Infection Control and Prevention Quiz

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Questions and Answers

What is the primary goal of infection prevention and control (IPC)?

  • To increase patient hospital stays
  • To promote advanced medical procedures
  • To ensure patient safety (correct)
  • To improve the comfort of health care workers

Which of the following describes standard precautions in healthcare?

  • Only for surgical procedures
  • Always applied regardless of patient status (correct)
  • Practice reserved for emergency situations
  • Only used for patients with confirmed infections

What should healthcare workers do after removing gloves?

  • Use hand sanitizer only
  • Reuse the gloves if not contaminated
  • Wash hands (correct)
  • Change into new gloves immediately

Which personal protective equipment is recommended for protecting the skin during procedures?

<p>Gown (D)</p> Signup and view all the answers

How should healthcare workers practice respiratory hygiene?

<p>Cough or sneeze into a tissue (A)</p> Signup and view all the answers

What is a key factor in determining when to use transmission-based precautions?

<p>Mode of transmission of the infectious agent (D)</p> Signup and view all the answers

Why is hand washing crucial between patient contacts?

<p>To prevent the spread of infections (B)</p> Signup and view all the answers

How should healthcare workers dispose of tissues used for respiratory hygiene?

<p>Throw them in the trash immediately (A)</p> Signup and view all the answers

What is the primary purpose of an infection control committee?

<p>Facilitate multi-departmental collaboration and information sharing (B)</p> Signup and view all the answers

Which of the following is NOT a responsibility of the infection control team?

<p>Monitor hospital food supply (C)</p> Signup and view all the answers

What is a critical component in the training of healthcare staff related to infection control?

<p>Assessing the training needs and delivering appropriate programs (A)</p> Signup and view all the answers

During patient transport on Contact Precautions, what must be done before moving the patient?

<p>Remove contaminated PPE and perform hand hygiene (D)</p> Signup and view all the answers

How should the infection control committee report its activities?

<p>Directly to administration or medical staff (D)</p> Signup and view all the answers

What is a requirement for the infection control practitioner on the infection control team?

<p>Be trained specifically for infection control purposes (B)</p> Signup and view all the answers

What role does periodic re-training play in infection control practices for healthcare workers?

<p>It ensures up-to-date knowledge and adherence to best practices (B)</p> Signup and view all the answers

What is one key factor that health administrators should recognize regarding infection control programs?

<p>They significantly impact patient safety and outcomes (D)</p> Signup and view all the answers

What should be done with sharps like syringes after use?

<p>Dispose of in a designated closed container. (B)</p> Signup and view all the answers

What is the primary distinction between disinfection and sterilization?

<p>Disinfection is not a substitute for sterilization. (A)</p> Signup and view all the answers

Which of the following is the primary mode of pathogen transmission in healthcare settings?

<p>Healthcare workers' hands. (D)</p> Signup and view all the answers

What is the first step in the cleaning process of instruments and equipment?

<p>Wash with detergent and water. (A)</p> Signup and view all the answers

Which method is appropriate for instruments that can withstand heat and moisture but do not need to be sterile?

<p>Thermal disinfection (D)</p> Signup and view all the answers

Which factor does NOT affect the performance of chemical disinfectants?

<p>Sterility of the instrument (C)</p> Signup and view all the answers

When should hand hygiene be performed by healthcare professionals?

<p>Before contact with any patient. (A)</p> Signup and view all the answers

What level of disinfection is expected to kill most bacteria but does not guarantee the destruction of bacterial spores?

<p>Low-level disinfection (B)</p> Signup and view all the answers

What is the main purpose of disinfection?

<p>To remove micro-organisms without complete sterilization. (D)</p> Signup and view all the answers

What is considered good practice regarding healthcare professionals’ nails?

<p>Avoid wearing artificial nails and trim natural nails to less than one-quarter inch. (B)</p> Signup and view all the answers

Why is management of health-care waste critical in hospitals?

<p>It can contribute to nosocomial infections. (C)</p> Signup and view all the answers

What should be ensured when placing patients in acute care hospitals?

<p>Appropriate patient placement in single patient spaces. (A)</p> Signup and view all the answers

What must be done after an instrument has been used to ensure proper cleaning?

<p>Wash it to remove any gross soiling. (C)</p> Signup and view all the answers

Which of the following is NOT a part of environmental control in healthcare settings?

