness
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6
Q

Airborne precautions include…?

A
  1. isolation room w/ negative pressure or HEPA filter or TB unit
  2. Clean hands
  3. N95/PAPR/CAPR before entry
  4. remove N95/PAPR/CAPR after exiting
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7
Q

What does PAPR stand for?

A

powered
air
purifying
respirator

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8
Q

Pre Donning Sequence

A
  1. clean hands
  2. gown
  3. mask or respirator
  4. goggles or face shield
  5. gloves
  6. while wearing PPE avoid adjusting, don’t touch face, limit surface touching
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9
Q

4 rules for PPE Doffing

A

DO NOT:
1. touch outside of gown (contaminated)
2. touch outside of goggles or face shield (it’s contaminated)
3. touch outside of mask or respirator
4. let PPE become a vector for infection transmission

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10
Q

PPE Doffing Sequence

A
  1. Lean forward, grasp both sides of gown at the hips and start to bunch. Pull slowly and steadily away from body, until the waist tie rips.
  2. Cont to pull down and away to break neck of gown
  3. Peel gown off INSIDE OUT, holding away from body
  4. Remove gloves as gown is pulled over hands. Roll into ball.
  5. Discard gown and gloves
  6. Hand hygiene
  7. Remove face protection by grasping elastic (front is contaminated)
  8. Discard
  9. Hand hygiene
  10. Exit room
  11. Hand hygiene
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11
Q

How is COVID transmitted?

A

Mostly through droplets but can become airborne in presence of aerosol-generating procedure

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12
Q

3 steps for droplet and aerosol mitigation

A
  1. source control
  2. physical distancing
  3. environmental controls
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13
Q

COVID PPE Use

A
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14
Q

What are 3 common bloodborne pathogens?

A
  1. Hep B
  2. Hep C
  3. HIV
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15
Q

What are bloodborne pathogens?

A

micro-organisms present in human blood and other body fluids that can cause infections

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16
Q

Char of Hep B

A

-can -> serious liver damage
-infection risk as high as 30%
-can survive outside the body at least 7 days and still be capable of causing infection

17
Q

Char of Hep C

A

-can -> serious liver disease
-no vaccination
-no exposure tx
-risk of infection from needle stick or cut ~1.8%
-can survive room temp outside body up to 3 weeks

18
Q

HIV Characteristics

A

-can -> AIDS
-no vaccine
-effective post exposure prophylactic tx
-infection risk after needle stick or cut ~0.3%
-infection risk after eye, nose, mouth contact ~0.1%

19
Q

Safe injection practices

A

1 needle
1 syringe
1 time

20
Q

Where do you go if exposed to blood or body fluids?

A

Work Wellness Center
or
ED
or ask supervisor

21
Q

After blood exposure, what are the next steps after ED or WWC?

A

complete worker’s comp w/ supervisor
WWC provides free follow up

22
Q

How many deaths are associated with HAIs?

A

~72,000
~1 in 31 hospital patients has an HAI (healthcare associated infection)

23
Q

5 moments of hand hygiene

A
  1. before touching patient
  2. before clean/aseptic procedure
  3. after body fluid exposure risk
  4. after touching patient
  5. after touching patient surroundings
24
Q

When is hand washing w/ soap and water better than alcohol based gel?

A

When hands a visibly dirty
Otherwise, alcohol based is the gold standard in ALL other situations

25
Q

What areas are considered sterile?

A

The parts of the gown that are considered sterile are, from table height to chest, and from the cuff of gown to 2 inches above the elbow.

CMC 2 (10 decks)

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