Term
|
Definition
AIRBORNE AND CONTACT
PRECAUTIONS |
|
|
Term
CLOSTRIDIUM DIFFICILE
(C. DIFF) |
|
Definition
|
|
Term
EXTENDED SPECTRUM
BETA LACTAMASE
(ESBL) |
|
Definition
|
|
Term
GASTROENTERITIS/
NOROVIRUS |
|
Definition
|
|
Term
HERPES ZOSTER
(SHINGLES) -
DISSEMINATED LESIONS |
|
Definition
AIRBORNE AND CONTACT
PRECAUTIONS |
|
|
Term
HERPES ZOSTER
(SHINGLES) -
LOCALIZED & COVERED
LESIONS |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
MENINGOCOCCAL INFECTION:
(KNOWN/SUSPECTED)
SEPSIS, PNEUMONIA,
MENINGITIS, H. INFLUENZA |
|
Definition
|
|
Term
MRSA
(METHICILLIN RESISTANT
STAPH. AUREUS) |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
RSV
(RESPIRATORY SYNCYTIAL VIRUS) |
|
Definition
|
|
Term
|
Definition
|
|
Term
VRE
(VANCOMYCIN RESISTANT
ENTEROCOCCUS) |
|
Definition
|
|
Term
HEALTHCARE WORKER (HCW)
WITH
CHICKEN POX
OR CHICKEN POX EXPOSURE |
|
Definition
*RESTRICTED FROM WORK UNTIL LESIONS DRY AND CRUSTED
*CONTACT EMPL. HEALTH IF EXPOSED AND NOT IMMUNE
|
|
|
Term
HEALTHCARE WORKER
WITH
DIARRHEA |
|
Definition
| RESTRICTED FROM FOOD HANDLING/DIRECT PT CARE UNTIL CLEARED THRU EMPLOYEE HEALTH SERVICES |
|
|
Term
| HEALTHCARE WORKER WITH HEPATITIS OR HEPATITIS EXPOSURE |
|
Definition
HCW W/ ACUTE HEP A RESTRICTED FROM WORK UNTIL 7 DAYS AFTER ONSET JAUNDICE/CLINICAL SX.
NO RESTRICTION AS ABOVE FOR HEP. B, C, OR D. |
|
|
Term
|
Definition
EMP. W/ GENITAL HERPES ARE NOT RESTRICTED FROM PT CONTACT.
EMP. W/ ORAL-FACIAL LESIONS MAY BE RESTRICTED FROM HI RISK PTS UNTIL LESIONS ARE HEALED.
HERPETIC WHITLOW - DRY LESIONS. |
|
|
Term
|
Definition
| HCW RESTRICTED FOR 24 HRS AFTER INITIATION OF EFFECTIVE TREATMENT. |
|
|
Term
MEASLES, MUMPS, RUBELLA
HEALTH CARE WORKER W/ THE ABOVE
RESTRICTIONS |
|
Definition
MAY NOT RETURN TO WORK UNTIL CLEARED BY EMPLOYEE HEALTH.
CONTACT EMPL. HEALTH IF EXPOSED AND NOT IMMUNE. |
|
|
Term
HEALTH CARE WORKER
WITH
MRSA OR VRE |
|
Definition
CONTACT EMPL. HEALTH
FOR SPECIFIC RESTRICTIONS |
|
|
Term
HEALTH CARE WORKER
WITH
PERTUSSIS |
|
Definition
RESTRICTED FROM WORK
FOR 5 DAYS AFTER INITIATION OF EFFECTIVE TREATMENT.
