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T1-Infection Control
Syllabus Class Objectives - FI
Question | Answer |
---|---|
List the 6 links in the chain of infection | Infectious agent, Reservoir, Portal of exit, Mode of transmission, Portal of entry, Susceptible host |
Explain the Infectious Agent link in the chain of infection | The development of an infectious disease depends on the number of infectious agents of microorganisms present, their virulence, their ability to enter and servive in the host, and the susceptibility of the host |
Explain the Reservoir link in the chain of infection | A place where microorganisms survive, multiply, and await transfer to a susceptible host |
Explain the Portal of Exit link in the chain of infection | How infecious agent leave the body. this could be the respiratory tract, rectum, GU tract, or break in skin/blood |
List Modes of Tranmission in the chain of infection | Contact (direct, indirect, droplet), Air, Vehicles, and Vector |
Explain the Indirect Contact mode of transmission | Personal contact of susceptible host with contaminated inanimate object (e.g., sharps or dressings) |
Explain the Droplet Contact mode of transmission | Large particles that travel up to 3 ft & come in contact c susceptible host (e.g., coughing, sneezin, talking) |
Explain the Air mode of transmission | Droplet nuclei suspended in air (e.g., coughing, sneezing, talking) |
Explain the Vehicles that are modes of transmission for infectious agents | Contaminated items, Water, Drugs, Solution, Blood, Food that's improperly handled, stored, or cooked |
Explain the Vectors that are modes of transmission for infectious agents | External mechanical transfer (flies), Internal transmission such as parasitic conditions between vector & host, for example: Mosquito, Tick, Flea |
Explain the Portal of Entry in the chain of infection | How infection can enter new host, which is usually by the same means as how it exited the host |
Explain the Susceptible Host in the chain of infection | Susceptibility to an infectious agent depends on the individual's degree of resistance to pathogens. |
Identify factors that place people at risk for developing an infection | Age, Heredity, Cultural practices, Nurtitional Status, Stress, Rest/Exercise, Inadequate Defenses, Personal Habits, Environmental Factors, Immunication/Disease History, Medical Therapies, Clinical Appearance/Data |
Identify the body's normal defenses against infection | Normal Flora, Body System Defenses (Skin, Mouth, Respiratory Tract, Urinary Tract, GI Tract, Vagina), Inflammation, Immune response |
Explain conditions that could precipitate the onset of nosocomial (Health Care Associated) infections | Surgical or Traumatic Wound Infections, Primary Bloodstream Infection/Sepsis, Pneumonia, UTI, Bone & Joint Infection, Cardiovascular System Infection, CNS Infection, GI System Infection, Skin & Soft Tissue |
Explain Iatrogenic infection | Specific type of Healthcare related infection. Result of diagnostic or therapeutic procedure. EX: Valve was contaiminated when put into pt |
Recognize common manifestations of localized and systemic infections | |
Identify common laboratory and diagnostic tests used to identify or confirm an infectious process | WBC count, Erythrcyte sedimentation rate, Iron level, Cultures of blood, Cultures of wound, sputum & throat, Urinalysis |
What is the normal values for WBC count | 4,500-11,000/mm3 |
Explain the indication of infection for WBC count | Increased in acute infection, decreased in certain viral or overwhelming infections |
What is the normal values for Erythrocyte sedimentation rate | Up to 15 mm/hr for men and 20 mm/hr for women |
Explain the indication of infection for Erythrocyte Sedimentation rate | Elevated in presence of inflammatory process |
What is the normal values for Iron level | 60-90 mg/110 ml |
Explain the indication of infection for Iron level | Decreased in chronic infection |
What is the normal values for Cultures of blood | Normally sterile, s microorganism growth |
Explain the indication of infection for Cultures of blood | Presence of microorganism growth may indicate infection |
What is the normal values for Cultures of wound, sputum, and throat | Possible normal flora |
Explain the indication of infection for Cultures of wound, sputum, and throat | Presence of microorganism growth may indicate infection |
What is the normal values for Urinalysis | Nitrite and leukocyte negative, WBC 0-11/mm3 esterases |
Explain the indication of infection for Urinalysis | Nitrite and leukocyte positive, WBC greater than 20/mm3 |
Identify nursing diagnoses associated with a client who has an infection or is at risk of developing an infection | Risk for infection: inadequate primary defenses (broken skin or stasis of body fluids), inadequate secondary defenses (decreased hemoglobin & WBC), or chronic disease |
