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T1-Infection Control

Syllabus Class Objectives - FI

QuestionAnswer
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)
Created by: mcwilliams05
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