NOTIFY EHS IF CONTACT W/ INFECTED PERSON. |
|
|
Term
| HCW WITH RESPIRATORY INFECTION |
|
Definition
MUST WEAR MASK WHILE WORKING WITH HIGH RISK PATIENTS
(HIGH RISK PATIENTS INCLUDE: DIALYSIS; NEONATES; BURNS; HIV; CANCER; HIV; IMMUNOCOMPROM.;
ECZEMA) |
|
|
Term
HAND CLEANING -
VISIBLY SOILED |
|
Definition
| WASH FOR AT LEAST 15 SECONDS WITH SOAP AND WATER |
|
|
Term
HAND WASHING
WITH C. DIFF AND NOROVIRUS |
|
Definition
SOAP AND WATER
15 TO 20 SECONDS
HAND GEL INADEQUATE |
|
|
Term
HAND WASHING
BEFORE EATING
AFTER USING RESTROOM |
|
Definition
SOAP AND WATER
15 SECONDS |
|
|
Term
PT UNABLE TO MAINTAIN
PROPER HYGIENE
|
|
Definition
|
|
Term
|
Definition
POTENTIAL SPLASH EXPOSURE:
WEAR GLOVES; WEAR MASK/EYE
PROTECTION |
|
|
Term
|
Definition
|
|
Term
|
Definition
AIRBORNE PRECAUTIONS
NEGATIVE PRESSURE ROOM
HEPA FILTRATION UNIT IF NO PRIVATE, NEGATIVE PRESSURE ROOM IMMEDIATELY AVAILABLE |
|
|
Term
HEPA FILTRATION UNIT
FOR TB/AIRBORNE PRECAUTIONS |
|
Definition
| MINIMUM OF SIX AIR EXCHANGES PER HOUR |
|
|
Term
|
Definition
FROM CENTRAL SERVICES
FOLLOW INSTRUCTIONS ON THE UNIT RE: PROPER PLACEMENT IN ROOM, HOW TO CK FILTER, WHO TO CONTACT TO REPLACE FILTER |
|
|
Term
|
Definition
| KEEP DOOR CLOSED AT ALL TIME |
|
|
Term
|
Definition
| TEST ROOM DAILY TO VERIFY NEGATIVE PRESSURE ROOM |
|
|
Term
AIRBORNE PRECAUTIONS
SIGN POSTED |
|
Definition
|
|
Term
| WHO TO NOTIFY WHEN PT PLACED ON AIRBORNE PRECAUTIONS |
|
Definition
HOUSE SUPERVISOR
NURSE EPIDEMIOLOGY COORDINATOR |
|
|
Term
|
Definition
USED IN SURGERY AND CATH LAB FOR PTS W/ AIRBORNE PRECAUTIONS
PERFORM MASK FIT TEST EACH TIME MASK IS WORN
WEAR WHEN ENTERING PT ROOM - PAPR PREFERRED |
|
|
Term
INSTRUCT VISITORS:
AIRBORNE PRECAUTIONS |
|
Definition
INSTRUCT THEM TO REMOVE ALL PERSONAL PROTECTIVE EQUIPMENT (PPE) AND WASH HANDS BEFORE LEAVING ROOM.
N95 MASK REMOVED ONLY AFTER ROOM LEFT. |
|
|
Term
PT ON AIRBORNE PRECAUTIONS, MUST BE TRANSPORTED OUTSIDE OF NEGATIVE PRESSURE ROOM,
TO ANOTHER DEPT. IN HOSP. |
|
Definition
PLACE A PROCEDURE MASK ON PATIENT AND COVER ANY LESIONS.
CLEANSE PT'S HANDS.
PUT A CLEAN GOWN ON PT.
TRANSPORT TICKET: REFLECT PT'S ISOLATION STATUS. |
|
|
Term
PT ON AIRBORNE PRECAUTIONS
FOR CHICKEN POX (VARICELLA) OR MEASLES (RUBEOLA)
YOU ARE SUSCEPTIBLE TO THESE INFECTIONS. |
|
Definition
|
|
Term
| NAME 7 DISEASES TRANSMITTED BY AIRBORNE DROPLET NUCLEI |
|
Definition
ACTIVE OR SUSPECTED PULM. TB
SARS; SMALLPOX; DISSEMINATED ZOSTER (SHINGLES W/ >20 LESIONS OUSIDE THE DERMATOME); CHICKEN POX; MEASLES; VIRAL HEMORRHAGIC FEVERS |
|
|
Term
| NEGATIVE PRESSURE ROOMS AT ECH |
|
Definition
207; 407; 419; 608; 634
MCH: 148; 149; 166; 167 |
|
|
Term
PT REQUIRES CONTACT PRECAUTIONS.
