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Chapter 5- Infection Control

front 1

Jonas Goodstart has been a patient at Happy Valley Community Hospital for 5 days. During his stay in the hospital, he was taken to the diagnostic imaging department several times for diagnostic imaging procedures, He was cared for each time he went to that department by a radiographer who had a severe upper respiratory infection. Two days after he returned home from the hospital, he also developed a severe respiratory infection. It would be appropriate to say that Mr. Goodstart had developed:

back 1

a nosocomial infection

front 2

Mary Mandura, an 82-year-old white female, has been hospitalized for several weeks as a result of multiple injuries suffered in an automobile accident. She has been treated with a series of broad spectrum antibiotics to discourage infection. Ms. Mandura now has severe diarrhea, and the stool culture has produced Clostridium difficle. This would be called:

back 2

A superinfection

front 3

The skin, the hair, the acidic condition of stomach and intestines:

back 3

the first line of defense against infection.

front 4

The inflammatory response:

back 4

the second line of defense against infection.

front 5

Antigen-antibody response:

back 5

the third line of defense against infection.

front 6

Acquired immunity:

back 6

active production or receipt of antibodies.

front 7

Natural active acquired immunity:

back 7

antibodies acquired by having a particular disease.

front 8

There is currently less reason to be concerned about contracting HIV because there is improved treatment and the disease is no longer fatal.

back 8

FALSE

front 9

Hepatitis B and hepatitis C are bloodborne viral infections. When you are caring for persons known to have either of these disease, use the following infection control techniques:

back 9

a. Wear gloves if you may come in contact with blood or body substances
b. Wear goggles if there is a possibility of your being splashed with blood or body substances

front 10

Explain the difference between Tier 1 and Tier 2 infection control precautions.

back 10

Tier 1 precautions are the basic standards for health care workers. This keeps health care workers and patients safe, and saves the worker the time it takes to differentiate from the different levels of protection from different diseases. There are differences for blood and body fluids, but these are the general rules for hospitals and health care facilities. Tier 2 precautions are procedures based on the possible transmission of diseases. The three main subjects are airborne isolation, droplet isolation, and contact isolation. These are expanded precautions for communicable diseases. Most of these are applied by the health care worker for the specific patient, and is case-by-case.

front 11

HIV, or the disease that it produces, is transmitted by direct or indirect contact with infected blood or body substances.

back 11

TRUE

front 12

Food and Drug Administration

back 12

Regulates the manufacture and sale of medications to protect health of U.S. citizens

front 13

Centers for Disease Control and Prevention

back 13

Conducts multicenter studies on diseases and publishes a weekly outline on the statistics of infectious diseases in the United States.

front 14

World Health Organization

back 14

Receives data concerning infectious disease from all countries and compiles a report for every country.

front 15

The Joint Commission

back 15

Sets requirements for hospital safety and infection control practices.

front 16

The U.S. Department of Health and Human Services

back 16

Controls disposal of medical waste.

front 17

The radiographer should always dress for the workplace with infection control in mind. This means that:

back 17

Clothing must be washable; fingernails must be kept short; shoes must be comfortable and have closed toes; and no jewelry is worn.

front 18

Microorganisms that need a host cell to reproduce and are virtually unresponsive to antimicrobial drugs are:

back 18

Viruses

front 19

When a person is in the incubation period of the disease process, the radiographer has no control over its transmission.

back 19

FALSE

front 20

The radiographer must use strict infection control measures that include blood and body substance precautions for:

back 20

Every patient who enters the diagnostic imaging department.

front 21

Blood and body substance precautions include:

back 21

Use of clean, disposable gloves for contact of the hands with blood or body fluids, a mask and goggles if blood or body fluids may spray on your face, and a gown if the blood and body fluids may touch your clothing for any patient care that may involve contact with blood or body fluids.

front 22

The most common means of spreading infection are:

back 22

Human hands.

front 23

The elements need to produce an infection are a source, a host, and a means of transmission. An example of a source of infection might be:

back 23

a. A radiography student who has a cold and comes to work
b. A visitor in the hospital who has a "fever blister" on her mouth
c. A patient who develops pneumonia

front 24

A safety precaution that must be taken when disposing o fused hypodermic needles and syringes is:

back 24

To place the syringe immediately after use with the uncapped needle attached directly into the contaminated waste receptacle provided

front 25

Indirect contact

back 25

Touching objects that have been contaminated with disease-producing microbes.

front 26

Vehicle contact

back 26

Ingesting contaminated water, food, drugs, or blood.

front 27

Airborne contact

back 27

Inhaling air contaminated with infectious microbes.

front 28

Droplet contact

back 28

Contact with secretions transferred by sneezing, coughing, or talking.

front 29

Direct contact

back 29

Touching contaminated material with hands.

front 30

When caring for a patient whom you know to be infected with HIV and who does not have AIDS, you use standard blood and body fluid precautions and:

back 30

b. Keep all information concerning the patient confidential
c. Keep the patient's chart in a place where it cannot be read by others

front 31

The radiographer who has received a needle-stick injury is obliged to notify his supervisor at the end of the work day.

back 31

FALSE- notify supervisor immediately.

front 32

Hand hygiene is to be used in the following situations by radiographers in the workplace:

back 32

a. Before caring for a patient
b. After caring for a patient
c. When preparing of an invasive procedure

front 33

If it is not possible to find a sink to wash hands, it is safe to use alcohol-based hand rubs.

back 33

TRUE

front 34

The route of transmission of MRSA, VRE, VRSA, and ESBL is

back 34

direct contact.

front 35

When the radiographer is to enter the newborn nursery, he must do the following:

back 35

b. always scrub his hands for 3 minutes
c. always clean his equipment with a disinfectant solution

front 36

The radiographer entering the room of a patient with tuberculosis must wear the following:

back 36

b. an N95 respirator mask