1. Rowena Thomas, RN Infection Control Nurse White Plains Hospital Greater NY York APIC Chapter 13 – Q&A Session November 19, 2014

2.  Divide the room in half  Team MRSA vs Team VRE  5 questions will be asked. The team that answers 3 questions correctly WINS!

3.  1. A woman in active labor with confirmed influenza has been admitted. Recommendations for preventing influenza transmission between hospitalized infected mothers and infants include all of the following except: a. The mother should be placed on Droplet Precautions b. The baby should stay in same room as mother c. Keep the isolette at least 3 ft. away from the mother when she is not interacting with the baby d. The baby should receive formula during the 5 day period following the mother’s symptom onset

4.  Answer:  B. The baby should receive formula during the 5 day period following the mother’s  Rationale: Mothers with influenza may breast feed but wear a surgical mask and practice hand hygiene before each feeding

5.  2. Which of the following does not meet the requirements for an Airborne Isolation Room?  a. Negative pressure isolation room  b. At least 15 to 20 air exchanges per hour  c. Direct exhaust to the outside  d. Daily monitoring of the air pressure with visual indicators

6.  Answer:  B. at least 15 to 20 air exchanges per hour  Rationale:  In acute and long term care facilities, patients should be placed in negative pressure room with at least 6 to 12 air exchanges per hour

7.  3. Numerous outbreaks of infections have been attributed to unsafe injection practices. The IP designs an educational program to review safe injection practices with all nursing staff. These practices include:  1. Use single-dose vials whenever possible and avoid using multidose vials  2. Discard saline bags used for IV flushes for multiple patients after 1 hour  3. Enter a medication vial with a new needle and syringe, even on the same patient  4. Use needles and syringes for only one patient a. 1, 2, 3 b. 1, 3, 4 c. 1, 2, 4 d. 2, 3, 4

8.  Answer:  B. 1, 3, 4  Rationale:  Absolute adherence to proper infection control practices must be maintained during the preparation and administration of injected medications

9.  4. The CDC recommendations for decreasing CLABSI include all of the following except:  a. Educational programs  b. Routine replacement of catheters  c. the use of chlorhexidine for skin antisepsis  d. the use of maximal sterile barrier precautions

10.  Answer:  B. Routine replacement of catheters  Rationale:  The CDC Guidelines do not recommend routinely replacing CVCs, PICC, hemodialysis catheters, or pulmonary catheters to prevent CLA-BSIs

11.  5. Dialysis staff are most at risk for exposure to bloodborne pathogens during:  1. Initiation and termination of dialysis  2. Reprocessing, cleaning, and disinfection procedures  3. Medication administration  4. Vascular access  a. 1, 2  b. 2, 3  c. 2, 4  d. 1, 3

12.  Answer:  A. 1,2  Rationale:  Staff members must follow Standard Precautions when exposure to blood or other potentially infectious materials is anticipated ex.- initiation and termination of dialysis and reprocessing, cleaning, or disinfection

13. And the WINNER is…

14. Great JOB!

15. Thank you!!