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Midterm Infection Control
Infection Control
37
Nursing
Professional
10/15/2012

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Cards

Term
[image]
Definition
  1. Infectious Agent
  2. Reservoir
  3. Portal of exit
  4. Mode of transmission
  5. Portal of entry
  6. Susceptable Host
Term
Modes of transmission
Definition

Contact (direct or indirect)

Droplet

Airborne

Term
to make free from disease-producing organisms
Definition
asepsis
Term
Give examples of muli-drug resistant organisms
Definition
tuberculosis, enterococci, Staph Aureus, e. coli, klebsiella pneumoniae
Term
A term meaning poisining of the tissues, often used to describe serious infection
Definition
sepsis
Term

When a patient is septic, they are displaying the manifestations of a systemic inflammatory state caused by widespread microbial destruction of tissues (systemic infmallatory response syndrome).

 

What are the manifestations of SIRS?

Definition
high fevers, tachycardia, hypotension (vessels dialate when your septic), and leukocytosis
Term

Chain of Infection

 

 

Infectious agents

 

 

Definition
  • Bacteria
  • Viruses
  • Fungi
  • Parasites
  • Prions 
Term

Chain of Infection

 

Reservoir

Definition
  • Human beings
  • Animals
  • Inanimate objects
Term

Chain of Infection

 

Portal of Exit

Definition
  • Sputum
  • Emesis
  • Stool
  • Blood
Term

Chain of Infection

 

 

 Modes of Transmission

 

Definition
  • Contact
  • Vehicle
  • Droplet Transmission
  • Airborne
  • Vectorborne
Term

Chain of Infection

 

Portal of Entry

Definition
  • mucous membranes
  • nonintact skin
  • gi tract
  • gu tract
  • respiratory tract
Term

Chain of Infection

 

Suceptible host

Definition
  • immunosuppressed elderly
  • Chronically ill
  • Trauma
  • Surgery
Term
Factors that have contributed to the evolution of resistant microbial organisms include the following:
Definition
  • Overprescription of antibiotics
  • Using wrong antibiotics for infecting organism
  • Incomplete use of prescriptions
  • Harboring and spreading of resistant organisms from asymptomatic carriers 
Term
Four Prevention strategies to lessen the risk of infection set fourth by the CDC
Definition
  1. Infection prevention that includes the use of bundles to provide diligent care for vascular and urinary catheters and ventilators  
  2. swift and precise diagnosis and treatment for the infectious organism
  3. accurate use of antimicrobials
  4. meticulous adherence to evidence-based transmission prevention strategies
Term
Seven Control strategies to lessen risk of infection set by CDC.
Definition
  1. administrative support
  2. judicious use of antimicrobials
  3. surveillance
  4. standard and contact precautions
  5. environmental measures
  6. education
  7. decolonization
Term
Droplet transmission occurs usually within how many feet?
Definition
Usually within 3 ft, but in some cases (smallpox & SARS) can reach more than 6 ft.
Term
Vehicle transmission occurs how?
Definition
Through contaminated items that transmit pathogens.  Examples: food carrying Salmonella, water carrying Legionella, drugs carrying bacteria fr. contaminated infusion supplies, and blood carrying viruses
Term

Vectorborne Transmission

 

What are the two types of vectors?

Definition

Biologic: living creatures such as rats, insects, or birds

 

Mechanical: inanimate objects such as catheters, blood draws, and total parenteral nutrition, ventilators, contaminated needles

Term
What is a nosocomial infection?
Definition
infections contracted in all healthcare settings
Term

Which two organizations publish guidelines for monitoring and adhering to several evidence-based infectious disease control strategies?

 

Which one publishes guidlines on both standard and transmission based precautions?

 

Which one sets requirements that healthcare agencies must meet to obtain accreditation?

Definition
the CDC and Joint Commission respectively
Term
a period between the time when the pathogen enters the host and when clinical symptoms appear
Definition
incubation period
Term
Measures taken to control  and reduce the number of pathogens present. "clean technique"
Definition
medical asepsis
Term
Used to prevent the introduction or spread of pathogens from the environment into the patient. "sterile technique"
Definition
surgical asepsis
Term
Procedures requiring sterile technique include:
Definition
insertion of IV catheters, injections, urinary catheterization, some irrigation of drainage tubes that enter sterile parts of the body, and all operative procedures
Term
Chemical or physical processes used to reduce the number of pathogens on an objet's surface
Definition
disinfectant
Term
the complete destructiono f all microorganisms, including spores.
Definition
Sterilization
Term
When do you need to wash your hands?
Definition
  • Before entering a patient room
  • After leving patient room
  • before putting on or after removing PPE
  • After using the restroom, blowing your nose, covering a sneeze, etc
  • Before eating, drinking or handling food
  • whenever hands are visibly soiled
Term
Precautions used for Airborne
Definition

Standard precautions with N95 Mask

Negative pressure room

Patient must stay in room, but wear mask if leaving room

Door must stay closed

 

Term
Disease indications for Airborne
Definition

TB

Chicken pox

measles

herpes zoster

Term
Precautions for Droplet
Definition

Private room, can have roomate w/same diagnosis

standard precautions with mask for contact within 3 ft

Place mask of client when outside room

Term
Disease Indications for Droplet Transmission
Definition

Influenza

Pnemonia

Pertusis

Strep

Diptheria

Rubella

Mumps

Meningitis

Term
Precautions for Contact Transmission
Definition

Private room, can b w/patient of same microorganism

Standard precautions

no mask necessary

dedicate equip to single client (i.e. steth, thermometer)

Term
Disease Indications for Contact Transmission
Definition

C. Diff

MRSA

Shigella

impetigo

Term
What patients are most likely to be put on isolation?
Definition

People whose body defenses are known to be compromised.

Patients who are neutropenic as a result of chemotherapy, radiation, or immunosuppressive medicaitons.

Patients with extensive burns or dermatitis

Term
In Isolation what mesures help to ensure that the patient's environment stays as free from pathogens as possible?
Definition

private rooms

strict meticulous handwashing by personnel, patient, and family

no fresh fruits or vegetables are allowed

no flowers

Term
When is surgical asepsis used?
Definition
  • surgical procedures
  • all procedures that invade the bloodstream
  • procedures that cause a break in skin or mucous membranes
  • selected dressing changes and wound care
  • procedures involving insertion of catheters or devices into sterile body cavities
  • Care for selected high risk people or groups 
Term
Principles of Surgical Asepsis
Definition
  • Moisture causes contamination
  • Never assume that an object is sterile
  • Always face the sterile field
  • Sterile articles may only touch sterile articles or surfaces
  • Sterile equipment or areas must be kept above the waist and on top of the sterile field
  • prevent unnessary traffic and air currents around the sterile area
  • open, unused sterile articles are no longer sterile after the procedure
  • a person who is considered sterile who becomes contaminated must reestablish sterility
  • surgical technique is a team effort
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