<p>Keeping patients in isolated rooms. (A)</p> Signup and view all the answers

Which type of disinfection inactivates Mycobacterium tuberculosis and does not kill spores?

<p>Intermediate disinfection (D)</p> Signup and view all the answers

Which of the following is required to achieve sterilization?

<p>Both physical and chemical methods (A)</p> Signup and view all the answers

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Flashcards

What is Infection Prevention and Control (IPC)?

Infection prevention and control (IPC) is a set of practices designed to prevent the spread of infections in healthcare settings. It aims to protect patients, healthcare workers, and the wider community from harm.

What are standard precautions?

Standard precautions are the minimum infection control practices that apply to all patients, regardless of their suspected or confirmed infection status. They are the foundation of infection prevention and control.

What are transmission-based precautions?

Transmission-based precautions are additional infection control measures used for patients with known or suspected infections that can spread through specific modes of transmission, such as airborne or contact.

Why is handwashing important in IPC?

Handwashing is a crucial practice for removing germs and preventing their spread. It should be done thoroughly and frequently, especially before and after patient contact.

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What is Personal Protective Equipment (PPE)?

Personal protective equipment (PPE) includes items like gloves, masks, gowns, and eye protection, used to protect healthcare workers from exposure to infectious agents.

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Why are gloves important in IPC?

Wearing gloves while handling blood, body fluids, nonintact skin, or soiled items is essential to prevent contact transmission of infections.

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Why are masks and face shields important?

Masks with eye protection or face shields are crucial for preventing the spread of airborne infections, protecting healthcare workers from droplets and splashes.

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What are the key points of respiratory hygiene?

Respiratory hygiene and cough etiquette involve covering your mouth and nose when sneezing or coughing, to prevent the spread of respiratory droplets and infections.

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Pathogen Transmission

The most common method of transmission of pathogens is through hand contact.

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Disinfection

The process of using a disinfectant to remove microorganisms without complete sterilization.

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Cleaning

Cleaning removes dirt and debris before disinfection or sterilization.

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Sterilization

The process of eliminating all microorganisms, including spores, through heat or chemicals.

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When to Disinfection

Disinfection is used on delicate or heat-sensitive instruments that cannot be sterilized.

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Standard Precautions

Before making contact with any patient, healthcare workers should always wash their hands.

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Cleaning Prior to Reprocessing

All equipment should be cleaned before any reprocessing.

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Nail Length in Healthcare

The CDC recommends nail length should be under one-quarter inch for healthcare professionals.

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Thermal Disinfection

A type of disinfection that uses heat and moisture to kill microorganisms. It's suitable for instruments that can withstand high temperatures.

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Chemical Disinfection

A type of disinfection that uses chemicals to kill microorganisms. Its effectiveness depends on factors like temperature, contact time, and the type of chemical used.

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High-Level Disinfection

The highest level of disinfection, eliminating nearly all microorganisms, except for large numbers of bacterial spores.

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Intermediate Disinfection

A level of disinfection that eliminates Mycobacterium tuberculosis, vegetative bacteria, most viruses, and most fungi, but not bacterial spores.

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Low-Level Disinfection

The lowest level of disinfection, eliminating only a small percentage of microorganisms, including most bacteria, some viruses, and some fungi. It's not effective against resistant microorganisms like bacterial spores.

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Healthcare Waste

Waste generated in healthcare settings. It can be a source of infection because it may contain pathogenic microorganisms.

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What is an infection control committee?

A multidisciplinary team focused on infection prevention and control, including representatives from management, physicians, healthcare workers, microbiology, pharmacy, sterilization, maintenance, housekeeping, and training services.

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What is an infection control team responsible for?

This team carries out surveillance, develops infection control policies, manages critical incidents, and coordinates training activities.

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What are the roles of health administrators and healthcare workers in infection control?

Prioritizing the importance of an infection control program, ensuring healthcare workers have the necessary knowledge, skills, and attitudes for effective infection prevention practices.

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What are the training responsibilities of the infection control team?

Assessing staff training needs, conducting awareness programs, in-service education, on-the-job training, regular training for essential practices related to their roles, periodic retraining, and reviewing the impact of training.

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What does it mean to cover or contain infected areas during transport?

This means covering any open wounds or areas of the patient's body that are infected or colonized with microorganisms.

