Equipment Application and Cleanliness Ensure Infection Control.

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Presentation transcript:

Equipment Application and Cleanliness Ensure Infection Control

CRT exam includes some areas of infection control that you may not be regularly involved in Equipment disinfection Infection control guidelines Protocols to Decrease incidence of VAP Combat spread of emerging infections such as SARS

Common Errors to Avoid on the Exam Don’t pasteurize or immerse any electrically powered equipment in liquid disinfectants; use gas sterilization instead Don’t confuse sterilization (which kills all microorganisms, including bacterial spores) with high-level disinfection (which kills all microorganisms except bacterial spores) Don’t select steam autoclaving for any heat- sensitive items needing sterilization. Don’t routinely change ventilator circuits; change these components only if visibly soiled or malfunctioning

More Common Errors to Avoid on the Exam Don’t recap, bend, break, or otherwise manipulate used needles with your hands Don’t intubate a patient if noninvasive ventilation will suffice; this will minimize ventilator-associated pneumonia When wearing PPE, avoid touching surfaces, objects, and your face with contaminated gloves

Exam Sure Bets Always disassemble and inspect nondisposable equipment before cleaning Always ensure that all equipment that has been cleaned via washing is dried properly before further processing Always ensure that all nondisposable critical items (devices introduced in the blood stream or other parts of the body) are sterilized before reuse Always treat any nondisposable equipment that comes in contact with a patient’s airway as semicritical and in need of either high-level disinfection or pasteurization before use.

More Exam Sure Bets Always recognize that among semicritical respiratory therapy equipment, nebulizers and aerosol generators pose the greatest infection risk Always use sterile solutions to fill nebulizers and aerosol generators Always use low-resistance HEPA filters to isolate bedside and laboratory pulmonary function equipment from the patient

More Exam Sure Bets Always wear a mask and maintain good hand hygiene when examining or caring for patients with signs and symptoms of a respiratory infection Always perform a user-seal check each time you use an N-95 respirator for airborne precautions

Reference: Certified Respiratory Therapist Exam Review Guide, Craig Scanlon, Albert Heuer, and Louis Sinopoli Jones and Bartlett Publishers