Are You Smarter
Than An IP?
Rowena Thomas, RN Infection Control Nurse
White Plains Hospital
Greater NY York APIC Chapter 13 – Q&A Session
November 19, 2014
Divide the room in half
Team MRSA vs Team VRE
5 questions will be asked. The team that answers 3 questions correctly WINS!
1. A woman in active labor with confirmed influenza has been admitted. Recommendations for preventing influenza transmission between hospitalized infected mothers and infants include all of the following except:
a. The mother should be placed on Droplet Precautionsb. The baby should stay in same room as motherc. Keep the isolette at least 3 ft. away from the mother when she is not interacting with the babyd. The baby should receive formula during the 5 day period following the mother’s
symptom onset
Answer: B. The baby
should receive formula during the 5 day period following the mother’s
Rationale: Mothers with influenza may breast feed but wear a surgical mask and practice hand hygiene before each feeding
2. Which of the following does not meet the requirements for an Airborne Isolation Room?
a. Negative pressure isolation room b. At least 15 to 20 air exchanges per hour c. Direct exhaust to the outside d. Daily monitoring of the air pressure with
visual indicators
Answer: B. at least 15 to
20 air exchanges per hour
Rationale: In acute and long
term care facilities, patients should be placed in negative pressure room with at least 6 to 12 air exchanges per hour
3. Numerous outbreaks of infections have been attributed to unsafe injection practices. The IP designs an educational program to review safe injection practices with all nursing staff. These practices include:
1. Use single-dose vials whenever possible and avoid using multidose vials
2. Discard saline bags used for IV flushes for multiple patients after 1 hour
3. Enter a medication vial with a new needle and syringe, even on the same patient
4. Use needles and syringes for only one patient a. 1, 2, 3 b. 1, 3, 4
c. 1, 2, 4d. 2, 3, 4
Answer: B. 1, 3, 4 Rationale:
Absolute adherence to proper infection control practices must be maintained during the preparation and administration of injected medications
4. The CDC recommendations for decreasing CLABSI include all of the following except:
a. Educational programs b. Routine replacement of catheters c. the use of chlorhexidine for skin
antisepsis d. the use of maximal sterile barrier
precautions
Answer: B. Routine
replacement of catheters
Rationale: The CDC Guidelines
do not recommend routinely replacing CVCs, PICC, hemodialysis catheters, or pulmonary catheters to prevent CLA-BSIs
5. Dialysis staff are most at risk for exposure to bloodborne pathogens during:
1. Initiation and termination of dialysis 2. Reprocessing, cleaning, and disinfection
procedures 3. Medication administration 4. Vascular access
a. 1, 2b. 2, 3c. 2, 4d. 1, 3
Answer: A. 1,2 Rationale:
Staff members must follow Standard Precautions when exposure to blood or other potentially infectious materials is anticipated ex.- initiation and termination of dialysis and reprocessing, cleaning, or disinfection
And the WINNER is…
Great JOB!
Thank you!!