WHAT KIND OF ROOM ASSIGNMENT |
|
Definition
PRIVATE OR WITH ANOTHER PT WITH SAME ORGANISM.
DOOR MAY BE OPEN. |
|
|
Term
|
Definition
GLOVES.
GOWN IF CONTACT WITH PT AND LINENS. |
|
|
Term
PT ON CONTACT PRECAUTIONS.
HAS A COUGH.
? PATHOGEN IN RESPIRATORY SECRETIONS |
|
Definition
| GLOVES, GOWN, PROCEDURE MASK. |
|
|
Term
PT ON CONTACT PRECAUTIONS.
DO YOU REMOVE ANY EQUIPMENT FROM THE ROOM? |
|
Definition
NO. ALL EQUIPMENT REMAINS IN THE ROOM TIL PT DISCHARGED.
IT WILL THEN BE PROPERLY CLEANED. |
|
|
Term
PT ON CONTACT PRECAUTIONS.
WHERE DO YOU KEEP THE SOILED LINEN CART? |
|
Definition
KEEP LINEN CART IN PT'S ROOM.
FOLLOW STANDARD PRECAUTIONS WHEN DEALING WITH SOILED LINEN. |
|
|
Term
CONTACT PRECAUTIONS.
VISITORS.
WHAT TO DO? |
|
Definition
| INSTRUCT ON HOW TO PROPERLY DON, REMOVE AND DISPOSE OF PPE. |
|
|
Term
ORGANISMS REQUIRING
CONTACT PRECAUTIONS |
|
Definition
C DIFF
CHICKEN POX
DIAPERED OR INCONTINENT PTS W/ ECOLI; SHIGELLA; HEP A; ROTAVIRUS
MRSA
ESBL GRAM NEGATIVE ORGANISMS |
|
|
Term
WHAT ISOLATION PRECAUTIONS WOULD EACH OF THE FOLLOWING ORGANISMS HAVE IN COMMON?
MRSA;RSV;VRE;SARS |
|
Definition
|
|
Term
ISOLATION REQUIREMENTS FOR THE FOLLOWING:
HERPES SIMPLEX;
IMPETIGO;
LICE; SCABIES; STAPH INFECTIONS IN YOUNGER CHILDREN |
|
Definition
|
|
Term
DROPLET PRECAUTIONS
EXAMPLES OF DISEASES
TRANSMITTED BY
LARGE DROPLETS |
|
Definition
INFLUENZA
MENINGITIS (BACTERIAL)
MUMPS, RUBELLA
MYCOPLASMA PNEUMONIA
PARVOVIRUS B19
STREP PNEUM OR SCARLET FEVER
IN INFANTS OR YOUNG CHILDREN |
|
|
Term
DROPLET PRECAUTIONS
INFLUENZA |
|
Definition
WEAR A PROCEDURE MASK ON ENTRY TO PATIENT'S ROOM
WEAR A FACE SHIELD IF PT IS COUGHING |
|
|
Term
| WHERE WOULD YOU FIND A CHICKEN POX HANDOUT TO GIVE TO A FAMILY? |
|
Definition
|
|
Term
|
Definition
DIRECT CONTACT W/ PT AND/OR PT'S STOOLS.
DIRECT CONTACT W/ THE PT'S ENVIRONMENT (BR, COMMODE, BEDPAN, AND ALL HIGH TOUCH AREAS) |
|
|
Term
YOUR PT HAS ACUTE DIARRHEA
WHAT PRECAUTIONS SHOULD YOU CONSIDER? |
|
Definition
|
|
Term
| WOULD YOU AUTOMATICALLY COHORT PT'S WITH C.DIFF? |
|
Definition
NO.
