Transcript Infection - University of Nebraska Medical Center

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Infection
Care Partner Health Education & The Nebraska Medical Center
START
1
Introduction
Infection
Care Partner Health Education & The Nebraska Medical Center
Introduction
Cancer treatment → ↑ risk for infection
This session will review how to detect and avoid infections
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Infection Control
Infection
Care Partner Health Education & The Nebraska Medical Center
Introduction
You should have 2 copies of the Vital Signs / Intake Output record to
refer to for this session. They should be marked “Sheet A” and
“Sheet B”.
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Infection Control
Infection
Care Partner Health Education & The Nebraska Medical Center
Check the patient’s temperature 4 times a day
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IC: Q1
Infection
Care Partner Health Education & The Nebraska Medical Center
In addition to the 4 times a day, what other times would you check
the patient’s temperature?
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Infection Control
Infection
Care Partner Health Education & The Nebraska Medical Center
Multiple Answer Question
Check all the answers you feel are correct
The patient is having chills
The patient feels hot or cold
The patient feels sweaty
The patient feels unusually cold
The patient feels different, or “funny”, or says he/she “just does not
feel well”
The patient appears flushed
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Infection Control
Infection
Care Partner Health Education & The Nebraska Medical Center
Answer:
All of the these symptoms or patient complaints should lead you to
check the patient’s temperature
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Infection Control
Infection
Care Partner Health Education & The Nebraska Medical Center
Shaking chills …..but his/her temperature is normal
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IC: Q2
Infection
Care Partner Health Education & The Nebraska Medical Center
What should you do?
A) Wait 30 minutes and then re-check the temperature.
B) Wait 30 minutes and then call the nurse.
C) Write this down on the patient’s Vital Signs / Intake Output
sheet.
D) Call the nurse at once
Infection
IC: Q2A
Care Partner Health Education & The Nebraska Medical Center
A.
Wait 30 minutes and then recheck the temperature
Actually, you need to call the nurse at once
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Infection
IC:Q2B
Care Partner Health Education & The Nebraska Medical Center
B.
Wait 30 minutes and then call the nurse
Actually, you need to call the nurse at once
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Infection
IC:Q2C
Care Partner Health Education & The Nebraska Medical Center
C.
Write this down on the patient’s Vital Signs / Intake
Output sheet
Actually, you need to call the nurse at once
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Infection
IC:Q2D
Care Partner Health Education & The Nebraska Medical Center
D.
Call the nurse at once
Correct, you need to call the nurse at once
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IC:Q3
Infection
Care Partner Health Education & The Nebraska Medical Center
What reading on the thermometer is considered to be a fever
that should be reported?
A) 98.6ºF or lower
B) 101.3ºF or higher
C) 99.8ºF
D) 99.8ºF
IC:Q3A
Infection
Care Partner Health Education & The Nebraska Medical Center
A. 98.6ºF or lower
101.3ºF or higher is considered to be a fever that should be
reported
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IC:Q3B
Infection
Care Partner Health Education & The Nebraska Medical Center
B. 101.3ºF or higher
Correct, 101.3ºF or higher is considered to be a fever that should
be reported
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IC:Q3C
Infection
Care Partner Health Education & The Nebraska Medical Center
C. 99.8ºF
101.3ºF or higher is considered to be a fever that should be
reported
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IC:Q3D
Infection
Care Partner Health Education & The Nebraska Medical Center
D. 100ºF
101.3ºF or higher is considered to be a fever that should be
reported
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IC:Q4
Infection
Care Partner Health Education & The Nebraska Medical Center
What would you do if the patient’s temperature was 101.3ºF?
A)
Recheck in 30 minutes
B)
Have the patient take a drink of ice water and recheck the
temperature
C)
Ask the patient how he/she is feeling and if the patient feels
okay, just wait
D)
Call the nurse now
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Infection
IC:Q4A
Care Partner Health Education & The Nebraska Medical Center
A.
Recheck in 30 minutes
101.3ºF temperature is a fever that should be called to
the nurse now
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Infection
ICQ4B
Care Partner Health Education & The Nebraska Medical Center
B.
Have the patient take a drink of ice water and recheck
the temperature
101.3ºF temperature is a fever that should be called to
the nurse now
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Infection
IC:Q4C
Care Partner Health Education & The Nebraska Medical Center
C.
Ask the patient how he/she feels and if the patient feels
okay, just wait
101.3ºF temperature is a fever that should be called to
the nurse now
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Infection
IC:Q4D
Care Partner Health Education & The Nebraska Medical Center
D.
