Hand Hygiene - Answers Hand Hygiene - Medical Asepsis.
The most important step in infection control practices!!
HAI - Health-care Associated Infection - Answers an infection that was not present on admission to a
health care institution and develops during the course of treatment for other conditions/during
hospital stay.
5 moments of hand hygiene - Answers 1) before touching patient
2) before clean/aseptic procedure
3) after body fluid exposure risk
4) after touching patient
5) after touching patient surroundings
Infection Control - Answers Measures to reduce and eliminate sources of transmission and infection.
**Chain on Infection**
Medical Asepsis - Answers Practices used to remove or destroy pathogens and to prevent their
spread from one person or place to another person or place; clean technique.
Surgical Asepsis - Answers Practices that keep objects/areas free from microorganisms; synonym for
sterile technique. Commonly used in procedures when entering the body (like the Operating room or
open wounds).
PPE (personal protective equipment) Dawn and Doffing - Answers Donning:
1. Hand Hygiene
2.Gown
3.Mask/N95
4.Goggles/Facesheild
5.Gloves
Doffing:
1.Gloves
2.Gown
3.Hand Hygiene
4.Goggles/Facesheild
5.Mask/N95
6.Hang Hygiene
Infectious Precautions - Answers Contact - Used when risk of infection can be transmitted through
contact; Must wear gloves, gown, mask & eye protection.
Airborne - Used when risk of pathogens can stay in the air and be inhaled by others; Must wear N95
mask, gloves, gown, negative pressured room and eye protection.
Droplet - Within 1 meter of patient/source, Used when secretions exist in respiratory tract of patient,
pathogens may be propelled (via sneeze or cough) onto others; Must wear mask, gloves, gown and
eye protection.
Mode of Transmission - Answers The route of which pathogens spread from one agent to another.
Patient Hygiene - Answers -Promotes and preserves health
-Helps skin integrity
-promotes education and independence
Bed Baths - Answers Complete - Cleanse and dry all of body
Partial - Cleanse and dry only perineal and face areas
Oral Hygiene - Answers -Daily oral hygiene prevents and controls
plaque-associated oral diseases.
-Oral hygiene promotes health, comfort,
ease of swallowing for better food intake,
and verbal communication.
-Ill patients may require assistance with
activities ranging from preparing oral
hygiene supplies to brushing teeth.
, -Care for dentures as frequently as natural
teeth.
Bed Making - Answers Occupied - Patient is in bed while you change linens, roll patient as needed.
Unoccupied closed or open - Change linens and fold back or completely tuck linens; might the
corners.
Post-op Surgical bed - Open linens with all post-op devices in place.
Bed Positions - Answers -Fowlers: Head of bed raised 45 degrees or more
-Semi-fowlers: Head of bed raised 30 degrees
-Trendelenburg: Entire bed tilted downward toward head of bed
-Reverse Trendelenburg: entire bed tilted downward toward foot of bed
-Flat/Supine: parallel to the floor
Patient Mobility and Repositioning - Answers -Loss of sensation increases vulnerability to the hazards
of immobility because of the inability to sense pain or the need for repositioning.
-Use assistive equipment and devices to transfer and position patients.
-Know the risk factors and how to prevent bed entrapment in hospital, nursing home, and home
health care.
-Assess pressure injury risks.
-Use transfer devices when available
-perform frequent skin assessments
Morse Fall Scale (MFS) - Answers A rapid and simple method of assessing a patient's likelihood of
falling.
Components include:
1. History of falling; immediate or within 3 months
2. Secondary diagnosis
3. Use of an ambulatory aid
4. IV/Heparin Lock
5. Gait/Transferring
6. Mental Status
Patient Exercise - Answers -Regular exercise contributes to patients' physical and emotional well-
being.
-Functional decline can result in deconditioning.
-Promotion of early mobility and exercise a basic competent of nursing practice.
-Nurses play a key role in increasing activity of patients.
-exercise improves blood flow, digestive flow, mental health and independence.
Oral Nutrition; Aspiration Precautions - Answers Dysphagia;
◦ Most common in elderly, but can occur at any age.
◦ Many conditions can cause dysphagia.
Aspiration;
◦ Food, water, vomitus, or oral contents may be aspirated.
◦ Aspiration pneumonia can be fatal, especially in older persons.
Dysphagia Diet - Answers Diet Scale:
0: Thin
1: Slightly thick
2: Mildly thick
3: Liquidized/ Moderately thick
4: Pureed/ Extremely thick
5: Minced & moist
6: Soft & bite-sized
7: Regular
Urine Output Range - Answers Per 24 Hours: 800ml - 2 L
Per Hour: 30 - 70 ml/cc
CAUTI - Catheter associated UTI - Answers -Use aseptic catheter insertion with sterile equipment
-Use only trained, dedicated personnel to insert and maintain urinary catheters
-Use smallest catheter and remove it as soon as possible
-Secure indwelling catheters to prevent movement