IHS - Infection Control
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. What would you like to do?
How often is the AANA Infection Control Guide updated?
How long should you rub hand sanitizer?
How long can your fingernails be?
What happens if a nonresponder or nonvaccinated person has a high risk Hep B exposure?
They will receive HBIG in deltoid 2x/month and receive vaccination
What happens when you have a Hep C exposure?
have HCV antibody test and alanine aminotransferase levels drawn and baseline and 6 months to capture full seroconversion time-window
Is there a PCR for Hep C?
Yes - 4-6 weeks after exposure
What is the treatment for Hep C?
interferon and ribavirin + 2 other antivirals
What should you do after an exposure to HIV?
reverse transcriptase and protease inhibitors within 72 hours
MRSA, VRE, C diff require what type of precautions in addition to universal?
What all is included in universal precautions?
hand hygeine, gloves, eye shield, face mask
Mumps, rubella, pertussis, influenza require what type of precautions in addition to universal?
mycobacterium TB, measels, varicella require what type of precautions in addition to universal?
Creutzfeldt-Jakob disease requires what type of precaution in addition to universal?
spongiform - prion destruction
What ETT cuff pressure is required for VAP prevention?
20 cm H20
Why should H2 blockers/ PPI's be avoided for VAP prevention?
they increase aerodigestive bacterial colonization
What should you prep the skin with for regional anesthesia?
0.5% chlorhexidine + 70% alcohol skin prep
What is the risk to the patient if you do not wear a mask during epidural insertion?
bacterial meningitis or epidural/paraspinal abcess
How quickly after puncture do the symptoms of postural puncture meningitis occur?
6 - 36 hours
What is the most common causative organism of postural puncture meningitis?
oral flora (veridians, streptococci)
How quickly do symptoms of an epidural abcess occur?
2 days to 5 weeks
How serious is an epidural abscess?
can cause irreversible neurologic damage
What all should you wear/prepare for Regional Anesthesia?
cap, mask, sterile gloves, sterile draping around insertion site
How long should an epidural catheter stay in place?
If the epidural comes disconnected, what is the maximum distance the static fluid can be to save the line?
If the disconnected epidural is salvageable, what is the proper way to reconnect?
Soak catheter in iodine for 3 mins, let dry, cut 10 inches from end and reconnect
What must be sterile for arterial line insertion?
gloves, field, catheter
What must you wear for an arterial line insertion?
cap, mask, sterile gloves, small sterile drape
Which CVC has the lowest risk for infection?
What must you wear for CVC insertion?
sterile gloves, cap, mask, full body drape, sterile gown
What are the 3 guidelines regarding prophylactic abx use?
- 1) administer within one hour prior to cut
- 2) agent used should follow guidelines
- 3) discontinue 24 hours surgery (48 for CTS)
In addition to abx guidelines, what are the other 3 things SCIP suggests?
- 1) proper hair removal - clippers
- 2) BG < 200 on POD 1&2
- 3) perioperative normothermia
What is included in/define the Critical Items infection risk category? How must they be cleaned?
- - comes into contact with sterile body tissues (vascular catheters)
- - sterilize, keep sterile
What is the Semi-critical Infection Risk category?
- - contacts mucous membranes (laryngoscopy blade, bronchoscope, ultrasound probe)
- - high level disinfection/sterilization
Should laryngoscope blades be stored covered or uncovered?
What is the Non-critical Infection Risk category?
- - contacts skin
- - must be clean
How often should anesthesia workspace surfaces be cleaned?
between each case
How often should the anesthesia machine system be cleaned?
What would you like to do?
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