Transcript Are You Smarter Than An IP?

Greater NY York APIC Chapter
13 – Q&A Session
November 19, 2014
Rowena Thomas, RN
Infection Control Nurse
White Plains Hospital
 Divide
the room in half
 Team
5
MRSA vs Team VRE
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
Precautions
b. The baby should stay in same room as mother
c. Keep the isolette at least 3 ft. away from the
mother when she is not interacting with the baby
d. 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?

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
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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
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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, 4
d. 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
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Rationale:
The CDC Guidelines
do not recommend
routinely replacing
CVCs, PICC,
hemodialysis
catheters, or
pulmonary
catheters to prevent
CLA-BSIs
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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, 2
 b. 2, 3
 c. 2, 4
 d. 1, 3
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
 Answer:
 A.
1,2

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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!!