Handwashing Compliance in Healthcare Workers
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Questions and Answers

What percentage of healthcare workers complied with handwashing guidelines before the intervention?

  • 45%
  • 60%
  • 51% (correct)
  • 70%

    • What was the compliance rate for nurses with handwashing guidelines after the intervention?

  • 75%
  • 89% (correct)
  • 80%
  • 95%

    • Why is cold water not recommended for handwashing?

  • It does not facilitate sudsing and cleaning (correct)
  • It spreads microorganisms
  • It is uncomfortable for the hands
  • It is damaging to the skin

    • How much liquid soap should be used for handwashing?

    <p>1 to 2 teaspoons (3–5 mL)</p> Signup and view all the answers

    Why is bar soap not recommended for handwashing?

    <p>It spreads microorganisms</p> Signup and view all the answers

    What should be removed by healthcare workers according to the CDC?

    <p>Fake fingernails</p> Signup and view all the answers

    What is the purpose of placing posters around the nurses' station?

    <p>To provide handwashing guidelines</p> Signup and view all the answers

    What is the purpose of wetting hands under clean running water?

    <p>To facilitate distribution of soap over the entire skin surface</p> Signup and view all the answers

    What is the primary goal of creating a latex-free environment?

    <p>To prevent the spread of microorganisms to clients and healthcare workers</p> Signup and view all the answers

    What is the purpose of assessing a client's ability to control body fluids?

    <p>To prevent the spread of microorganisms</p> Signup and view all the answers

    What is the expected outcome of implementing Standard Precautions?

    <p>Reduced transmission of microorganisms between clients and healthcare workers</p> Signup and view all the answers

    What is the purpose of assessing a client's skin integrity?

    <p>To prevent the spread of microorganisms to compromised clients</p> Signup and view all the answers

    What is the purpose of donning protective gear?

    <p>To prevent the spread of microorganisms to healthcare workers</p> Signup and view all the answers

    What is the purpose of assessing a client's ability to deal with oral secretions?

    <p>To promote client compliance with hygiene measures</p> Signup and view all the answers

    What is the purpose of exiting a client's room using Standard Precautions?

    <p>To prevent the spread of microorganisms to healthcare workers</p> Signup and view all the answers

    What is the purpose of assessing a client's compliance with hygiene measures?

    <p>To prevent the spread of microorganisms to healthcare workers</p> Signup and view all the answers

    What is the primary reason for rinsing under cold running water?

    <p>To remove organic material</p> Signup and view all the answers

    Why is it important to complete hand hygiene before donning clean gloves?

    <p>To prevent contamination of the gloves</p> Signup and view all the answers

    What is the correct method for removing a glove?

    <p>Slipping one finger under the glove edge and pulling down</p> Signup and view all the answers

    What is the recommended ratio of bleach to water for disinfection of contaminated surfaces when norovirus is identified?

    <p>1 part bleach to 50 parts water</p> Signup and view all the answers

    What should be done with washable items after use?

    <p>Put them in hot water with soap and dry in a hot dryer</p> Signup and view all the answers

    Why is it important to hold the glove at the wrist edge when donning?

    <p>To slip fingers into the openings</p> Signup and view all the answers

    What is the correct sequence for removing both gloves as a unit?

    <p>Remove both gloves together, turning them inside out</p> Signup and view all the answers

    What is the purpose of completing hand hygiene after removing gloves?

    <p>To prevent contamination of the hands</p> Signup and view all the answers

    What is the correct procedure to remove a gown?

    <p>Untie the string at the waist and pull the gown off</p> Signup and view all the answers

    What should be done with a disposable gown after use?

    <p>Place it in a garbage bag</p> Signup and view all the answers

    How should the first glove be removed?

    <p>By pulling it off so the glove turns inside out</p> Signup and view all the answers

    What should be done with soiled equipment after use?

    <p>Dispose of it in an appropriate receptacle</p> Signup and view all the answers

    Why is the inside of the gown not considered contaminated?

    <p>Because it is not considered a contaminated area</p> Signup and view all the answers

    What should a client be instructed to do with their secretions?

    <p>Expectorate into a tissue held close to the mouth</p> Signup and view all the answers

    What should be done with used needles and syringes?