CONSULT EPIDEMIOLOGIST FIRST. |
|
|
Term
| ELEMENTS OF CONTACT PRECAUTIONS FOR PT'S WITH C DIFF |
|
Definition
GLOVES
GOWN IF IN SIGNIFICANT PT CONTACT
PROCEDURE MASK IF RISK OF SPLASHES, SPRAYS PT BODY FLD. |
|
|
Term
CONTACT PRECAUTIONS
C DIFF
REMOVAL OF PPE |
|
Definition
GLOVES
THEN GOWN
WASH HANDS WITH SOAP & WATER
IF MASK, REMOVE BY STRING
WASH HANDS AGAIN W/ SOAP & WATER (15 SECS MIN.) |
|
|
Term
CONTACT PRECAUTIONS
C DIFF
DURATION?
HOW TO REMOVE C DIFF ISOLATION PRECAUTIONS |
|
Definition
PT IS ISOLATED FOR DURATION OF STAY OR 2 MOS.
CONTACT NSE EPIDEMIOLOGIST TO REMOVE PT FROM PRECAUTIONS |
|
|
Term
| WHAT TYPE OF SOLUTION MUST BE USED WHEN TERMINALLY CLEANING A ROOM WHERE THE PT HAD C DIFF? |
|
Definition
|
|
Term
PT W/ C DIFF IS DISCHARGED.
BEDSIDE COMMODE AND BUCKET - HOW MUST THEY BE CLEANED? |
|
Definition
| SEND TO CENTRAL PROCESSING FOR DECONTAMINATION |
|
|
Term
|
Definition
| EXTENDED SPECTRUM BETA LACTAMASE |
|
|
Term
SOME DISEASES HAVE MULTIPLE ROUTES OF TRANSMISSION
NAME THREE |
|
Definition
CHICKEN POX: AIRBORNE, CONTACT
HERPES ZOSTER: AIRBORNE, CONTACT - IF DISSEMINATED LESIONS.
SARS (SEVERE ACUTE RESP. SYNDROME) |
|
|
Term
|
Definition
SEVERE ACUTE RESP SYNDROME
NO OUTBREAK SINCE 2003-2004
VIRAL RESP ILLNESS
CORONAVIRUS
TYPICAL FLU, POSSIBLY W/ DIARRHEA |
|
|
Term
DROPLET PRECAUTIONS FOR INFLUENZA
CLEANING SURFACES IN ROOM |
|
Definition
DAILY, ALLOWING TO DRY
CUBICLE CURTAINS CHANGED WHEN PT DISCHARGED |
|
|
Term
DROPLET PRECAUTIONS
INFLUENZA
IMMUNOCOMPROMISED PT
VS
NON-IMMUNOCOMPROMISED PT |
|
Definition
NON-IMMUNOCOMPROMISED:
MAY REMOVED PRECAUTIONS AFTER 5 DAYS OF ISOLATION
IMMUNOCOMPROMISED:
PRECAUTIONS REMAIN FOR DURATION OF ILLNESS
|
|
|
Term
|
Definition
|
|
Term
| LICE ARE SPREAD BY 2 WAYS |
|
Definition
DIRECT SKIN CONTACT
INDIRECT CONTACT W/ PT'S BELONGINGS (CLOTHES, SHEETS, COMB, ETC.) |
|
|
Term
|
Definition
|
|
Term
|
Definition
| MITES, WHICH LIVE ONLY A SHORT TIME AWAY FROM THE BODY |
|
|
Term
LICE/SCABIES
WHEN CAN THE PT BE CLEARED AND ISOLATION REMOVED? |
|
Definition
PT IS ISOLATED UNTIL CLEARED.
PRECAUTIONS MAY BE REMOVED 24 HRS AFTER PT HAS BEEN TREATED.
CONTACT NSE EPIDEMIOLOGIST TO HAVE PT CLEARED. |
|
|
Term
MENINGOCOCCAL INFECTION AND H.INFLUENZA
REQUIRE WHAT TYPE OF
PRECAUTIONS? |
|
Definition
|
|
Term
| NAME AT LEAST THREE INFECTIONS THAT REQUIRE DROPLET PRECAUTIONS. |
|
Definition
MENINGOCOCCAL
H. INFLUENZA
INFLUENZA
PERTUSSIS (IF NOT IMMUNE)
MUMPS, MEASLES
MYCOPLASMA PNEUM.
