ALF Infection Control and Prevention 3

Question 1

An ALF administrator notices a pattern of urinary tract infections in a specific wing of the facility. Which is the FIRST step in investigating this potential outbreak?

Accepted Answer

Conduct a line-listing to identify common factors among affected residents

Answer

Immediately place all residents on prophylactic antibiotics

Answer

Call the state health department before gathering any internal data

Answer

Discharge affected residents to skilled nursing facilities

Question 2

Which disinfectant is recommended by the CDC for environmental surface disinfection when C. difficile is a concern?

Accepted Answer

EPA-registered hypochlorite (bleach) solution

Answer

Quaternary ammonium compounds

Answer

Hydrogen peroxide wipes

Answer

Isopropyl alcohol solution

Question 3

How long should proper handwashing with soap and water take, according to CDC guidelines?

Accepted Answer

At least 20 seconds

Answer

At least 5 seconds

Answer

At least 10 seconds

Answer

At least 60 seconds

Question 4

In an ALF, sharps containers must be replaced when they reach what fill level to prevent needlestick injuries?

Accepted Answer

Three-quarters (75%) full

Answer

100% (completely full)

Answer

Half (50%) full

Answer

One-quarter (25%) full

Question 5

Which of the following is a key component of a facility's written Exposure Control Plan required under OSHA's Bloodborne Pathogens Standard?

Accepted Answer

Identification of tasks and job classifications where occupational exposure occurs

Answer

A list of job classifications where NO exposure to blood is possible

Answer

Documentation of residents' bloodborne illness diagnoses

Answer

Annual financial cost analysis of PPE procurement

Question 6

An ALF staff member sustains a needlestick injury from a used syringe. What is the CORRECT immediate first-aid response?

Accepted Answer

Squeeze the wound to express blood, wash thoroughly with soap and water, and report immediately

Answer

Apply a tourniquet above the wound and report to the supervisor

Answer

Apply antiseptic only and complete an incident report by end of shift

Answer

Cover the wound with a bandage and continue working until the shift ends

Question 7

Which of the following BEST describes the role of an Infection Preventionist (IP) in an assisted living facility?

Accepted Answer

Overseeing surveillance, education, policy development, and outbreak response for infection control

Answer

Prescribing antibiotics for residents with confirmed infections

Answer

Performing all personal care tasks for residents on isolation precautions

Answer

Independently reporting infection data to the state health department without administrative involvement