Call the nurse now
Correct - 101.3ºF temperature is a fever that should be
called to the nurse now
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Infection Control
Infection
Care Partner Health Education & The Nebraska Medical Center
Look at the 2 Vital Signs / Intake Output sheets provided, “Sheet A
and Sheet B”
Assume these temperature readings were obtained from your
patient
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IC:Q5
Infection
Care Partner Health Education & The Nebraska Medical Center
In which of the situations would you want to recheck the patient
temperature in 30 minutes?
Sheet A
Sheet B
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IC:Q5A
Infection
Care Partner Health Education & The Nebraska Medical Center
Sheet A
Correct – The temperature has risen steadily - recheck the
temperature in 30 minutes
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IC:Q5B
Infection
Care Partner Health Education & The Nebraska Medical Center
Sheet B
Temperatures on Sheet B are normal
On Sheet A, the temperature has risen steadily - recheck in 30
minutes
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IC:Q6
Infection
Care Partner Health Education & The Nebraska Medical Center
There are ways to decrease the risk of getting infections.
What is the most important thing you and the patient can do to
prevent getting an infection?
A) Eat only raw vegetables
B) Wipe down all the door knobs in your room
C) Wash your hands
D) Boil all of your drinking water
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Infection
IC:Q6A
Care Partner Health Education & The Nebraska Medical Center
A.
Eat only raw vegetables
Good hand washing is the most effective way of
decreasing the risk of getting an infection
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Infection
IC:Q6B
Care Partner Health Education & The Nebraska Medical Center
B.
Wipe down all the door knobs in your room
Good hand washing is the most effective way of
decreasing the risk of getting an infection
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Infection
IC:Q6C
Care Partner Health Education & The Nebraska Medical Center
C.
Wash your hands
Correct - good hand washing is the most effective way
of decreasing the risk of getting an infection
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Infection
IC:Q6D
Care Partner Health Education & The Nebraska Medical Center
D.
Boil all of your drinking water
Good hand washing is the most effective way of
decreasing the risk of getting an infection
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IC: Q7 - Multiple
Answer
Infection
Care Partner Health Education & The Nebraska Medical Center
Multiple Answer Question
Identify from the list below the times you or the patient should wash
your hands:
A.
B.
C.
D.
After using the restroom
Before eating
Before handling medications
Before doing a dressing change
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IC: Q7 - Multiple
Choice
Infection
Care Partner Health Education & The Nebraska Medical Center
POSSIBLE REPLACEMENT FOR Multiple Answer Q
Identify from the list below the times you or the patient should
wash your hands:
A) After using the restroom
B) Before eating
C) Before handling medications
D) Before doing a dressing change
E) All of the Above
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IC:Q7E
Infection
Care Partner Health Education & The Nebraska Medical Center
You should wash your hands at all of the times listed
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IC:Q8
Infection
Care Partner Health Education & The Nebraska Medical Center
It is great to have visitors while you are recuperating from your
high dose cancer treatment
If you have visitors to your Cooperative Care room, should you ask
them to wash their hands?
YES
NO
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IC:Q8A
Infection
Care Partner Health Education & The Nebraska Medical Center
YES
Correct – All visitors need to wash their hands
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IC:Q8B
Infection
Care Partner Health Education & The Nebraska Medical Center
NO
All visitors should wash their hands
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IC:Q9
Infection
Care Partner Health Education & The Nebraska Medical Center
When should visitors and staff wash their hands when they come
into your Cooperative Care room?
A) Only if they are going to touch you or the patient
B) As soon as they enter the room
C) Only if they use the restroom or a tissue
D) Before sitting down on any of the furniture
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IC:Q9A
A.
Infection
Care Partner Health Education & The Nebraska Medical Center
Only if they are going to touch you or the patient
Wash hands as soon as they enter the room
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IC:Q9B
B.
Infection
Care Partner Health Education & The Nebraska Medical Center
As soon as they enter the room
Correct - wash hands as soon as they enter the room
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IC:Q9C
C.
Infection
Care Partner Health Education & The Nebraska Medical Center
Only if they use the restroom or use a tissue
Wash hands as soon as they enter the room
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IC:Q9D
D.
Infection
Care Partner Health Education & The Nebraska Medical Center
Before sitting down on any of the furniture
Wash their hands as soon as they enter the room
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Video 1: Hand
Washing
Infection
Care Partner Health Education & The Nebraska Medical Center
Update Video Intro Slide Text
We’re going to have you watch a couple of videos of people
washing their hands
(show video clip A)
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PROPERTIES
Allow user to leave interaction: Anytime
Show ‘Next Slide’ Button:
Show always
Completion Button Label:
Next Slide
IC:Q10
Infection
Care Partner Health Education & The Nebraska Medical Center
Did you notice anything wrong with the way the person washed
their hands?