PARVOVIRUS
STREP PNEUM. (INF., YOUNG CHILD)
|
|
|
Term
| WHAT PRECAUTIONS DO YOU USE FOR VIRAL, FUNGAL, OR PNEUMOCOCCAL MENINGITIS? |
|
Definition
|
|
Term
MENINGOCOCCAL INFECTION OR H. INFLUENZA HCW EXPOSURE
WHAT TO DO? |
|
Definition
NOTIFY THE ID ON-CALL MD AFTER-HOURS AND/OR WE HOURS.
EXPOSURE: W/IN 3 TO 6 FT. OF PT OR COMES INTO CONTACT W/ RESP. SECRETIONSW/IN THE 1ST 24 HRS OF ADMISSION.
EMP. HEALTH DURING DAY, WK. |
|
|
Term
MENINGOCCAL INFECTION
H. INFLUENZA INFECTION
CLEARANCE FROM REQUIRED DROPLET PRECAUTIONS? |
|
Definition
AFTER 24 HRS OF EFFECTIVE ANTIBIOTICS
CONTACT NSE EPIDEMIOLOGIST TO REMOVE PRECAUTIONS |
|
|
Term
MRSA
WHAT TYPE OF PRECAUTIONS? |
|
Definition
|
|
Term
MRSA
MODE OF TRANSMISSION? |
|
Definition
DIRECT CONTACT
WITH INFECTED OR COLONIZED
PATIENTS
AND
DIRECT CONTACT W/ PT'S ENVIRON. |
|
|
Term
MRSA
CONTACT PRECAUTIONS
DESCRIBE |
|
Definition
GLOVES WHEN IN ROOM
GOWN IF CLOSER PT CONTACT
PROCEDURE MASK IF RISK OF SPLASH, SPRAY, SPILL - PT BODY FLUIDS
HAND WASHING OR GEL |
|
|
Term
| FAMILY/PT EDUCATION RE MRSA |
|
Definition
HANDOUT IF SKIN AND/OR SOFT TISSUE ARE INVOLVED
THERE IS ALSO A GNL MRSA HANDOUT
LOCATED IN NSES TOOL BOX
PT EDUCATION>INF. DZ.>HANDOUTS |
|
|
Term
| CLEARANCE FROM MRSA PRECAUTIONS |
|
Definition
PT IS ISOLATED UNTIL CLEARED.
INFECTION CONTROL WILL REMOVE PRECAUTIONS AFTER 2 NEG. CX ARE OBTAINED FROM NARES AND ALL INFECTED OR COLONIZED SITES AT LEAST 2 DAYS APART
AND 72 HRS P ANTBX HAVE BEEN D/C'D |
|
|
Term
PERTUSSIS
MODE OF TRANSMISSION |
|
Definition
| DROPLET GENERATED DURING COUGHING OR SNEEZING OR DURING THE PERFORMANCE OF PROCEDURES |
|
|
Term
PERTUSSIS
REQUIRES DROPLET PRECAUTIONS
WHEN WOULD A PERSON WEAR A MASK ON ENTRY INTO THE PT'S ROOM |
|
Definition
IF NOT IMMUNE; IF NOT IMMUNIZED WITH TDAP
(INSTRUCT NON-IMMUNIZED VISITORS TO WEAR A MASK) |
|
|
Term
PERTUSSIS
DROPLET PRECAUTIONS
WHEN TO CLEAR ISOLATION? |
|
Definition
MAY BE REMOVED AFTER PT HAS BEEN ON APPROP. ANTIBIOTICS FOR 5 DAYS
(EG, ERYTHROMYCIN, AZITHROMYCIN, CLARITHROMYCIN)
CONTACT NSE. EPIDEMIOLOGIST TO REMOVE ISOLATION |
|
|
Term
RSV
MODE OF TRANSMISSION? |
|
Definition
| RSV IS TRANSMITTED BY DIRECT CONTACT W/ PT'S RESP. SECRETIONS OR BY INDIRECT CONTACT W/ CONTAMINATED ITEMS IN PT'S ROOM |
|
|
Term
|
Definition
|
|
Term
RSV
PARENT W/ RESP. INFECTION
CAN THEY USE PARENT ROOM OR BREAST PUMP? |
|
Definition
| MAY USE THESE AS LONG AS GOOD HAND HYGIENE IS PERFORMED |
|
|
Term
RSV
HOW TO TRANSPORT THESE PTS OUTSIDE OF ROOM? |
|
Definition
FOR NON-INFANTS:
PROCEDURE MASK WHEN OUTSIDE OF ROOM |
|
|
Term
RSV
CLEARANCE OF PRECAUTION/
ISOLATION GUIDELINES? |
|
Definition
PT IS ISOLATED FOR DURATION OF ILLNESS.