    <p>Use disposable ones</p> Signup and view all the answers

    What is the final step in the procedure after removing all personal protective equipment?

    <p>Repeat hand hygiene</p> Signup and view all the answers

    What does a change in the pattern of respiration indicate?

    <p>A client's changing condition</p> Signup and view all the answers

    What is the primary purpose of taking serial blood pressure readings?

    <p>To evaluate a client's cardiovascular status</p> Signup and view all the answers

    What is the average respiratory rate for newborns?

    <p>32 breaths/minute</p> Signup and view all the answers

    What happens to a person's respiratory rate as they age?

    <p>It decreases</p> Signup and view all the answers

    What is the significance of ongoing pain assessment?

    <p>It is essential to maintain a client's homeostasis and quality of life</p> Signup and view all the answers

    What physiological change occurs in the elderly due to a loss of subcutaneous fat?

    <p>Poor vasomotor control</p> Signup and view all the answers

    Why might environmental conditions affect an elderly person's ability to adapt to changes in external temperature?

    <p>Due to their decreased sweat glands and poor vasomotor control</p> Signup and view all the answers

    What is the respiratory rate range for newborns?

    <p>30 to 80 breaths/minute</p> Signup and view all the answers

    Study Notes

    Hand Hygiene

    • Before the program, 51% of healthcare workers complied with handwashing guidelines, and after the intervention, 83% did.
    • For nurses, compliance went up from 56% to 89% after the intervention.
    • The program included a handout that specified how important handwashing is and described the proper technique as well as the CDC's hand hygiene guidelines.
    • Five posters were placed around the nurses' station.

    Handwashing Procedure

    • Ensure paper towel is hanging down from dispenser.
    • Turn on water using foot pedal or faucet so that flow is adequate, but not splashing.
    • Adjust temperature to warm, as cold does not facilitate sudsing and cleaning, and hot is damaging to skin.
    • Wet hands under clean running water, keeping hands below elbow level, to facilitate distribution of soap over entire skin surface.
    • Place a small amount, 1 to 2 teaspoons (3–5 mL) of liquid soap on hands, and thoroughly distribute over hands.
    • Soap should come from a dispenser, not bar soap, to prevent spread of microorganisms.

    Additional Guidelines

    • Remove all fake fingernails, as they serve as a reservoir for microorganisms.
    • Clean gloves by rinsing under cold running water, and then removing gloves and completing hand hygiene.

    Donning and Removing Clean Gloves

    • Complete hand hygiene before donning gloves.
    • Remove glove from glove receptacle, hold glove at wrist edge, and slip fingers into openings.
    • Pull glove up to wrist, and place gloved hand under wrist edge of second glove.
    • Remove glove by pulling off, touching only outside of glove at cuff, so that glove turns inside out.

    Infection Control

    • Assess for skin integrity, presence of drainage from lesions or body cavity, and ability to deal with oral secretions.
    • Assess for compliance to hygiene measures, ability to carry out activities of daily living (ADLs), and extent of barrier techniques needed.
    • Implement standard precautions, including donning protective gear, exiting a client's room, and disposing of gown and protective eyewear.
    • Evaluate expected outcomes, including preventing the spread of microorganisms and reducing potential for transmission.

    Standard Precautions (Tier 1)

    • Donning protective gear, including gown, mask, and protective eyewear, to prevent spread of microorganisms.
    • Exiting a client's room by following proper procedures, including removing gown, gloves, and protective eyewear, and disposing of them properly.
    • Evaluating expected outcomes, including preventing the spread of microorganisms and reducing potential for transmission.

    Disposal Precautions

    • Client should be instructed to expectorate into a tissue held close to mouth.
    • Needles and syringes should be disposable.
    • Used equipment or contaminated material should be disposed of in appropriate receptacles.

    Vital Signs

    • Blood pressure readings provide information about the condition of the heart, arteries, and arterioles, vessel resistance, and cardiac output.
    • Respirations vary according to age, with newborns having a range of 30 to 80 breaths/minute, and adults having a slower rate.
    • Pain assessment that is ongoing and constant is essential to maintain the client's homeostasis and quality of life.

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    Description

    This quiz assesses the effectiveness of a handwashing program among healthcare workers, including nurses, by measuring compliance with handwashing guidelines before and after the intervention.

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