YES
NO
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IC:Q10A
Infection
Care Partner Health Education & The Nebraska Medical Center
YES
Of course there was something wrong….
But do you know what it was?
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IC:Q10B
Infection
Care Partner Health Education & The Nebraska Medical Center
NO
Look again…..
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IC:Q11
Infection
Care Partner Health Education & The Nebraska Medical Center
What was wrong with the way the person washed their hands in
this video clip?
A) The person did not wash their hands long enough
B) The person used the wrong brand of soap
C) The person didn’t use hand sanitizer first
D) The person should have skipped the hand washing and put on
a pair of gloves
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Infection
IC:Q11A
Care Partner Health Education & The Nebraska Medical Center
A.
The person did not wash their hands long enough
Correct –wash hands for at least 15 seconds with soap
and running water
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IC:Q11B
Infection
Care Partner Health Education & The Nebraska Medical Center
B. The person used the wrong brand of soap
Hands need to be washed for at least 15 seconds with
soap and running water
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Infection
IC:Q11C
Care Partner Health Education & The Nebraska Medical Center
C.
The person didn’t use hand sanitizer first
Hands need to be washed for at least 15 seconds with
soap and running water
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Infection
IC:Q11D
Care Partner Health Education & The Nebraska Medical Center
D.
The person should have skipped the hand washing and
put on a pair of gloves
Hands need to be washed for at least 15 seconds with
soap and running water
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Video 2: Hand
Washing
Infection
Care Partner Health Education & The Nebraska Medical Center
1. Update Video Intro Slide Text
2. Continue Formatting Buttons
Now watch the second video clip of someone washing his/her
hands
(show video clip B)
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PROPERTIES
Allow user to leave interaction: Anytime
Show ‘Next Slide’ Button:
Show always
Completion Button Label:
Next Slide
IC:Q12
Infection
Care Partner Health Education & The Nebraska Medical Center
Did you notice anything wrong with the hand washing technique of
the person in this video?
YES
NO
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IC:Q12A
Infection
Care Partner Health Education & The Nebraska Medical Center
YES
Well of course there was something wrong! Do you know what it
was?
What was wrong with the way the person washed his/her hands in
this video clip?
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IC:Q12B
Infection
Care Partner Health Education & The Nebraska Medical Center
NO
Look again…..
BA CK
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IC:Q13
Infection
Care Partner Health Education & The Nebraska Medical Center
What was wrong with the way the person washed their hands in
this video clip?
A) The person should be using a washcloth
B) The person should shake the water from his/her hands more
vigorously
C) The person didn’t count to 15 while washing
D) The person didn’t use soap
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IC:Q13A
A.
Infection
Care Partner Health Education & The Nebraska Medical Center
The person should be using a washcloth
He/she needed to use soap!
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IC:Q13B
B.
Infection
Care Partner Health Education & The Nebraska Medical Center
The person should shake the water from their hands more
vigorously
He/she needed to use soap
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IC:Q13C
Infection
Care Partner Health Education & The Nebraska Medical Center
C.
The person didn’t count to 15 while washing
He/she needed to use soap
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IC:Q13D
D.
Infection
Care Partner Health Education & The Nebraska Medical Center
The person didn’t use soap
Correct, this person did not use soap
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Infection Control
Infection
Care Partner Health Education & The Nebraska Medical Center
In addition to good hand washing, pictured here are other items
used in the hospital to decrease the spread of infection
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IC:Q14
Infection
Care Partner Health Education & The Nebraska Medical Center
Which of these items would you have the patient use once
his/her treatment is started?
A) Mask
B) Gown
C) Gloves
D) Surgical booties
Infection
IC:Q14A
Care Partner Health Education & The Nebraska Medical Center
A.
Mask
Correct – we ask patients to start wearing a mask to
help avoid infection
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Infection
IC:Q14B
Care Partner Health Education & The Nebraska Medical Center
B.
Gown
We ask patients to start wearing a mask to help avoid
infection
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IC:Q14C
Infection
Care Partner Health Education & The Nebraska Medical Center
C. Gloves
We ask patients to start wearing a mask to help avoid
infection
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IC:Q14D
Infection
Care Partner Health Education & The Nebraska Medical Center
D. Surgical booties
We ask patients to start wearing a mask to help avoid
infection
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IC:Q15
Infection
Care Partner Health Education & The Nebraska Medical Center
Where would you have the patient wear a mask?
