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