Hand Hygiene & Isolation Precautions Flashcards
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Read the first 7 Hand Hygiene & Isolation Precautions flashcards as text
Which of the following is classified as a 'moment' for hand hygiene according to WHO's Five Moments framework?
Answer: After body fluid exposure risk
Moment 3 in the WHO framework is 'After body fluid exposure risk,' which protects the healthcare worker and the environment.
A hand hygiene compliance audit shows 45% compliance on a surgical unit. Which intervention has the strongest evidence for sustained improvement?
Answer: Multimodal strategy including product availability, education, reminders, and feedback
WHO and CDC recommend a multimodal strategy combining facility change, training, reminders at point of care, and performance feedback for sustainable compliance gains.
A patient with vancomycin-resistant Enterococcus (VRE) bacteremia is admitted. What precaution level is appropriate?
Answer: Contact Precautions
VRE is transmitted by direct and indirect contact; Contact Precautions with gown and gloves are indicated to prevent environmental spread.
Which action best describes 'doffing' personal protective equipment correctly?
Answer: Removing the gown first, then gloves, using gloved hands
The gown is removed first (while gloves remain on to handle the contaminated outer surface), followed by gloves, then eye protection, and finally the mask.
What hand hygiene product is recommended for routine care when hands are not visibly soiled?
Answer: Alcohol-based hand rub (60–95% ethanol or isopropanol)
Alcohol-based hand rub with 60–95% alcohol is the preferred agent for routine care because it is faster, more effective against most pathogens, and less damaging to skin.
Which patient population requires Protective (Reverse) Isolation rather than transmission-based precautions?
Answer: Severely immunocompromised patients (e.g., allogeneic HSCT recipients)
Severely immunocompromised patients (e.g., post-allogeneic HSCT) require Protective Environment with positive-pressure rooms and HEPA filtration to guard against environmental fungi and bacteria.
How frequently should hand hygiene compliance monitoring be conducted to meet The Joint Commission standards?
Answer: Quarterly at minimum with ongoing monitoring
TJC requires ongoing monitoring of hand hygiene compliance with regular performance data collection and feedback to staff.
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