A) In the bathroom of the patient’s Cooperative Care room
B) Any time the patient is outside of his/her Cooperative Care
room
C) In the sitting room and bathroom of his/her Cooperative Care
room
D) Only as the patient is receiving chemotherapy
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Infection
IC:Q15A
Care Partner Health Education & The Nebraska Medical Center
A.
In the bathroom of the patient’s Cooperative Care
room
Patients should wear the mask when outside of their
Cooperative Care rooms
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Infection
IC:Q15B
Care Partner Health Education & The Nebraska Medical Center
B.
Any time the patient is out side of his/her Cooperative
Care room
Correct - patients should wear the mask when outside
of their Cooperative Care rooms
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Infection
IC:Q15C
Care Partner Health Education & The Nebraska Medical Center
C.
In the sitting room and bathroom of his/her Cooperative
Care room
Patients should wear the mask when outside of their
Cooperative Care rooms
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IC:Q15D
Infection
Care Partner Health Education & The Nebraska Medical Center
D. Only as the patient is receiving chemotherapy
Patients should wear the mask when outside of their
Cooperative Care rooms
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IC:Q16 - Multiple
Answer
Infection
Care Partner Health Education & The Nebraska Medical Center
Multiple Answer Question
A.
B.
C.
D.
E.
Identify the times when it is okay for the patient to remove their
mask – select all correct answers
While walking to x-ray
While visiting with friends in the lounge area
While eating lunch
While in the Treatment Center
While walking in the Healing Garden
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Infection Control
Infection
Care Partner Health Education & The Nebraska Medical Center
(C&D)
Correct, patients do not need to wear the mask while in the
Treatment Center and can take the mask off to eat.
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Infection Control
Infection
Care Partner Health Education & The Nebraska Medical Center
Avoiding infections day to day
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IC:Q17
Infection
Care Partner Health Education & The Nebraska Medical Center
Say the patient was unable to finish his/her lunch, but thinks they
might eat it later. How long can you safely store the
leftovers in the refrigerator?
A) Overnight
B) A week but no more
C) 2-3 days
D) Until it starts to "smell funny"
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Infection
IC:Q17A
Care Partner Health Education & The Nebraska Medical Center
A.
Over night
Refrigerate “leftovers” and toss after 2-3 days
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Infection
IC:Q17B
Care Partner Health Education & The Nebraska Medical Center
B.
A week but no more
Refrigerate “leftovers” and toss after 2-3 days
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IC:Q17C
Infection
Care Partner Health Education & The Nebraska Medical Center
C. 2-3 days
Correct - Refrigerate “leftovers” and toss after 2-3 days
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IC:Q17D
Infection
Care Partner Health Education & The Nebraska Medical Center
D. Until it starts to “smell funny”
Refrigerate “leftovers” and toss after 2-3 days
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Infection Control
Infection
Care Partner Health Education & The Nebraska Medical Center
Friends from home…..
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IC:Q18
Infection
Care Partner Health Education & The Nebraska Medical Center
What would be the best reply?
A) Tell them that live plants and cut flowers are not allowed in
your room
B) Tell them to bring the pink blooms as they look best with the
carpet in your room
C) Tell them cut flowers die too quickly and they should bring a
live plant instead
D) Tell them you prefer flowers from the florist as they are
“cleaner”
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Infection
IC:Q18A
Care Partner Health Education & The Nebraska Medical Center
A.
Tell them that live plants and cut flowers are not
allowed in your Cooperative Care room
Correct, live plants and fresh cut flowers are not
allowed in the Cooperative Care rooms
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Infection
IC:Q18B
Care Partner Health Education & The Nebraska Medical Center
B.
Tell them to bring the pink blooms as they look best
with the carpet in your room
Live plants and fresh cut flowers are not allowed in the
Cooperative Care rooms
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IC:Q18C
Infection
Care Partner Health Education & The Nebraska Medical Center
C. Tell them cut flowers die too quickly and they should bring
a live plant instead
Live plants and fresh cut flowers are not allowed in the
Cooperative Care rooms
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IC:Q18D
Infection
Care Partner Health Education & The Nebraska Medical Center
D. Tell them you prefer flowers from the florist as they are
“cleaner”
Live plants and fresh cut flowers are not allowed in the
Cooperative Care rooms
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IC:Q19
Infection
Care Partner Health Education & The Nebraska Medical Center
Let’s say the patient has been taking herbal supplements at home
and believes they are beneficial. Is it okay to continue to use these
during the transplant process?
YES
NO
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Infection
IC:Q19A
Care Partner Health Education & The Nebraska Medical Center
YES
It is not “safe” for the patient to continue taking herbal
supplements
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Infection
IC:Q19B
Care Partner Health Education & The Nebraska Medical Center
NO
Correct - it is not “safe” for the patient to continue taking
herbal supplements
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Infection Control
Infection
Care Partner Health Education & The Nebraska Medical Center
The incentive spirometer is a device that helps patients
expand their lungs and decrease the risk of developing
pneumonia.