CONTACT NSE EPIDEMIOLOGIST TO REMOVE PRECAUTIONS. |
|
|
Term
TUBERCULOSIS
TB
PRECAUTIONS? |
|
Definition
|
|
Term
|
Definition
| VIA AIRBORNE DROPLET NUCLEI THAT REMAIN INFECTIVE OVER TIME AND DISTANCE. |
|
|
Term
TB
HEPA FILTRATION UNIT IS USED IN SPECIAL CIRCUMSTANCES |
|
Definition
ONLY IF A NEG PRESSURE RM IS NOT AVAILABLE
PLACED AT HEAD OF BED
RED INDICATOR TELLS YOU FILTER MUST BE CHANGED
CALL FACILITIES
SMOKE TEST DAILY |
|
|
Term
TB
WHEN CAN A REGULAR PROCEDURE MASK BE USED? |
|
Definition
IF VISIT IS LIMITED TO 15 MINUTES
OTHERWISE, VISITOR MUST USED N95 MASK |
|
|
Term
TB PT IS DISCHARGED
ROOM MUST REMAIN EMPTY FOR HOW LONG?
SPECIFIC REQUIREMENTS |
|
Definition
ROOM MUST BE EMPTY FOR ONE HOUR WITH DOOR CLOSED
THEN DOOR MAY BE OPENED
IF HEPA UNIT USED, KEEP IT RUNNING FOR 1 HR AFTER PT IS DISCHARGED |
|
|
Term
TB PT IS TRANSPORTED?
WHAT PRECAUTIONS? |
|
Definition
| PROCEDURE MASK ON PATIENT |
|
|
Term
TB PATIENT
CLEARANCE OF AIRBORNE PRECAUTIONS? |
|
Definition
LEGAL REQUIREMENT:
TB PT CAN ONLY BE D/C'D FROM A HOSPITAL AFTER AN OFFICIAL FROM THE SCPHD HAS SIGNED A GOTCH FORM. |
|
|
Term
|
Definition
|
|
Term
VRE
MODE OF TRANSMISSION? |
|
Definition
VANCOMYCIN RESISTANT ENTEROCOCCUS IS SPREAD BY DIRECT CONTACT W/
INFECTED OR COLONIZED
PTS OR BY CONTACT W/
PT'S ENVIRONMENT |
|
|
Term
| VRE PRECAUTIONS APPLY TO INFECTED, COLONIZED, OR BOTH? |
|
Definition
| TO EITHER OR, UNTIL THE PT HAS BEEN CLEARED |
|
|
Term
VRE
CLEARANCE OF CONTACT PRECAUTIONS? |
|
Definition
| INFECTION CONTROL WILL REMOVE ISOLATION AFTER THE PT HAS BEEN OFF ANTIBIOTICS FOR 2 WEEKS AND 2 NEG STOOL CULTURES HAVE BEEN OBTAINED, 1 WK APART |
|
|
Term
| NAME TWO CASES WHERE A HCW MUST WASH WITH SOAP AND WATER (NOT GEL OR FOAM). |
|
Definition
|
|
Term
| WHICH ISOLATION/PRECAUTION REQUIRES THE ROOM DOOR TO BE KEPT CLOSED AT ALL TIMES? |
|
Definition
AIRBORNE PRECAUTIONS
(TB; CHICKEN POX; DISS. HERPES ZOSTER) |
|
|
