NURS 210 - Infection Control

hand hygiene

What is the top thing a nurse can do to decrease risk of developing an infection?

nosocomial infection

HAI specifically in the hospital

CLABSI

This common HAI occurs in patients with central lines

CDiff

This is a very common HAI in which alcohol based hand rubs is not enough, soap and water is required

CAUTI

This occurs in patients with catheters as an HAI

bacteremia

Systemic infection - presence of bacteria in the blood

Septicemia (sepsis)

Can be from any organism, can cause profound body response and lead to MODS/fatality

Noticing

In clinical judgment terms, assessment is _____

environment

One question nurses ask when assessing risk of infection includes exposure to pathogens in the _____ (work, travel, contact with ill people, sexual partners)

Health status

One question nurses ask when assessing risk of infection includes ___ ___ (Injury/ilness/comordbidities)

medications, immunization

One question nurses ask when assessing risk of infection includes current ____ and history of _____

symptoms

Nurses also notice ____ of illness in their infection assessment risk

stress

this more holisitc part of the nursing assessment for infection can be also an information about the patient’s social drivers and social support

appearance, skin, lymph nodes, vital signs

During the nurse’s physical assessment, they will look for what 4 signs that can indicate infection risk?

Interpretation

In nursing process terms, this is nursing diagnosis, in infection risk terms this is risk for infection and risk for sepsis

Active

What type of nursing diagnosis takes priority?

Active, Risk, Wellness

What are the 3 general types of nursing diagnosis?

Yes

Can an RN initiate transmission-based precautions?

medical asepsis

This type of asepsis is clean technique, most common

surgical asepsis

This type of asepsis is sterile technique and is less common

1 inch

There is a __ ____ border on anything sterile

Horizontal

Sterile fields must be ____ not verticle

above

Sterile fields should always be above the waist

turn your back

Never ___ ____ ___ on your sterile field

liquid

Spilling ____ contaminates a sterile field

reach over

Never __ ___ the sterile field

functional

A good waste container should be _____ (A container vs a bag for sharps)

accessibile

We want to minimize transportation of contaminated waste, it should be easily ____

visibility

Safe waste disposal should be in an area where members of the healthcare team can see it

accommodation

Needs to be space within the vessel to contain the waste

flush/clean

If someone has been exposed to a potential pathogen, and there is an open wound, what is the first thing that should be done to the wound

reported

Once an exposure has been immediately addressed/cleaned, it must be ____ immediately

treatment

After an incident is reported after an accidental exposure, the exposed person should get testing and follow up_____