Next
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IC:Q20
Infection
Care Partner Health Education & The Nebraska Medical Center
How often should the patient use the incentive spirometer?
A) Once a day
B) Three times a day
C) After meals and before bed
D) Every one to two hours while awake
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IC:Q20A
A.
Infection
Care Partner Health Education & The Nebraska Medical Center
Once a day
Use the incentive spirometer every one to two hours
while awake.
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IC:Q20B
Infection
Care Partner Health Education & The Nebraska Medical Center
B. Three times a day
Use the incentive spirometer every one to two hours
while awake.
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IC:Q20C
Infection
Care Partner Health Education & The Nebraska Medical Center
C. After meals and before bed
Use the incentive spirometer every one to two hours
while awake.
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IC:Q20D
Infection
Care Partner Health Education & The Nebraska Medical Center
D. Every one to two hours while awake
Correct - use the incentive spirometer every one to two
hours while awake
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Video 3: Incentive
Spirometer 1
Infection
Care Partner Health Education & The Nebraska Medical Center
Update Video Intro Slide Text
You are now going to view a video clip and then be asked to
answer some question
(insert video clips)
(questions and response were written without being able to view the video clips)
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PROPERTIES
Allow user to leave interaction: Anytime
Show ‘Next Slide’ Button:
Show always
Completion Button Label:
Next Slide
IC:Q21
Infection
Care Partner Health Education & The Nebraska Medical Center
What would cause you concern in the first video clip?
A) As long as it is not the patient’s time to use the incentive
spirometer, things are probably okay
B) The incentive spirometer belongs to the patient and should
not be used by a visitor or anyone else
C) The patient is obviously too tired to use the incentive
spirometer
D) The patient should never use the incentive spirometer when
visitors are present
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IC:Q21A
A.
Infection
Care Partner Health Education & The Nebraska Medical Center
As long as it is not the patient’s time to use the incentive
spirometer, things are probably okay
The patient’s incentive spirometer should not be used by
anyone but the patient
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IC:Q21B
B.
Infection
Care Partner Health Education & The Nebraska Medical Center
The incentive spirometer belongs to the patient and should
never be used b a visitor or anyone else
Correct - the incentive spirometer should not be used by anyone
but the patient
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IC:Q21C
C.
Infection
Care Partner Health Education & The Nebraska Medical Center
The patient is obviously too tired to use the incentive spirometer
The patient’s incentive spirometer should not be used by
anyone but the patient
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IC:Q21D
Infection
Care Partner Health Education & The Nebraska Medical Center
D. The patient should never use the incentive spirometer when
visitors are present
The patient’s incentive spirometer should not be used by
anyone but the patient
Next
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Video 4: Incentive
Spirometer 2
Infection
Care Partner Health Education & The Nebraska Medical Center
Update Video Intro Slide Text
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PROPERTIES
Allow user to leave interaction: Anytime
Show ‘Next Slide’ Button:
Show always
Completion Button Label:
Next Slide
IC:Q22
Infection
Care Partner Health Education & The Nebraska Medical Center
In the second video clip, did the patient use her incentive
spirometer correctly?
YES
NO
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IC:Q22A
Infection
Care Partner Health Education & The Nebraska Medical Center
YES
Look again……..
BA CK
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IC:Q22B
Infection
Care Partner Health Education & The Nebraska Medical Center
NO
Correct – this patient did not use her incentive spirometer correctly
Next
NEXT
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IC:Q23
Infection
Care Partner Health Education & The Nebraska Medical Center
What would cause you concern in the first video clip?
A) She did not rinse the incentive spirometer off before using it
B) She did not cough before starting
C) She used it too quickly
D) She used it too slowly
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IC:Q23A
Infection
Care Partner Health Education & The Nebraska Medical Center
A. She did not rinse the incentive
spirometer off before using it
The patient used the incentive spirometer too quickly
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IC:Q23B
B.
Infection
Care Partner Health Education & The Nebraska Medical Center
She did not cough before starting
The patient used the incentive spirometer too quickly
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IC:Q23C
Infection
Care Partner Health Education & The Nebraska Medical Center
C. She used it too quickly
Correct – the incentive spirometer should be used slowly
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IC:Q23D
D.
Infection
Care Partner Health Education & The Nebraska Medical Center
She used it too slowly
The patient used the incentive spirometer too quickly
Next
NEXT
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Infection
Care Partner Health Education & The Nebraska Medical Center
The End
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