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What needs to be done before transporting a patient on Contact Precautions?

When patients on contact precautions need to be transported, contaminated PPE should be disposed of properly, and hand hygiene must be performed before transporting the patient.

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Study Notes

Hospital Hygiene and Infection Control

  • Infection prevention and control (IPC) is a practical, evidence-based method to prevent harm from infection for patients and healthcare workers.
  • IPC is a significant challenge in healthcare systems globally.
  • IPC is crucial for patient safety, protecting healthcare workers, and reducing healthcare-associated infections (HAIs).

Standard Precautions

  • Standard precautions are the fundamental infection prevention and control practices used in all healthcare settings.
  • They are applied to all patients, regardless of their suspected or confirmed infection status.
  • Standard precautions aim for a basic level of infection prevention and control.
  • These minimize the risk of spreading infections among patients and healthcare providers.

Transmission-Based Precautions

  • Transmission-based precautions are used when standard precautions alone are insufficient to prevent infectious agent spread.
  • These are determined by the infectious agent's transmission mode.
  • They are added to standard precautions, when necessary

Standard Precautions and Measures

  • Hand hygiene is essential
  • Personal protective equipment (PPE) use is fundamental
  • Managing blood & body fluids (except sweat)
  • Soiled linen management
  • Respiratory etiquette
  • Decontamination of medical devices
  • Sharps safety
  • Environmental hygiene
  • Patient placement

Why Perform IPC

  • Hand hygiene is the most common mode of pathogen transmission in healthcare settings.
  • Healthcare workers can contaminate their hands through simple tasks, such as taking vital signs or handling equipment.

Hand Hygiene

  • Good hand hygiene is the simplest and most effective way to prevent HAIs.
  • All healthcare professionals (HCPs) should prioritize hand hygiene before any patient contact.
  • Artificial nails should be avoided, and natural nails should be kept short.
  • Routine, antiseptic, alcohol-based, and surgical handwashing techniques exist.

Your 5 Moments for Hand Hygiene (Procedure)

  • The 5 moments encompass pre-patient contact, after body fluid exposure, after a task, after patient contact, and after contact with patient surroundings.

Cleaning, Disinfection, and Sterilization

  • Instruments and equipment must be thoroughly cleaned before disinfection.
  • Organic matter can interfere with disinfectant actions.
  • Cleaning is a crucial step for effective sterilization.
  • Instruments must be thoroughly cleaned to remove gross soiling before disinfection or sterilization.

Disinfection

  • Disinfection removes microorganisms without complete sterilization.
  • It is applied to heat-sensitive materials.
  • It is an alternative when instruments cannot be sterilized.

Thermal Disinfection

  • Appropriate for heat-resistant instruments, non-sterilization is required.
  • Usage of heat and water to eliminate pathogenic agents is vital.

Chemical Disinfection

  • Chemical disinfectant effectiveness depends on factors like temperature, exposure time, concentration, pH, and bioburden.
  • It depends on temperature, contact time, and concentration, as well as the presence of organic or inorganic matter and the numbers and resistance of the initial bioburden on a surface.
  • Different levels (high, intermediate, low) disinfect against different microorganisms.

Sterilization

  • Sterilization eliminates all microorganisms through physical or chemical means.
  • Sterilization is necessary for medical devices intended for sites in the body.

Healthcare Waste

  • Managing healthcare waste is critical for infection control.
  • Healthcare waste acts as a reservoir of pathogenic microorganisms, which can spread infections if not handled properly.
  • Transmission can be via direct contact, in the air, or through vectors.

Transmission-Based Precautions

  • Arrange appropriate patient placement in a private room, which may be available in acute care hospitals.

Infection Control Committee

  • An infection control committee facilitates multidisciplinary cooperation and information sharing.
  • It comprises representatives from various healthcare departments, including management, physicians, clinical microbiology, pharmacy, sterilizing services, etc.
  • It must directly report to administration or medical staff.

Infection Control Team

  • Day-to-day responsibilities of infection control.
  • The infection control team should include infection control practitioners, specialists in infection control, epidemiology, infectious disease, physicians, and control practitioners.

Education and Training

  • Health administrators should be informed about infection control programs.
  • All healthcare workers must have the necessary knowledge, skills, and attitudes for proper infection control practices.

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