IHS - Infection Control

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IHS - Infection Control
2014-06-01 12:22:13
IHS CRNA infection control

Infection Control
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  1. How often is the AANA Infection Control Guide updated?
    4 years
  2. How long should you rub hand sanitizer?
    15 seconds
  3. How long can your fingernails be?
    1/4 inch
  4. 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
  5. 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
  6. Is there a PCR for Hep C?
    Yes - 4-6 weeks after exposure
  7. What is the treatment for Hep C?
    interferon and ribavirin + 2 other antivirals
  8. What should you do after an exposure to HIV?
    reverse transcriptase and protease inhibitors within 72 hours
  9. MRSA, VRE, C diff require what type of precautions in addition to universal?
  10. What all is included in universal precautions?
    hand hygeine, gloves, eye shield, face mask
  11. Mumps, rubella, pertussis, influenza require what type of precautions in addition to universal?
  12. mycobacterium TB, measels, varicella require what type of precautions in addition to universal?
  13. Creutzfeldt-Jakob disease requires what type of precaution in addition to universal?
    spongiform - prion destruction
  14. What ETT cuff pressure is required for VAP prevention?
    20 cm H20
  15. Why should H2 blockers/ PPI's be avoided for VAP prevention?
    they increase aerodigestive bacterial colonization
  16. What should you prep the skin with for regional anesthesia?
    0.5% chlorhexidine + 70% alcohol skin prep
  17. What is the risk to the patient if you do not wear a mask during epidural insertion?
    bacterial meningitis or epidural/paraspinal abcess
  18. How quickly after puncture do the symptoms of postural puncture meningitis occur?
    6 - 36 hours
  19. What is the most common causative organism of postural puncture meningitis?
    oral flora (veridians, streptococci)
  20. How quickly do symptoms of an epidural abcess occur?
    2 days to 5 weeks
  21. How serious is an epidural abscess?
    can cause irreversible neurologic damage
  22. What all should you wear/prepare for Regional Anesthesia?
    cap, mask, sterile gloves, sterile draping around insertion site
  23. How long should an epidural catheter stay in place?
    48 hours
  24. If the epidural comes disconnected, what is the maximum distance the static fluid can be to save the line?
    5 inches
  25. 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
  26. What must be sterile for arterial line insertion?
    gloves, field, catheter
  27. What must you wear for an arterial line insertion?
    cap, mask, sterile gloves, small sterile drape
  28. Which CVC has the lowest risk for infection?
  29. What must you wear for CVC insertion?
    sterile gloves, cap, mask, full body drape, sterile gown
  30. 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)
  31. 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
  32. 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
  33. What is the Semi-critical Infection Risk category?
    • - contacts mucous membranes (laryngoscopy blade, bronchoscope, ultrasound probe)
    • - high level disinfection/sterilization
  34. Should laryngoscope blades be stored covered or uncovered?
  35. What is the Non-critical Infection Risk category?
    • - contacts skin
    • - must be clean
  36. How often should anesthesia workspace surfaces be cleaned?
    between each case
  37. How often should the anesthesia machine system be cleaned?

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