Describe nursing strategies designed to break each link in the chain of infection | Health promotion (nutrition, immunications, hygiene, rest & exercise), Medical Asepsis, Cleaning, Disinfection & Sterilization, Control or Eliminateion of Reservoirs, Control of Portals of Exit, Control of Transmission, Hand Hygiene, Isolation |
Describe strategies for Standard Precautions (Tier One) | Hand hygiene, Wear gloves, Wear PPE, Clean pt care equip, Place contaminated linen in leakproof bad, Discard sharps correctly, Ensure pts with respiratory infection cover mouth/nose, use & dispose of tissues, & possibly wear mask |
Differentiate between medical and surgical asepsis | MEDICAL: used to reduce the # of microorganisms & prevent spread. EX: Hand hygiene, barrier techniques, & routine environmental cleaning |
Identify common laboratory and diagnostic tests used to identify or confirm an infectious process | WBC count, Erythrcyte sedimentation rate, Iron level, Cultures of blood, Cultures of wound, sputum & throat, Urinalysis |
What is the normal values for WBC count | 4,500-11,000/mm3 |
Explain the indication of infection for WBC count | Increased in acute infection, decreased in certain viral or overwhelming infections |
What is the normal values for Erythrocyte sedimentation rate | Up to 15 mm/hr for men and 20 mm/hr for women |
Explain the indication of infection for Erythrocyte Sedimentation rate | Elevated in presence of inflammatory process |
What is the normal values for Iron level | 60-90 mg/110 ml |
Explain the indication of infection for Iron level | Decreased in chronic infection |
What is the normal values for Cultures of blood | Normally sterile, s microorganism growth |
Explain the indication of infection for Cultures of blood | Presence of microorganism growth may indicate infection |
What is the normal values for Cultures of wound, sputum, and throat | Possible normal flora |
Explain the indication of infection for Cultures of wound, sputum, and throat | Presence of microorganism growth may indicate infection |
What is the normal values for Urinalysis | Nitrite and leukocyte negative, WBC 0-11/mm3 esterases |
Explain the indication of infection for Urinalysis | Nitrite and leukocyte positive, WBC greater than 20/mm3 |
Identify nursing diagnoses associated with a client who has an infection or is at risk of developing an infection | Risk for infection: inadequate primary defenses (broken skin or stasis of body fluids), inadequate secondary defenses (decreased hemoglobin & WBC), or chronic disease |
Describe nursing strategies designed to break each link in the chain of infection | Health promotion (nutrition, immunications, hygiene, rest & exercise), Medical Asepsis, Cleaning, Disinfection & Sterilization, Control or Eliminateion of Reservoirs, Control of Portals of Exit, Control of Transmission, Hand Hygiene, Isolation |
Describe strategies for Standard Precautions (Tier One) | Hand hygiene, Wear gloves, Wear PPE, Clean pt care equip, Place contaminated linen in leakproof bad, Discard sharps correctly, Ensure pts with respiratory infection cover mouth/nose, use & dispose of tissues, & possibly wear mask |
Describe Medical Asepsis | Clean tech. Reduce the # of microorganisms & prevent spread. EX: Hand hygiene, barrier techniques, & routine environmental cleaning. You consider an area or object contaminated only if you suspected it contains pathogens (used bedpan or wet gauze) |
Describe Surgical Asepsis | Sterile tech. Prevent microbial contamination of open wound or sterile item. An area or object is contaminated if touched by an object that's not sterile (tear in surgical glove during procedure or sterile instrument placed on unsterible surface) |
Describe infection control interventions unique to health promotion. | Nutrition, Hygiene, Immunization, Adequate rest & regular exercise |
Describe infection control interventions unique to acute care. | Medical asepsis (control/elim of infectious agents, cleaning, disinfection/sterilization), Control or elimination of reservoirs, Control of portal of exit, Control of transmission (Hand hygiene, isolation & barrier protection, PPE, bagging) |
Describe infection control interventions unique to community care settings | |
Discuss global issues regarding infection control | |
Discuss portals of entry | Skin & mucosa, Urinary Tract, Invasive Tubes & lines, Wounds |
List specimen collection techniques | Wound, Blood, Stool, and Urine |
Name the categories for Sterilization, disinfection, and Cleaning | Noncritical items (Cleaning), Semicritical Items (Disinfection), Critical Items (Sterilization) |